If you have withdrawal symptoms when stopping Xanax, talk with your doctor. In some cases, Xanax withdrawal symptoms can continue for several months. Taking Xanax can lead to physical dependence on the drug. Do not take it more often, in a higher dose, or for longer than prescribed by your doctor. Due to this risk, you should only take Xanax as prescribed by your doctor.
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Xanax is only meant to be used for a short period, because it can lead to dependence and tolerance. Xanax isn’t meant to be used as a stand-alone, long-term treatment, but when used carefully with a doctor’s help, it can be a helpful tool. It’s crucial to follow your healthcare provider’s guidance to minimize any risks. The Xanax pill comes in both regular and extended-release tablets, allowing for it to be dosed based on individual needs. Alprazolam is the generic version of the brand-name drug Xanax. Learn about what Xanax is, how it works and the risks and benefits.
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Regardless of the initial dose, strict adherence to a healthcare professional’s instructions is crucial for safe and effective use. 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.
Will I Need To Take This Drug Long Term?
We anticipate reposting the images once we are able identify and filter out images that do not match the information provided in the drug labels. To view updated drug label links, paste the RSS feed address (URL) shown below into a RSS reader, or use a browser which supports RSS feeds, such as Safari for Mac OS X. Do not take double or extra doses. If you miss a dose, take it as soon as you remember. Enter your medication into the WebMD interaction checker
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These can include excessive sleepiness, breathing problems, coma, and in rare cases, death. Xanax starts working about 30 minutes to 1 hour after taking a dose. By boosting the effect of GABA, Xanax helps reduce nervous tension and feelings of anxiety. It eases anxiety by boosting the effect of GABA, a type of neurotransmitter in your brain.
- But they have been reported with benzodiazepines, which is the group of drugs that Xanax belongs to.
- You can also ask your medical professional whether any of these drugs are right for you.
- Most people start to feel its calming effects within minutes of taking the medication.
- In a controlled postmarketing dose-response study, patients treated with doses of XANAX greater than 4 mg per day for 3 months were able to taper to 50% of their total maintenance dose without apparent loss of clinical benefit.
- If you develop serious side effects while taking Xanax, call your doctor right away.
Dependence And Withdrawal
It’s common to have questions about your treatment plan for Xanax. These side effects can be dangerous if they occur while you’re driving. You shouldn’t drive while taking Xanax until you know how the drug affects you. It’s important that you take the medication only as they recommend. Your medical professional can help explain how to take Xanax. But if your symptoms are severe, immediately call 911 (or your local emergency number) or go to the closest emergency room.
Narcotics are opioids, which are drugs related to the opium poppy. Xanax may also sometimes be prescribed off-label for sleep problems. Off-label drug use is when a drug is prescribed for a purpose other than what the Food and Drug Administration (FDA) has approved it for. These medications contain different active ingredients.
2 Management Of Overdose
Mixing Xanax with alcohol significantly increases the risk of dangerous side effects. Be honest about any side effects or changes you notice—this helps your provider to accurately guide your treatment plan. This gives your healthcare provider room to adjust your dose as needed while minimizing side effects.
Flumazenil is intended as an adjunct to, not as a substitute for, proper management of benzodiazepine overdose. Flumazenil may be useful in situations when an overdose with a benzodiazepine is known or suspected. As with the management of intentional overdosing with any drug, it should be borne in mind that multiple agents may have been ingested. Tolerance to the therapeutic effect of XANAX may develop; however, little tolerance develops to the amnestic reactions and other cognitive impairments caused by benzodiazepines. XANAX contains alprazolam, which is a Schedule IV controlled substance. Dosage reduction of XANAX is recommended in patients with hepatic impairment see Dosage and Administration (2.4), Clinical Pharmacology (12.3).

The maximum dosage recommended by the drugmaker is a total of 4 mg daily. If you respond well to the drug, your doctor may then increase your dosage slowly. Instead of increasing your dose to reach an average dosage, they’ll prescribe the smallest dosage that provides the desired effect. Your doctor will likely start you on a low dosage of Xanax and adjust it over time to reach the right amount for you.
To reduce the risk of withdrawal reactions, use a gradual taper to discontinue XANAX or reduce the dosage. For patients receiving doses greater than 4 mg per day, periodic reassessment and consideration of dosage reduction is advised. The recommended starting oral dosage of XANAX for the treatment of PD is 0.5 mg three times daily. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If too much of this medicine is used for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose.


Ketoconazole and itraconazole have been shown in vivo to increase plasma alprazolam concentrations 3.98 fold and 2.70 fold, respectively. XANAX is contraindicated in patients receiving strong inhibitors of CYP3A (such as azole antifungal agents), except ritonavir see Contraindications (4). Drugs that inhibit this metabolic pathway may have a profound effect on the clearance of alprazolam. The initial step in alprazolam metabolism is hydroxylation catalyzed by cytochrome P450 3A (CYP3A). Observe newborns for signs of sedation and neonatal withdrawal syndrome and manage accordingly see Use in Specific Populations (8.1). Certain adverse clinical events, some life-threatening, are a direct consequence of physical dependence to XANAX.