What are the potential risks of taking benzodiazepines for anxiety?

Benzodiazepines are commonly used in the treatment of anxiety, but they can cause drowsiness, sedation, memory impairment and interactions with other drugs and alcohol. Furthermore, physical dependency can develop, so that physical withdrawal symptoms and rebound anxiety can occur upon discontinuation. It is for this reason that discontinuation of long term benzodiazepine treatment requires a slow tapering of dose.

Finally, benzodiazepines may cause or aggravate depression. For these reasons, they are usually prescribed only when anxiety is moderate to severe. The most commonly prescribed benzodiazepines (brand names in parentheses) are clonazepam (Klonopin); diazepam (Valium); lorazepam (Ativan); and alprazolam (Xanax).

Generic versions of each are available.

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