Xanax XR (.5mg in the morning) keeps my head the clearest while providing the therapeutic benefits I seek.I don't seem to find Xanax IR as sedating as others, however, so take my experiences with a grain of salt. Lorazepam did nothing therapeutic for me (also not sedating at all).
It may provide therapeutic relief for you, however, and may be worth a try. I would agree, keep your tolerance sub-milligram ergicmergic, like 0.25mg/day, since you're not taking much diazepam currently, I can't imagine your tolerance to benzodiazepines being substantial. It's strange, temazepam's one of the more toxic benzos in humans yet it's one of the cleanest at therapeutic doses for me. I haven't tried them, but supposedly oxazepam and clorazepate have the least sedation or cognitive problems out of all the benzos. It takes over 100 mgs to get desired effects for me. Benzo intolerant individuals in my social circle seem to react fairly well to it as well.Clonazepam (.5mg in the morning) caused rebound anxiety and increasing doses after only 2 months. 2 weeks after the switch, I began to feel strong Clonazepam withdrawals in the form of brain zaps, sore muscles, and irritability. Diazepam always seemed rather tame, but still having therapeutic value. Don't have much experience with clonazepam but I would say lorazepam hands down, with diazepam being the runner up.Of course alprazolam is going to be the best in more severe panic attack type situations but for regular dosing I would definitely recommend a couple of milligrams of lorazepam.There are a number of antidepressants available that work in slightly different ways and have different side effects.When prescribing an antidepressant that's likely to work well for you, your doctor may consider: Certain brain chemicals called neurotransmitters are associated with depression — particularly serotonin (ser-o-TOE-nin), norepinephrine (nor-ep-ih-NEF-rin) and dopamine (DOE-puh-meen).