Due to these risks, doctors usually prescribe lower doses of Xanax for older adults. For some people, Xanax oral tablet can cause an allergic reaction. This list doesn’t include all possible mild side effects of the drug.
Using this medicine during the later pregnancy may cause problems in your newborn baby (eg, sedation or withdrawal symptoms). If you think you have become pregnant while using the medicine, tell your doctor right away. Alprazolam and other benzodiazepines act by enhancing the effects of gamma-aminobutyric acid (GABA) in the brain.
This medication may affect your coordination, reaction time, or judgment. Do not drive or operate machinery until you know how this medication affects you. Sit up or stand slowly to reduce the risk of dizzy or fainting spells. Drinking alcohol with this medication can increase the risk of these side effects. Xanax has a boxed warning for the risk of dependence and withdrawal. A boxed warning is the most serious warning from the Food and Drug Administration.

Health Conditions
Since Xanax can interact with a long list of prescription and over-the-counter medications, be sure to disclose to your doctor what medications you are currently taking. We all have dozens of neurotransmitters, or chemical messengers, that allow neurons to communicate with each other throughout the body, and the amino acid GABA is one of them. Alprazolam is the generic version of the brand-name drug Xanax. Alprazolam is a fast-acting drug that helps you relax by boosting the effects of gamma-aminobutyric acid (GABA) in the brain, which is a neurotransmitter that slows down brain activity. Cristina Po Wenger is a medical writer and mental health advocate with a Sociology Degree from the University of Stirling. The patient should inform the doctor about all the medications he/she is using since the drug can interact with many other medications.
Do Not Take More XANAX Than Prescribed Or Take XANAX For Longer Than Prescribed
Published data from observational studies on the use of benzodiazepines during pregnancy do not report a clear association with benzodiazepines and major birth defects. Although early studies reported an increased risk of congenital malformations with diazepam and chlordiazepoxide, there was no consistent pattern noted. At this time, there is no clear evidence that alprazolam exposure in early pregnancy can cause major birth defects. Neonates exposed to benzodiazepines during the late third trimester of pregnancy or during labor have been reported to exhibit sedation and neonatal withdrawal symptoms. Observational studies have demonstrated that concomitant use of opioid analgesics and benzodiazepines increases the risk of drug-related mortality compared to use of opioids alone.
Xanax Misuse And Addiction

If you suddenly stop taking a drug that your body has become dependent on, you could experience side effects known as withdrawal symptoms. You should take Xanax exactly as prescribed by your doctor. It’s important that you do not increase your dose or take more than prescribed unless you first talk with your doctor. Also, be sure to contact your doctor as soon as possible if you have any symptoms of misuse or addiction, or any concerns about them. Misuse refers to taking a drug for a purpose or in a way that a doctor has not prescribed. People often misuse drugs to produce a pleasurable, calm, or high feeling.
What If I Miss A Dose?
These drugs can prevent the pathway that’s responsible for eliminating Xanax from your body from removing it as quickly as it should. Over time, this may lead to a toxic buildup of the drug and eventually an overdose. Some people have also reported memory loss or blacking out and not remembering what happened for several hours.
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. The half-life of a drug is the length of time it takes for half a dose of the drug to be removed from your body. It typically takes between four and five half-lives for a drug to fully leave your system. Narcotics are opioids, which are drugs related to the opium poppy.
Therapy And Xanax: A Combined Treatment Approach

It’s common to have anxiety about the stresses of everyday life. However, with GAD, you have ongoing anxiety about everyday life that’s excessive and out of proportion. You can reach out to your doctor or pharmacist if you have additional questions.
- Using any of them together with this medicine may increase the chance of serious side effects.
- XANAX may produce physical dependence from continued therapy.
- In this situation, you might be advised to take three of the 1-mg tablets to form 3 mg.
- Xanax has boxed warning about the risk of serious side effects or death if used with opioids.
- In the U.S. general population, the estimated risk of major birth defects and of miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively.
Some changes that have occurred in people taking this medicine are like those seen in people who drink alcohol and then act in a manner that is not normal. This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). This effect may last for a few days after you stop using this medicine. Check with your doctor before taking any of the above while you are using this medicine.

Alprazolam (Rx)

Mixing Xanax with opioid medications, for example, can lead to serious side effects like slowed breathing, and can even be fatal. “It’s in the class of drugs called benzodiazepines, also known as muscle relaxants or anxiolytics,” he says. Other common benzodiazepines include Valium and Klonopin. Xanax is most commonly prescribed for the short-term treatment of anxiety and anxiety-related conditions, which offers fast relief when symptoms become too intense or overwhelming. Alprazolam is a controlled substance and may be misused or lead to dependence. Tell your healthcare provider if you have a history of substance use disorder or alcohol use disorder.
Talk to your care team right away if you have changes in mood and behavior or thoughts of self-harm or suicide. 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. Xanax is an effective medication for reducing the number of panic attacks you have.
Misuse of Xanax can also lead to addiction (when a drug is used even if it’s causing harmful outcomes). If you have questions about taking Xanax with an opioid, talk with your doctor or pharmacist. You can learn more about Xanax interactions in this article. Most of Xanax’s side effects go away when you stop taking the medication.
For more information, you can refer to the Xanax prescribing information. Xanax comes as immediate-release (IR) tablets and extended-release (ER) tablets (Xanax XR). IR means the tablets release the drug into your body all at once. ER means the tablets release the drug into your body slowly over a long period of time. Following oral administration, peak plasma concentration of alprazolam (Cmax) occurs in 1 to 2 hours post dose. Table 4 includes clinically significant drug interactions with XANAX see Clinical Pharmacology (12.3).