This medication should not be used by patients who are pregnant. The use of this drug may affect the health of the baby. If you’re struggling with anxiety, talk to your healthcare provider or a licensed therapist to explore what options are available for you. Ultimately, medication, like Xanax, can be a helpful bridge to therapy, which can build a long-term path toward healing and managing anxiety symptoms.
What Does Xanax Feel Like If You’re Using It Recreationally?

Ketoconazole and itraconazole have been shown in vivo to increase plasma alprazolam concentrations 3.98 fold and 2.70 fold, respectively. Use the lowest possible effective dose and frequently assess the need for continued treatment see Warnings and Precautions (5.2). Nicole McDermott has worked in the creative content space for the last decade as a writer, editor and director. Her work has been featured on TIME Healthland, Prevention, Shape, USA Today, HuffPost, Refinery29, Lifehacker, Health, DailyBurn, Openfit and Sleep Number, among others. She loves to lift heavy things, eat healthy foods and treats, stock her makeup bag with clean beauty products and use not-so-toxic cleaning supplies. She’s also a big fan of wine, hiking, reality television and crocheting.
Risk Of Withdrawal And Dependence
These medications contain different active ingredients. The active ingredient in Xanax is alprazolam, and the active ingredient in buspirone is buspirone. You may be curious about how Xanax compares with other medications that are prescribed for similar purposes, such as buspirone. You may wonder how Xanax compares with other medications that are prescribed for similar purposes, such as Ativan. To help make sure that you do not miss a dose, try using a medication reminder.
It Is Not Known If XANAX Is Safe And Effective When Used To Treat Anxiety Disorder For Longer Than 4 Months
(These are side effects that can happen when you suddenly stop taking a drug your body has become dependent on.) For information, see the “Xanax and withdrawal and dependence” section. You’ll likely start by taking Xanax 0.25-mg or 0.5-mg tablets three times daily. If you respond well to the drug, your doctor may then increase your dosage slowly. The maximum dosage recommended by the drugmaker is a total of 4 mg daily.
You’ll also need to check your insurance plan, as it may only cover one or the other. For example, you may take it in the morning, after lunch, and in the evening. If you have anxiety that prevents you from falling asleep at night, your doctor may recommend taking your last dose of Xanax before going to bed. Certain withdrawal symptoms may sometimes last for several weeks or months. With panic disorder, you become afraid of having more panic attacks. This can make you avoid situations or places you feel may trigger a panic attack, which can lead to agoraphobia.
Allergic Reaction
Talk to your care team about all the medications, vitamins, and supplements you take. Call emergency services right away if you have slow or shallow breathing, feel dizzy or confused, or have trouble staying awake. Do not start, stop, or change the dosage of this drug or any medicine before checking with your doctor, health care provider or pharmacist first. While Xanax can help with short-term relief for anxiety and panic, there are some downsides to be aware of. 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. Just like any medicine, there are side effects of Xanax; some are mild, while others are more serious.

Accessible Labels And Containers
The tablet, orally disintegrating tablet, and concentrated solution usually are taken two to four times a day. The extended-release tablet is taken once daily, usually in the morning. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. This medication can help people who struggle with anxiety or panic attacks function better in their daily lives. It’s especially helpful in the short term, during particularly stressful periods, or while waiting for other longer-term treatments, like therapy, to begin seeing the effects.
Alprazolam
Others, including older adults and those with liver disease or other serious illnesses, may need to use lower doses. Tolerance and dependence can occur with the use of Xanax. You may experience withdrawal symptoms if you stop using Xanax abruptly. The drug dosage should be gradually reduced and only your doctor should advise you on how to discontinue or change your dose. The average dose of XANAX was 5 mg to 6 mg per day in 2 of the studies, and the doses of XANAX were fixed at 2 mg and 6 mg per day in the third study.

If you take Xanax with opioids, you should tell your caregiver, people you live with, or people you’re close to that you’re taking these drugs together. If you keep Narcan on hand, you should also let these people know where to find it. If you have questions or concerns about how long the side effects from Xanax may last, talk with your doctor or pharmacist.
4 Dosage Recommendations In Geriatric Patients
Do not crush, chew, or break alprazolam extended-release tablets. Use an accurate measuring device to measure your dose of liquid alprazolam. A household spoon is not an accurate measuring device and may cause you to take the wrong dose.
- Your medical professional may recommend combining Xanax with long-term treatment to further manage your anxiety.
- During your Xanax treatment, consider taking notes on any side effects you’re having.
- This drug should only be taken only under medical advice with a prescription, at the doses indicated by the doctor, only for the period of time indicated.
- If you have additional questions about an off-label use of Xanax, talk with your doctor.
- It’s possible that your doctor will adjust your dose every 3 to 4 days until you’re taking the dose that’s right for you.
1 Generalized Anxiety Disorder
They work differently in your body to relieve anxiety symptoms. Examples of these alternatives include sertraline (Zoloft) and buspirone. If you have other questions about what to expect with Xanax treatment, talk with your medical professional or pharmacist. Here are some tips for managing the effects mentioned in Xanax’s boxed warnings. Misuse and addiction weren’t reported in studies of Xanax.
- To help make sure that you do not miss a dose, try using a medication reminder.
- Other medications may affect the way this medication works.
- Xanax tablets are immediate release, which means all of the drug is released into your body soon after a tablet dissolves.
- Xanax tablets should be taken as long as it is provided for treatment.
- Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use.
- In some cases, benzodiazepine users have developed a protracted withdrawal syndrome with withdrawal symptoms lasting weeks to more than 12 months see Drug Abuse and Dependence (9.3).
Risk Of Serious Side Effects Or Death If Used With Opioids

Other medications may affect the way this medication works. Talk with your care team about all the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. It belongs to a group of medications called benzodiazepines. If you’re wondering how to pay for Xanax, talk with your medical professional or pharmacist.
It’s unknown whether Xanax is safe or effective in children. You should take Xanax with Adderall only if your doctor has prescribed them. Your doctor and pharmacist can help answer other questions you have. The active ingredient in Xanax is alprazolam, while the active ingredient in Ativan is lorazepam. To learn more about dosages of Xanax XR, talk with your doctor. Alprazolam may cause some people, especially older persons, to become drowsy, dizzy, or less alert than they are normally.
After daily administration of Xanax tablets within 28 days, the further treatment should be reconsidered. If you have questions about Xanax dependence and withdrawal, talk with your doctor or pharmacist. Due to this risk, doctors typically will not prescribe Xanax with opioids unless there are no suitable alternatives.