Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/4/2025

Switching from Alprazolam to Lorazepam for Anxiety Management

Dosing Considerations

  • For elderly or debilitated patients, an initial dose of lorazepam 0.5mg BID is appropriate as an initial dose, according to the BMJ 1

Practical Implementation Strategy

  • Consider adding lorazepam 0.5-1mg every 4-6 hours as needed for breakthrough anxiety during the transition, as suggested by the BMJ 1