“Unlocking the Power of Alprazolam: Managing Anxiety with Confidence”

Alprazolam (Xanax), available under other generic names, is a short-acting anxiolytic of the benzodiazepine class of psychoactive drugs.

What is Alprazolam (Xanax)?

Drug Facts

Common BrandsXanax, Xanax XR

Drug ClassBenzodiazepine

Controlled Substance ClassificationSchedule IV

Generic StatusLower-cost generic available

AvailabilityPrescription only

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How Alprazolam (Xanax) works

Alprazolam (Xanax) is a fast-acting benzodiazepine. It relaxes your mood by affecting certain chemicals in the brain that are involved in feelings of anxiety.

Alprazolam (Xanax), available under other generic names, is a short-acting anxiolytic of the benzodiazepine class of psychoactive drugs.

 What is Alprazolam (Xanax) used for?

  • Generalized anxiety disorder (GAD)
  • Panic disorder

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Niravam and Xanax
Used for Anxiety and Panic Disorder

Alprazolam (Xanax) is an inexpensive drug used to treat anxiety and panic attacks. This drug is more popular than comparable drugs. It is available in brand and generic versions. Generic alprazolam is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. Get alprazolam for as low as $7.58, which is 61% off the average retail price of $19.36 for the most common version, by using a GoodRx coupon.

Alprazolam (Xanax) can help with occasional or short-term anxiety and panic attacks. If you stop taking alprazolam (Xanax) all of a sudden, it’s likely to cause more bothersome withdrawal symptoms than other similar medications.

What are the side effects of Alprazolam (Xanax)?
Serious Side Effects
Contact your healthcare provider immediately if you experience any of the following.
Severe sedation: drowsiness, slowed breathing, confusion, memory problems, slurred speech, loss of consciousness
Withdrawal symptoms: uncontrolled movements, blurred vision, trouble with sleep or memory, muscle pain and stiffness, anxiety, panic attacks, depression, irritability, hallucinations, convulsions or seizures, suicidal thoughts
When do Alprazolam (Xanax) possible side effects begin and end?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
Generalized anxiety disorder:
Drowsiness (41%)
Lightheadedness (21%)
Dry mouth (15%)
Panic disorder:
Drowsiness (77%)
Fatigue (49%)
Poor coordination (40%)
Memory issues (33%)
Irritability (33%)
Appetite changes (28-33%)
Thinking problems (29%)
Constipation (26%)
Side effects listed are for the immediate-release forms. Side effects for extended-release form might differ.
Other Side Effects
Feeling confused
Difficulty speaking (e.g., slurred speech)
Weight changes
Trouble urinating
Change in sex drive

Alprazolam tablets spilled from an prescription medication container onto a white surface.

Pharmacist tips for Alprazolam (Xanax)

Take alprazolam (Xanax) as prescribed by your provider to lower your risk of overdose or dependence. Don’t stop taking this medication without first talking to your provider. If you’ve taken alprazolam (Xanax) for a while and want to stop the medication, they can work with you to do so by slowly lowering your dose to prevent withdrawal symptoms like anxiety, depression, blurred vision, nausea, vomiting, and more seriously seizures.

Avoid taking alprazolam (Xanax) with opioid pain medications because this combination is very dangerous; it can lead to slowed breathing, coma, or even death.

Alprazolam (Xanax) can cause dizziness and drowsiness. Avoid activities that require you to be alert (like driving) until you know how this medication affects you.

Avoid drinking alcohol while you’re taking alprazolam (Xanax). Alcohol can make the side effects of the medication worse.

For the extended-release tablets (Xanax XR)

Make sure to swallow the tablets whole. The tablet is made to slowly release the medication in your body throughout the day. Don’t crush, chew, or split them because this could make the medication work differently for you.

For the oral solution

Make sure to use the dropper that comes with your prescription to draw up your dose. Don’t use household spoons to measure alprazolam (Xanax), since this could cause you to take the wrong dose.

After you’ve opened the bottle of oral solution, throw it away after 90 days because it might not work as well after that time.

For the orally disintegrating tablets

Use dry hands to remove the tablets from the bottle. Moisture can cause the tablets to break down, which means you might not get your full dose. Keep the bottle tightly closed when you’re not using it to prevent moisture from affecting the tablets.

To take the medication, place the tablet on top of your tongue, and let it dissolve. Then, swallow with your saliva. You don’t need to drink any liquid with it.

