This starting point allows for adjustments based on how the patient reacts to the medication. Anxiety disorders are characterized by excessive worry and fear that can interfere with daily life. It should only be taken under the supervision of a doctor and exactly as prescribed. However, it’s important to note that Xanax is a controlled substance due to its potential for abuse and dependence.
Is Alprazolam Safe To Take If I’m Pregnant Or Breastfeeding?
The potential for misuse among those taking it for medical reasons is controversial, with some expert reviews stating that the risk is low and similar to that of other benzodiazepine drugs. Overdoses of alprazolam can be mild to severe depending on the quantity ingested and if other drugs are taken in combination. Like all central nervous system depressants, alprazolam in larger-than-normal doses can cause significant deterioration in alertness and increase drowsiness, especially in those unaccustomed to the drug’s effects. The effect size (Hedges’s g) of alprazolam for the treatment of panic disorder based on the five clinical trials was 0.33 (a small effect) and based on the published trials was 0.47 (a moderate effect), equating to an increase of 0.14 or 42%. In Australia, alprazolam is not recommended for the treatment of panic disorder because of concerns regarding tolerance, dependence, and abuse.
It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C), for shorter periods of time, such as when transporting it. Alprazolam produces a calming effect on the brain, which helps to reduce anxiety and promote relaxation. Patients should always ask their doctors for medical advice about adverse events. Taking XANAX with certain other medicines can cause side effects or affect how well XANAX or the other medicines work. Do not take XANAX if you are taking antifungal treatments, including ketoconazole or itraconazole.

Food and Drug Administration(FDA) approved the use of Xanax for the treatment of panic disorder. According to a report fromIMS Health, alprazolam consistently ranks as one of the most frequently dispensed psychotropic drugs in the United States. Like other drugs in the category of benzodiazepines, Xanax can also cause dependence and addiction when used for nonmedical reasons. When taken as prescribed, Xanax (alprazolam) use can help stop episodes of intense, irrational fear or anxiety when they start to occur. The uses of Xanax include anxiety disorders, which can affect both adult sand children.
- Find out more about the similarities and differences between these drugs in this Valium vs. Xanax comparison.
- Opioids are powerful drugs that are also known as opiates or narcotics.
- The use of this drug may affect the health of the baby.
- There are no adequate studies in women for determining infant risk when using this medication during breastfeeding.
- Rarely, some people may also have withdrawal symptoms that last a long time after stopping Xanax.
Xanax Dependence And Withdrawal
A drug’s half-life is the time it takes for half of a dose of the drug to leave your system. They’ll ultimately prescribe the lowest dosage of Xanax that you need to relieve your anxiety symptoms. Your medical professional may increase your dosage every few days until your symptoms are well managed. They may recommend certain treatments to help relieve your withdrawal symptoms.
Your doctor will likely start you on a low dosage of Xanax and adjust it over time to reach the right amount for you. This means it’s regulated by the U.S. government due to the risk of misuse. The following table highlights the basics of the drug’s dosage, with strengths given in milligrams (mg). This means the drug is released slowly into your body over a period of time.
Medical Professionals
If you have severe symptoms, immediately call 911 or your local emergency number, or go to the nearest emergency room. If you take more Xanax than your doctor prescribes, you may develop serious side effects. Do not take extra doses to make up for the missed dose. If you miss a Xanax dose, take it as soon as you remember. If you’re having trouble opening medication bottles, ask your pharmacist about putting Xanax in an easy-open container. If you have trouble swallowing tablets, see this article for tips on how to take this form of medication.

If you’re taking this anti-anxiety medication for the first time, it’s important to understand its side effects and potential interactions before use. Withdrawal symptoms are more likely in people who take higher doses and people who take the drug for a longer amount of time. Benzodiazepines (the drug group Xanax belongs to) have a higher risk of dependence and withdrawal symptoms than other drugs that treat this condition. Understanding the potential risks of dependence and Xanax withdrawal symptoms can help you and your doctor decide if it’s the right option for your treatment. Your doctor may prescribe Xanax with other drugs for generalized anxiety disorder or panic disorder.
2 Dosage In Panic Disorder
If needed, your doctor can suggest other treatments for your condition. If you have bothersome side effects that last long and you’re concerned, talk with your doctor or pharmacist. No, Xanax is not known to cause any long-term side effects. If you have questions about the side effects of Xanax in older adults, talk with your doctor or pharmacist. For this reason, doctors usually prescribe lower doses of Xanax for older adults and may increase the dose slowly if needed.
5 Interaction With Drugs That Inhibit Metabolism Via Cytochrome P450 3A
In medical detox, the dose of Xanax is gradually tapered off under a doctor’s supervision, with 24-hour clinical monitoring to prevent seizures, tremors, rebound anxiety, and other withdrawal symptoms. Other users experiment with the drug on a recreational basis, often combining it with drugs like alcohol or other tranquilizers that can intensify its sedative effects and increase the risk of overdose and addiction. For people struggling with panic disorders, they may start with higher doses (around 0.5 milligrams, three times daily).

