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Buspirone vs. Xanax: What You Need to Know

Updated September 12, 2024

picture of Joe Gilmore
Authored By:

Joe Gilmore

Medically Reviewed By

Javier Rodriguez-Winter

picture of Joe Gilmore
Authored By:

Joe Gilmore

Medically Reviewed By

Javier Rodriguez-Winter

Table of Contents

Anxiety is the most common mental health issue in the United States, affecting almost one in three adults at some stage in life. Two popular medications for managing this condition are buspirone and Xanax (alprazolam). While both can help manage symptoms, they work in different ways and have unique benefits and risks.

Understanding the differences between these medications can help you make a more informed choice. In this guide, we’ll compare buspirone vs Xanax to help you decide which might be better for your needs. You will also learn how to get compassionate and effective treatment for mental health issues like anxiety.

increasing the effects of a brain chemical called GABA. This helps to quickly calm down the CNS, making it an ideal choice for managing sudden or severe anxiety. However, because it works so fast, it can also lead to dependence if used too often or for too long. Xanax is also known to cause drowsiness and can make you feel very sleepy, which is why it’s usually only recommended for short-term use.

image depicting buspirone vs xanax

What Is Buspirone?

Buspirone is a medication that doctors prescribe to help people manage anxiety. It works by affecting certain chemicals in the brain, especially serotonin, which is linked to mood and anxiety. Unlike some other anxiety medications, buspirone is not a sedative, meaning it doesn’t cause drowsiness. It’s usually taken daily, and it may take a few weeks to start working fully. Buspirone is generally considered safe, with a lower risk of addiction than other anxiety medications – it is not a controlled substance. This makes it a popular choice for people who need long-term treatment for anxiety.

What Is Xanax?

Xanax is another medication often used to treat anxiety, but it belongs to a different class of drugs called benzodiazepines. This medication works by calming the brain and CNS (central nervous system), which helps reduce feelings of anxiety quickly. Xanax is normally used for short-term relief because it acts rapidly, often within an hour. That said, it can cause drowsiness and has a higher risk of addiction if used for a long time. Due to its potential for dependence, doctors usually prescribe Xanax for short periods or for specific situations where quick relief is needed. This medication is a Schedule IV controlled substance in the United States.

The Difference Between Xanax and Buspirone

While Xanax and buspirone are both used to treat anxiety, they are very different in how they work and what they do in the body. Xanax is a benzodiazepine, which means it works by increasing the effects of a brain chemical called GABA. This helps to quickly calm down the CNS, making it an ideal choice for managing sudden or severe anxiety. However, because it works so fast, it can also lead to dependence if used too often or for too long. Xanax is also known to cause drowsiness and can make you feel very sleepy, which is why it’s usually only recommended for short-term use.

 

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Buspirone, by contrast, works in a different way. It affects serotonin and dopamine, which are brain chemicals that help regulate mood and anxiety. Unlike Xanax, buspirone doesn’t trigger the same sedative effects, so it doesn’t make you sleepy. It’s often used for people who need long-term treatment for anxiety because it has a much lower risk of addiction. Buspirone takes longer to start working, though – sometimes a few weeks – so it’s not recommended for quick relief of anxiety symptoms.

The Efficacy of Buspirone Compared to Xanax

When it comes to how effective these medications are, both have their strengths, but they work best in different situations. Xanax is highly effective for fast relief. If someone is experiencing a panic attack or severe anxiety, Xanax can help calm them down within an hour. This makes it a go-to option for short-term or emergency use. However, because it works so quickly, it’s also more likely to be misused, and there’s a higher chance of becoming dependent on it.

Buspirone, on the other hand, is not as quick-acting. It usually takes a week or more to start reducing anxiety, with full effects sometimes taking up to six weeks. That said, its slower onset is actually an advantage for long-term treatment. Because it doesn’t cause sedation and has a lower risk of addiction, buspirone is a safer option for people who need ongoing help managing anxiety. Studies show that buspirone can be just as effective as benzodiazepines like Xanax for long-term anxiety treatment, but it works best when taken consistently every day.

Both medications are effective, but the right choice depends on the specific needs and situation of the person using them.

Which One Is Better, Xanax or Buspirone?

Deciding whether buspirone or Xanax is better depends on what you need from your anxiety treatment. If you’re looking for something that works fast, especially during a panic attack or when anxiety suddenly spikes, Xanax might be the better choice. It can start calming your nerves within an hour, making it useful for short-term situations. However, Xanax is not meant for long-term use due to its potential for addiction and the way it can make you feel sleepy or groggy.

On the other hand, buspirone is a better option if you need something to manage anxiety over a longer period. It doesn’t work as quickly as Xanax, but it’s much safer for long-term use. Buspirone doesn’t cause drowsiness, and there’s a much lower risk of becoming dependent on it. This makes it a good choice if you need ongoing help with anxiety without worrying about addiction.

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Ultimately, the better medication depends on your specific situation. If you need quick relief, Xanax might be more helpful. But if you’re looking for a long-term solution with fewer risks, buspirone could be the better option.

Comparing Risks & Dangers of Xanax and Buspirone

Xanax is a controlled substance with many risks associated with its use, such as:

    • Addiction risk: High potential for addiction and dependence, especially with long-term use.

    • Withdrawal symptoms: Stopping Xanax suddenly can lead to severe withdrawal symptoms, including anxiety, insomnia, and seizures.

    • Sedation: Can cause significant drowsiness and fatigue, which can be dangerous when driving or operating machinery.

    • Short-term use: Best suited for short-term or emergency situations due to its quick-acting nature, but not ideal for long-term treatment.

Buspirone is usually considered safe and effective, but risks may include:

    • Side effects: Common side effects include dizziness, headaches, and nausea, but less likely to cause drowsiness.

    • Delayed onset: Takes longer to start working, so it’s not suitable for immediate relief of anxiety.

    • Lower addiction risk: Much lower risk of addiction and dependence than Xanax.

    • Safe for long-term use: Safer for ongoing treatment of anxiety without the risk of severe withdrawal symptoms.

image depicting difference between xanax and buspirone

Get Effective Treatment for Prescription Drug Addiction at Renaissance Recovery

If you need help dealing with addiction to prescription medications like buspirone or Xanax, we can help you at Renaissance Recovery. We have luxury beachside rehab centers in California and Florida where we treat all types of addictions and mental health conditions.

The outpatient nature of Renaissance treatment programs enables you to continue at home and work while you get compassionate and science-backed addiction treatment. If you feel you need more structured support, we also offer more intensive outpatient programs.

At Renaissance, we strongly feel that everyone should have access to treatment for substance abuse. We work with all major health insurance providers, making sure that more people can connect with the care they need.

Every addiction is unique, and everyone has different needs. This is reflected in the personalized treatment plans at Renaissance. You can access therapies like:

    • Counseling

    • Talk therapy

    • Motivational therapy

    • Group therapy

    • Family therapy

    • Aftercare

When you’re ready to begin your recovery from prescription drug addiction, call 866.330.9449.

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