I have anxiety giving presentations to an audience. What is the best benzodiazepine for this?
Benzodiazepines are not actually a preferred medication for performance anxiety, or stage fright. The preferred medication for performance anxiety are beta blockers, like propranolol. The main reasons why beta blockers are preferred over benzodiazepines are that propranolol is effective at reducing the physical symptoms of anxiety by blocking the adrenaline receptors, and propranolol is not an addictive drug, while benzodiazepines have side effects like sedation and tremors, and benzodiazepines are potentially addictive.
But if you and your doctor decide on taking a benzodiazepine for performance anxiety, then the best benzodiazepines are lorazepam (Ativan) and clonazepam (Klonopin). Lorazepam and clonazepam have less addictive potential than diazepam (Valium) and alprazolam (Xanax), as diazepam and alprazolam give a person a euphoric feeling (a ‘high’), thereby increasing the risk of addiction. Lorazepam and clonazepam have less euphoric effects.
If you want anxiety relief for just a couple of hours, then lorazapam is your best choice. For longer anxiety relief, your best choice is clonazepam. But hopefully, you and your doctor will agree that beta blockers are the best choice overall for performance anxiety.