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Two medicines, side by side

Lorazepam vs oxazepam

Lorazepam and oxazepam are both labeled for anxiety. Drugs@FDA records approvals of lorazepam since 1977 and of oxazepam since 1965. Pharmacies paid $0.0344 per lorazepam 0.5 mg tablet and $0.725 per oxazepam 10 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the lorazepam FDA label on DailyMed (effective July 9, 2025); the oxazepam FDA label on DailyMed (effective July 11, 2025).

Highlights of the lorazepam record

Lorazepam (Ativan) · label of July 9, 2025

Boxed warning

RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; and DEPENDENCE AND WITHDRAWAL REACTIONS

Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs for patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required.

Used for

From the label: indications

Ativan (lorazepam) is indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic. […]

On the market

Earliest approval on file
September 30, 1977
Generic labelers
36 labelers
Pharmacy cost
$0.0344 per tablet

Supply and safety

Shortage
In shortage
Recalls
8

Highlights of the oxazepam record

Oxazepam (Serax) · label of July 11, 2025

Boxed warning

RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; and DEPENDENCE AND WITHDRAWAL REACTIONS Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required.

Used for

From the label: indications

Oxazepam capsules are indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic. Anxiety associated with depression is also responsive to oxazepam therapy. […]

On the market

Earliest approval on file
June 4, 1965
Generic labelers
6 labelers
Pharmacy cost
$0.725 per capsule

Supply and safety

Shortage
No current entry
Recalls
0

Source: FDA drug labels via openFDA (Lorazepam label of July 9, 2025, Oxazepam label of July 11, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do lorazepam and oxazepam differ on the record?

Both are in FDA's class benzodiazepines.

Half-life, in each label's words: Lorazepam, “The mean half-life of unconjugated lorazepam in human plasma is about 12 hours and for its major metabolite, lorazepam …”; Oxazepam, “The mean elimination half-life for oxazepam was approximately 8.2 hours (range 5.7 to 10.9 hours).”

Both labels carry a boxed warning; the records quote them.

Generics: lorazepam since 1985; oxazepam since 1987 (Drugs@FDA).

LorazepamOxazepam
Labeled forAnxietyAnxiety
Pharmacologic classBenzodiazepineBenzodiazepine
How it works (label)n/an/a
Half-life (label)The mean half-life of unconjugated lorazepam in human plasma is about 12 hours and for its major metabolite, lorazepam glucuronide, about 18 hours.The mean elimination half-life for oxazepam was approximately 8.2 hours (range 5.7 to 10.9 hours).
Earliest approval on file (Drugs@FDA)September 30, 1977June 4, 1965
First generic approvedDecember 10, 1985January 16, 1987
Generic labelers (NDC)36 labelers6 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0344 per tablet (Lorazepam 0.5 mg tablet)$0.725 per capsule (Oxazepam 10 mg capsule)
12-month price change-18%-14%
Boxed warningYesYes
Shortage nowIn shortageNo current entry
Recalls recorded80
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)178,73121,381
DEA scheduleCIVCIV

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Lorazepam label, warnings

Use of benzodiazepines, including lorazepam, both used alone and in combination with other CNS depressants, may lead to potentially fatal respiratory depression (see PRECAUTIONS:

Source: FDA drug labels via openFDA

What next?

Alternatives to lorazepam
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