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Xanax works well for occasional or short-term anxiety and panic attacks. It is more likely to cause withdrawal symptoms and has more drug interactions than other similar medications.
CONTROLLED SUBSTANCE CLASSIFICATION
What is Xanax (alprazolam)?
How Xanax (alprazolam) works
Xanax (alprazolam) is a fast-acting benzodiazepine. It relaxes your emotions and muscles by affecting chemicals in the brain.
What is Xanax (alprazolam) used for?
- Anxiety Disorders
- Panic Disorder
Xanax (alprazolam) dosage forms
Typical dosing for Xanax (alprazolam)
Anxiety Disorders: The typical starting dose is 0.25 mg to 0.5 mg three times a day.
Panic Disorder: The typical starting dose is 0.5 mg to 1 mg once daily. Your provider might change your dose based on how you respond to the starting dose.
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Pharmacist tips for Xanax (alprazolam)
Xanax (alprazolam) works pretty fast. If you take a dose when you are starting to have feelings of panic or anxiety, you can expect to feel the effects of the medication within 1 to 2 hours.
Benzodiazepines cause dizziness and drowsiness. Avoid activities that require you to be alert (like driving) until you know how it affects you.
Avoid drinking alcohol while you are taking Xanax (alprazolam), alcohol can make the side effects of the medication worse.
Long-term use of Xanax (alprazolam) can cause dependence or abuse. Take it exactly as your provider prescribes.
What are the side effects of Xanax (alprazolam)?
With any medication, there are risks and benefits. Even if the medication is working, you may experience some unwanted side effects.
Contact your doctor immediately if you experience any of the following:
- Sedation and changes in breathing
The following side effects may get better over time as your body gets used to the medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time.
Common side effects
- Drowsiness (41% to 77%)
- Fatigue (49%)
- Difficulty with coordination (40%)
- Difficulty with memory (33%)
- Irritability (33%)
Other side effects
- Skin rash
- Decreased sexual interest
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What are the risks and warnings for Xanax (alprazolam)?
Xanax (alprazolam) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options
SEDATION AND DIFFICULTY BREATHING
- Risk factors: Taking the medication with opioid drugs or alcohol | Taking medication for a longer duration and higher doses than prescribed
Taking Xanax (alprazolam) with opioid drugs can result in severe drowsiness, tiredness, difficulty breathing, and can even result in death. Some people with chronic pain might be already taking opioids when prescribed Xanax (alprazolam).
If this is you or something you know, have a discussion with your provider to make sure the combination is as safe as possible, or if other medication options are available. If you develop difficulty breathing or have trouble waking up easily, seek immediate medical care.
DEPENDENCE AND WITHDRAWAL
- Risk factors: History of substance misuse | Taking with alcohol or drugs | Taking more than 4 mg/day or for longer than 12 weeks | Stopping it suddenly
If you’re taking Xanax (alprazolam) for a long period of time or at a high dose, then suddenly stop taking it, there can be serious problems including seizures. Do not stop taking this medication without first talking to your provider. Xanax (alprazolam) can be habit-forming; taken only as prescribed to lower risks of dependence and overdose.
SUICIDAL THOUGHTS OR BEHAVIORS
- Risk factors: Severe Depression
Watch for new or worsening signs of depression, suicidal thoughts or behavior, or any unusual changes in mood or behavior while taking this medication. Seek immediate medical care if you notice any of these changes.
EFFECT ON DRIVING AND CONCENTRATION
- Risk factors: Taking with alcohol or illicit drugs | Taking other medications that cause drowsiness
Taking Xanax – ksalol (alprazolam) can make you feel sleepy, and affect your concentration and focus. Avoid activities that require you to be alert, like driving or operating machinery, until you know how the medication affects you.
- Risk factors: Liver problems | Taking with medications like antifungals, cimetidine or some HIV drugs
Since Xanax (alprazolam) is processed by the liver, you might need a lower dose if you have liver problems. Certain drugs can interfere with Xanax (alprazolam) and cause it to reach dangerous levels in the body.
Talk to your healthcare provider or pharmacist about all the medications you’re taking, including over-the-counter drugs and supplements.
HARM TO UNBORN BABY
- Risk factors: Taking medication while pregnant
Xanax (alprazolam) can cause harm to your unborn baby if you’re pregnant. If you are planning to have a baby or you’re pregnant, speak with your provider about other options.
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