Occasional Anxiety is a part of the regular routine. Usually, people worry about money, health, or family problems. But Anxiety disorders are more than temporary fear, worry, or uneasiness. The Anxiety disorder does not go away quickly and can worsen over time. Current year data states nearly 25.5% were categorized as having low Anxiety, 7.1% population were categorized as having medium Anxiety, and 4.1% as having high Anxiety.
People suffering from Anxiety often look for quick and easy ways to overcome intense feelings. And taking medication is one such route that provides quick relief than any therapy. But medicines also have downsides and adverse effects, so looking for the correct anxiolytic drug is crucial.
Xanax is one of the most prescribed Anxiety drugs, containing Alprazolam as its active constituent. This drug appears to be a very effective anti-anxiety agent. Still, it is also something you need to strongly think about before you decide to utilize this type of medication. Further, you would know more about Xanax treating Anxiety.
Xanax, also known as Alprazolam, is a benzodiazepine class tranquilizer often used to treat panic attacks and Anxiety. It is the most prescribed psychiatric medication in the U.S., with more than 48.5 million prescriptions written because of its fast onset of action.
The U.S. Food and Drug Administration (FDA) approved Alprazolam in 1981. It may take a minimum of 10 minutes and usually no longer than an hour for this drug to start working. Like other benzo drugs, Xanax isn't just an anxiolytic drug but also a Muscle Relaxant, Sedative, Anticonvulsant, and Hypnotic.
Xanax is used for all types of Anxiety disorder, such as social or generalized anxiety disorder, but it is one of the few medicines prescribed for panic disorder. The safety and effectiveness of Xanax have not been established for adolescents and children under age 18.
Benzodiazepines enhance specific brain chemicals while preventing other chemicals from being released. Xanax is a benzo drug that quickly relieves Anxiety symptoms often seen in Seasonal Affective Disorder (SAD) and other Anxiety disorders. It works specifically by binding to GABA receptors in your brain.
This slows down your brain activity and reduces anxiety, fear, and feelings of terror. It might also leave you feeling sleepy, relaxed, and calm. The clinical effectiveness of one immediate-release Xanax tablet is often much shorter; most people notice the effects wearing off within four to six hours.
Xanax is FDA-approved medicine to treat Anxiety and panic disorder. When an individual experiences excessive Anxiety or stress, the brain increases specific nerve signals leading to Anxiety. During this period, the brain produces an unbalanced amount of chemical signals, feelings of fear, and Anxiety, increasing brain activity and restricting the ability to calm the mind.
Xanax is intended only for short-term treatment of Anxiety, it is essential to follow other treatment options for long-term control of Anxiety. Therapies are the gold standard for treating anxiety, including cognitive therapy, cognitive-behavioral therapy, and applied relaxation.
Xanax reaches peak levels in the blood 1-2 hours after taking medicine. For younger healthy adults, half the dose of Xanax has left the body somewhere between 6.3 to 26.9 hours. The average is around 11 hours.
It takes a little longer for Xanax to leave the body of healthy elderly people. Half the dose of Xanax has left the body in elderly people somewhere between 9 to 26.9 hours. The average is around 16 hours for this group.
However, people stop feeling the effects of Xanax before eliminating it from the body, which is why it is prescribed more than once a day. It is essential to take it as prescribed. Taking too many doses can lead to dependence and accidental overdose.
Xanax is a short-acting benzodiazepine. Like other benzodiazepines, it is only meant to be used as a short-term solution and should not be taken for longer periods. Though it is effective in some cases, it is also considered addictive. It should only be taken under the close supervision of a healthcare expert.
Certain people are at higher risk for misusing Xanax, including
Benzodiazepines like Xanax have a low potential for abuse and addiction among people with Anxiety. It is a Schedule IV Stimulant, a designation that the Drug Enforcement Agency (DEA) uses for drugs with a low potential for abuse. This means you always need a prescription from a licensed doctor to buy Xanax online from an online pharmacy or from a local drug store because it bears a risk of dependence and misuse.
Other Schedule IV drugs include Valium, Ativan, and Ambien. However, long-term treatment in higher dosages with Xanax increases the risk of dependence, especially for people treated with panic disorder. Taking this medication exactly as prescribed can reduce the potential for abuse.