Frequently asked questions about Alprazolam (Xanax)
Is alprazolam (Xanax) safe to take during pregnancy?
No, taking alprazolam (Xanax) during pregnancy can be harmful to your baby. Babies born to mothers who’ve taken benzodiazepines like alprazolam (Xanax) during pregnancy have experienced sedation and withdrawal symptoms (like poor feeding and sucking, irritability, and excessive crying). If you’re planning to become pregnant, it’s best to talk to your provider about alternative medications for your condition. Contact your provider right away if you become pregnant while taking alprazolam (Xanax), since it’s important to discuss the risks and benefits of continuing this medication. There’s a National Pregnancy Registry that monitors the safety of alprazolam (Xanax) during pregnancy. If you’re currently pregnant and taking alprazolam (Xanax), it’s encouraged that you enroll in the registry to help researchers learn about the risks.
Is alprazolam (Xanax) a sleeping pill?
Is alprazolam (Xanax) dangerous?
Can you drink alcohol while taking alprazolam (Xanax)?
Is there a long-acting form of alprazolam (Xanax)?

What are the risks and warnings for Alprazolam (Xanax)?
Alprazolam (Xanax) 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.

Blue Alprazolam prescription medication pills on a white surface.

Sedation and difficulty breathing
Risk factors: Taking alprazolam (Xanax) with opioids or alcohol
Taking alprazolam (Xanax) with opioids or alcohol can cause severe drowsiness, tiredness, and difficulty breathing, which can even lead to death. Some people with long-term pain might already be taking opioids when prescribed alprazolam (Xanax). If this applies to you, have a discussion with your provider to make sure the combination is as safe as possible, or if safer medication options are available to you. If you or a loved one notices that you’re having trouble breathing or waking up easily, get medical help right away.

Potential for abuse, misuse, addiction, dependence, and withdrawal
Risk factors: History of substance misuse | Alcohol use | Taking more than 4 mg per day | Taking for longer than 3 months | Stopping alprazolam (Xanax) suddenly
Using alprazolam (Xanax) can raise your risk of abuse, misuse (using it for reasons other than prescribed), or addiction, even if you take the medication at the recommended dose. Abuse, misuse, and addiction are serious concerns because they can lead to overdose or even death.

Additionally, if you’re taking alprazolam (Xanax) for a long period of time, you’re at higher risk of becoming physically dependent on the medication. This means that your body starts to rely on the medication to function normally. Also, taking alprazolam (Xanax) for a long time or at a high dose can lead to withdrawal symptoms if you suddenly stop taking it. These withdrawal symptoms can include hallucinations, a change in behavior, trouble sleeping, and seizures. Don’t stop taking alprazolam (Xanax) without first talking to your provider. Take alprazolam (Xanax) only as prescribed to lower the risk of dependence and overdose.

Effect on driving and concentration
Risk factors: Drinking alcohol | Taking other medications that cause drowsiness
Alprazolam (Xanax) can make you feel sleepy and affect your concentration and focus. Drinking alcohol while taking alprazolam (Xanax) and taking additional medications that make you feel drowsy can make this effect worse. Avoid activities that require you to be alert, like driving or operating machinery, until you know how the medication affects you.

Harm to babies
Risk factors: Taking alprazolam (Xanax) while pregnant
Alprazolam (Xanax) can cause harm to your baby if you take the medication while you’re pregnant. Newborn babies whose mothers took alprazolam (Xanax) during pregnancy have experienced serious issues like breathing problems, excessive drowsiness, irritability, and feeding difficulties. If you’re planning to have a baby or are currently pregnant, speak with your provider about the best options for your anxiety or panic disorder.

Interactions with other medications
Some common medications can interact with alprazolam (Xanax) and cause alprazolam (Xanax) to reach dangerous levels in the body. These medications can include some antifungal medications, cimetidine (Tagamet HB), some mental health medications like fluvoxamine (Luvox), and certain HIV medications. Talk to your healthcare provider or pharmacist about all the medications you’re taking or plan to take, including over-the-counter medications and supplements. They can help make sure all your medications are safe for you to take.

Use with caution in people with depression
Risk factors: History of depression
Alprazolam (Xanax) can make depression worse. Sometimes, manic episodes have occurred when people with depression took alprazolam (Xanax). Watch for new or worsening signs of depression, suicidal thoughts or behavior, or any unusual changes in mood or behavior while taking alprazolam (Xanax). Get medical help right away if you or a loved one notices any of these changes.


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