He said another drug, a strong synthetic opioid called nitazenes, had also caused fatal overdoses in the UK, including in the Birmingham area last summer. “The counterfeit drugs are usually much more potent and stronger than the drugs they are masquerading as,” says Chris Rentoul, its head of harm reduction. Illicit Alprazolam can contain other unknown and potentially harmful sedative drugs and it has been linked with a number of deaths in the UK and US, when mixed with other potent drugs. Xanax is a powerful tranquilliser used to treat anxiety and panic attacks. A drugs gang produced millions of counterfeit Xanax pills in garden sheds and garages, selling them to customers across the UK and US. On Nov. 29, 2023, Cruz pleaded guilty to the same charge and admitted purchasing counterfeit Xanax, an anti-anxiety drug, on the darknet and then reselling it from at least October 2019 through May 2021.
Serious Side Effects Of Xanax
The drug may reach higher levels in older adults, which increases the risk of side effects. The list below may not include all possible serious side effects of the drug. This list doesn’t include all possible mild side effects of the drug.

“This country is in the midst of a catastrophic overdose epidemic where the threat from synthetic opioids disguised as fake prescription medication is extremely high. The takedown of this organized crime group underscores the urgent need to address the dangers posed by counterfeit drugs on the darknet. A group of darknet criminals who sold counterfeit prescription drugs, including Xanax, worth over £20 million, have been sentenced to lengthy prison terms. The case highlights the devastating impact of fake drugs and the effectiveness of coordinated investigations It is estimated that more than £4million worth of drugs were sold to customers, primarily in the USA, using Bitcoin to receive payment. “We dedicated time, resource and expertise to ensure these illicit counterfeit activities were prevented in order to protect public health.”
What Is The Dosage For Xanax?
Talk to your doctor about the possible risks of using this medication for your condition. Your doctor will probably start you on a low dose of alprazolam and gradually increase your dose, not more than once every 3 or 4 days. Remove the orally disintegrating tablet from the bottle just before it is time for your dose. Draw into the dropper the amount prescribed for one dose.
But when using Xanax, always take the dosage your doctor prescribes. This article describes the dosages of Xanax, as well as its strengths and how to take it. Xanax contains the active ingredient alprazolam. To receive weekly information on mental health, you may want to sign up for the Psych Central newsletter. While you take Xanax, additional treatments and remedies may help you better manage your condition. You can also discuss other treatments, forms of support, and resources that may benefit you.

Older adults may also be more sensitive to certain effects of Xanax. This is because older adults don’t clear the drug from their bodies as well as other adults. Xanax can cause similar side effects in older and younger adults. Examples of these side effects are described throughout this article.
A Black Country gang has been jailed for nearly 50 years after they manufactured huge fake quantities of the anti-anxiety pill Xanax before selling it on the dark web. Cranstoun, a harm reduction charity in the Black Country, has produced guidance for people who take Xanax and other benzodiazepines, on how to do so safely. The UK Health Security Agency said there was evidence “use is a growing problem, particularly among young people and young adults”.
In a 1983 study, only 5% of patients who abruptly ceased taking long-acting benzodiazepines after less than eight months demonstrated withdrawal symptoms, but 43% who had been taking them for more than eight months did. In 1992, Romach and colleagues reported that dose escalation is not a characteristic of long-term alprazolam users and that the majority of long-term alprazolam users change their initial pattern of regular use to one of symptom control only when required. If the symptoms are more severe or frequent, the person may be experiencing a rebound effect due to the removal of the drug. Long-term use causes adaptive changes in the benzodiazepine receptors, making them less sensitive to stimulation and thus making the drugs less potent. Compared to the large number of prescriptions, relatively few individuals increase their dose on their own initiative or engage in drug-seeking behavior. Others state that there is a substantial risk of misuse and dependence in both patients and non-medical users and that the short half-life and rapid onset of action may increase the risk of misuse.