Misuse can lead to addiction, i.e., when you cannot discontinue taking a drug, even though it might cause harm. With dependence, your body relies on a drug to function as usual. Dependence can lead to withdrawal symptoms if you suddenly stop taking medication.
Xanax dosage strengths are 0.25 mg, 0.5 mg, 1 mg, and 2 mg for oral tablets. Xanax reaches its highest level in the body 1-2 hours after a dose and may start helping symptoms sooner.
Besides the immediate-release tablets, it is also available as extended-release tablets (Xanax XR) in 0.5 mg, 1 mg, 2 mg, and 3 mg strengths. The extended-release pill takes longer to reach peak effect, about 9 hours and lasts longer in the body. The generic alprazolam oral solution and orally disintegrating tablet are also available.
The initial dosage of Xanax, i.e., 0.25 mg, should be taken one or more times a day. The 2 mg tablet is sometimes referred to as a Xanax bar because of its rectangular or bar shape. The term Xanax bar can also refer to illegal medicine that does not actually contain Xanax.
Please do not drink alcohol while taking this medication; do not take it after eating a fatty meal. Your provider will work with you to determine the appropriate dosage based on your needs. For example, while doses for anxiety disorders typically start at 0.25 mg to 0.5 mg 3 times daily, dosing for panic disorder may start at 0.5 mg to 1 mg once daily.
Indication |
Initial dosage |
Standard dosage |
Maximum dosage |
---|---|---|---|
Generalized anxiety disorder |
0.25 mg taken 3 times daily |
0.250.5 mg taken 3 times daily |
4 mg per day |
Panic disorder |
0.5 mg taken 3 times daily |
0.53 mg taken 3 times daily |
Not specified |
The side effects of Xanax (Alprazolam) are similar to other benzodiazepines. The main concern is sedation. Xanax can cause extreme fatigue, not unlike alcohol use. It may also cause concentration problems, memory loss, poor motor skills, and lack of coordination.
While many medications tell you not to operate machinery or drive until you know how the drug affects you, with Alprazolam, you absolutely need to follow that advice.
Other side effects include-
Common side effects |
Serious side effects |
---|---|
Dry mouth |
Shortness of breath |
Dizziness/ vertigo |
Increased heart rate |
Upset stomach |
Memory impairment |
Trouble breathing |
Depressive thoughts |
Changes in sex drive |
Severe allergic reaction |
Headache |
Maniac symptoms |
Nausea |
Blurred vision |
Hallucination |
|
Impaired coordination |
Life-threatening seizure |
Before starting this medication, inform your doctor about your medical conditions or allergies, medications you are taking, whether you are pregnant or breastfeeding, or other significant information about your health. The following factors might affect the way you use this medication-
Before taking Xanax, discuss all other active prescription medications with your doctor. You should avoid taking this drug if you are taking itraconazole, ketoconazole, or other drugs that inhibit metabolism via cytochrome P4503A, including, but not limited to:
These medications can have a dangerous drug interaction. Alprazolam may cause drowsiness, so caution should be used when combining it with other medicines that cause drowsiness. These could include:
Smoking cigarettes can decrease the level of medication in the blood. Speak to your doctor if you are a smoker or have recently quit smoking.
Share a list of all prescription and non-prescription medications, herbal supplements, or vitamins with the pharmacist when you fill your prescription, especially any drugs that cause drowsiness. Let all doctors, surgeons, and physicians know if you are taking Xanax before having any surgery or laboratory tests.
Xanax (Alprazolam) is a benzodiazepine drug, classified as a Schedule IV stimulant under the controlled substance act. It is highly productive in treating anxiety and panic disorder. It is often effective for these conditions, but there may be safer or better alternatives for helping with symptoms of anxiety or panic attacks.
This medicine is intended only for short-term only because of the risk of abuse and addiction. The physical dependence on Xanax can occur with prolonged use of this medication.
This drug may also cause other side effects, but it shows its more significant impact if taken in the prescribed manner. Your healthcare provider will speak to you about safely using this medication.
Kolbe, V., Rentsch, D., Boy, D.et al.The adulterated XANAX pill: a fatal intoxication with etizolam and caffeine.Int J Legal Med134, 17271731 (2020). From https://doi.org/10.1007/s00414-020-02352-7 Obtained pm 05/01/2023