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Xanax is an anti-anxiety drug that belongs to the triazolobenzodiazepine class. It is considered as a short-acting benzodiazepine that is used to treat generalized anxiety and panic attacks. It works by enhancing GABA (γ-Amino butyric acid) controlling abnormal excitement in the brain and providing a calming effect instantly. Its generic name is alprazolam so it is also available by this name. It is the most commonly prescribed psychotropic drug in the US. It comes in the form of tablets.

What is Xanax used for?

Xanax is used for the management of:

  • Anxiety disorders 
  • Panic disorders
  • Insomnia 
  • Premenstrual syndrome 
  • Depression
  • Chemotherapy induced nausea

It is mainly indicated for short-term management of panic and anxiety disorders.  It is a fast-acting tranquilizer with a medium duration which is also useful in treating alcohol withdrawal, and muscle stiffness. It calms excitatory nerve impulses in CNS. However, it is not a first-line treatment for anxiety attacks but it is considered moderately effective. Even more rarely, it can be prescribed for the treatment of depression related symptoms (low energy, low self esteem, insomnia, poor concentration). It is available in the form of immediate-release tablets and extended-release tablets.

How effective is Xanax?

Xanax is highly effective in treating anxiety and panic disorders. Xanax absorbs in the bloodstream in 30-60 minutes and reaches its peak absorption in one to two hours. 80% of alprazolam binds to protein in serum (albumin). Its bioavailability is 80-90%.  The peak impact from Xanax comes rapidly so the patient will start to feel effects in an hour. In some patients, it may require more time to take its effect due to some factors like age, mental state, metabolism, age, and weight. In a survey at Drugs.com, it was reported that xanax was rated 8.7 out of 10 by 783 ratings. 83% of patients gave a positive review. Its effects last for four to ten weeks. It works by reducing nerve impulses reaching the brain by the mechanism of triggering neurotransmitters in the CNS, and ultimately reducing anxiety attacks.  

How should I take Xanax?

First of all, read the guidelines before taking Xanax. Buy it only on a doctor's prescription.

Take this medication only when needed.

  • Take this medicine by mouth.
  • It can be taken with or without food.
  • Always swallow the tablet.
  • Do not chew, break or crush it.
  • Take it at the same time every day.
  • Avoid eating grapefruit and drinking grapefruit juice while taking this medicine.
  • Avoid taking Xanax with other medications like oral contraceptives, antifungals, antibiotics, and opioids because it can have an additive effect.

What dose of Xanax should I take?

Xanax should be taken as prescribed by the doctor. The dose of Xanax would vary from patient to patient. It depends upon the condition of the patient.

  • For anxiety attacks, the dosage would be initiated at 0.25 to 0.5 mg 3 times a day.
  • For panic attacks, the dosage would be initiated at 0.5 to 1 mg once a day.
  • If you miss a dose, take it as soon as possible.  
  • Your doctors may increase the dose with time.
  • The maximum daily dose that should be taken in a day should not be more than 10 mg.
  • Store it at room temperature. 
  • Keep it out of reach of children.
  • Dosage is kept low at the start and increased gradually.

Why is Xanax considered as a good treatment for anxiety attacks and panic disorders?

Xanax is considered as a good treatment for anxiety attacks because of its fast acting effects. It is mainly used for short-term management of anxiety disorders because the body develops tolerance to the disease after a while. It works by rapidly getting absorbed in the bloodstream in an hour and giving immediate results of anxiety relief.  Some patients may start feeling its effect in 5 to 10 minutes. Almost every patient will feel an improvement in condition in one hour. Some people can misuse it because of its dependence. 

What are the side effects of Xanax?

Every drug comes with side effects. Side effects of Xanax include:

  • Muscle weakness 
  • Dry mouth
  • Sleepiness
  • Suicidal thoughts
  • Hallucinations
  • Muscle twitches
  • Weight loss
  • Skin rash
  • Jaundice 
  • Drowsiness
  • Dizziness
  • Lightheadedness 
  • Ataxia
  • Vertigo
  • Diarrhea 
  • Blurred vision
  • Insomnia
  • Nervousness
  • Headache
  • Paresthesia (unusual skin sensations)

Some side effects can be fatal and can even lead to death. A person should call for medical help in case of:

  • Hives
  • Shortness of breath
  • Seizures
  • Swelling of face
  • Faintness

Alternative treatment option for anxiety and panic attacks?

