Table of Contents
What is Xanax?
Xanax is a benzodiazepine (ben-zoe-dye-AZE-eh-peen), and it is believed that alprazolam, its active ingredient, functions by augmenting the activity of certain neurotransmitters in the brain.
Xanax Uses
Xanax is employed in the treatment of anxiety disorders, anxiety stemming from depression, and panic disorders with or without agoraphobia (fear of specific places or situations).
Safety Warnings
- Xanax possesses the potential to slow or halt breathing, especially when used concurrently with opioid medications or alcohol.
- Misuse Warning: Xanax misuse can lead to addiction, overdose, or fatality. Safeguard the medication in a location inaccessible to others.
- Abruptly discontinuing Xanax after prolonged use may result in life-threatening withdrawal symptoms, some of which can persist for up to 12 months or longer.
- Seek immediate medical assistance if you experience unusual muscle movements, heightened activity or talkativeness, abrupt and severe changes in mood or behavior, confusion, hallucinations, seizures, or suicidal thoughts upon ceasing Xanax use.
- Xanax is classified as a federal controlled substance (C-IV) due to its potential for abuse or dependence. Store the medication securely to prevent misuse and adhere to legal regulations.
- Disclose any history of alcohol, prescription medicine, or street drug abuse or dependence to your healthcare provider.
Before Taking Xanax
Inform your doctor if you:
- Are taking antifungal medicines such as itraconazole or ketoconazole.
- Have a history of allergic reactions to any benzodiazepine (alprazolam, lorazepam, diazepam, Ativan, Valium, Versed, Klonopin, among others).
- Have a history of breathing problems, drug or alcohol addiction, depression, mood disorders, suicidal thoughts or behavior, or kidney/liver disease.
- Are pregnant or planning pregnancy. Using Xanax during pregnancy may lead to life-threatening withdrawal symptoms in the newborn, requiring medical intervention for several weeks.
- Should not breastfeed while using Xanax, and if breastfeeding, notify your doctor of any observed drowsiness or feeding issues in the infant.
- Xanax is not approved for use in individuals under 18 years old.
How to Take Xanax
- Administer Xanax as prescribed by your doctor, following dosage instructions meticulously.
- Never share Xanax with others, especially those with a history of drug abuse or addiction.
- Swallow the Xanax XR extended-release tablet whole, avoiding crushing, chewing, or breaking it.
- If used long-term, regular medical tests may be necessary.
- Do not cease Xanax use without consulting your doctor, as abrupt discontinuation may lead to life-threatening withdrawal symptoms.
- Store Xanax at room temperature, shielding it from moisture, heat, and light. Keep it in a secure location inaccessible to unauthorized individuals.
Xanax Dosage Information
- The dosage for anxiety or panic disorder varies. Immediate-release tablets may range from 0.25 to 0.5 mg administered orally three times a day, with a maximum dose of 4 mg/day for anxiety, or 0.5 mg three times a day, with a maximum dose of 10 mg/day for panic disorder.
- Extended-release tablets are initiated at 0.5 to 1 mg orally once a day, with a maintenance dose of 3 to 6 mg per day, preferably in the morning, and a maximum dose of 10 mg/day.
Missed Dose and Overdose
- Take the missed dose as soon as possible, skipping it if the next dose is imminent. Avoid doubling up on doses.
- Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if an overdose is suspected, as it can be fatal when combined with alcohol, opioid medication, or other drugs causing drowsiness.
What to Avoid While Taking Xanax
- Refrain from alcohol consumption, as it can lead to dangerous side effects or death.
- Exercise caution with activities requiring mental alertness until the impact of Xanax is known, as dizziness or drowsiness can result in falls, accidents, or severe injuries.
Xanax Side Effects
Contact emergency medical help if signs of an allergic reaction, such as hives or difficulty breathing, occur.
Common side effects may include drowsiness or lightheadedness. However, serious side effects include weak or shallow breathing, seizures, hallucinations, increased energy, racing thoughts, and jaundice. Drowsiness or dizziness may persist longer in older adults.
After discontinuing Xanax, seek medical help for symptoms like muscle movements, heightened activity, sudden mood changes, confusion, hallucinations, seizures, suicidal thoughts, or ongoing anxiety or depression.
This is not an exhaustive list of side effects, and any concerns should be discussed with a healthcare provider.
Xanax Drug Interactions
Some medicines may affect Xanax’s blood levels, potentially amplifying side effects or diminishing effectiveness. Combining Xanax with substances causing drowsiness or respiratory suppression, such as opioid medication, sleeping pills, muscle relaxers, or anxiety/seizure medicines, can be perilous. Inform your doctor about all medications, including over-the-counter drugs, vitamins, and herbal products.