Medications to treat anxiety and panic attacks include:

  • Paroxetine (Paxil)
  • Escitalopram (Lexapro)
  • Fluvoxamine (Luvox)
  • Sertraline (Zoloft)
  • Citalopram (Celexa)
  • Fluoxetine (Prozac)
  • Nitrazepam (Mogadon)
  • Diazepam (Valium)
  • Clonazepam (Klonopin)
  • Lorazepam (Ativan)

Selective serotonin reuptake inhibitors are considered as first-line treatment of anxiety attacks. Other than xanax (alprazolam) clonazepam is prescribed. There are so many other treatment options for anxiety disorders which include:

  • Psychotherapy 
  • Exercise
  • Dietary adjustments
  • Acupuncture 
  • Cognitive therapy
  • Natural supplements
  • Breathing techniques (54321 breathing technique)

Many people benefit from eating a healthy, balanced diet, performing exercise regularly, and doing yoga. It helps in relaxing the mind and body as well. Another technique that is widely used for treating anxiety is the 3-3-3 rule (look around your surroundings and name three things you see, three things you hear, and move three body parts like a finger, foot, or hands) 

Can I buy Xanax online?

Xanax is only available by doctor's prescription. It is an FDA-controlled substance that cannot be prescribed online. But some websites are selling this medicine online like ibuyalprazolam.com.


When should I take xanax?


Xanax should always be taken under the supervision of a doctor. If your doctor diagnoses you with anxiety and panic attacks he will prescribe you xanax. You should always start with the lowest dosage and then slowly increase it to prevent any possible side effects. It can be taken with or without food. You should take this medication regularly. In case of missing a dose, take that dose immediately. Do not double the dose. If you are taking any other medicine consult your doctor before taking this medication.

How long does it take xanax to work?


Xanax starts working within an hour. You will feel the improvement in 30 to 60 minutes. Some patients report an improvement within 5 to 10 minutes. In some patients, it can take up to an hour. Its absorption and effects vary from patient to patient depending upon the condition and severity of the disorder. In some patients drug effects can also be delayed if they are taking any other medication, and drug interaction can occur.

Can I take xanax while pregnant?


The use of xanax in pregnancy can be harmful to the fetus as it passes the placenta causing congenital abnormalities in the baby. It is a pregnancy category D drug that can cause serious complications throughout the pregnancy. It can cause withdrawal symptoms, respiratory depression, and drug dependence in the last trimester. So, the doctors do not recommend this medication in pregnancy.

Can I drive after taking xanax?


Xanax can cause hypnosis, slowed thinking, and drowsiness upon standing. It can also lower the blood pressure which can make a person faint. It is advised that you should not drive if you feel any of the following symptoms:

  • Headache
  • Nausea
  • Fatigue
  • Drowsiness
  • Impaired concentration

You should ask your doctor if the dosage he prescribed you is safe for driving or not.

How long can I take xanax for?


Xanax is not advised for long periods, it is usually prescribed for short-term treatments of panic and anxiety disorders. The maximum time for which xanax can be taken is eight weeks. It should not be taken longer than that otherwise it will have adverse effects on health. It is mostly prescribed for "as-needed" treatments.

Does the long-term use of xanax have adverse effects on my health?


Long term use of xanax is not usually advised because :

  • It can cause euphoria.
  • Some people develop tolerance against this medication so the medicine will not work properly.
  • Kidneys and liver can be damaged physically.
  • Low blood pressure and respiratory problems can occur.
  • Slowed heart rate, and slowed breathing can occur.
  • It can cause  physical and emotional dependence.
  • It can lead to compulsive and addictive behavior in the patient
  • It can trigger narcissistic personality disorder.
  • Hypertrophy of the brain can occur due to its long term use.

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