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Xanax effects
Xanax effects
Xanax effects:
Xanax is a brand name of the active ingredient called alprazolam. Alprazolam is one of the benzodiazepine groups, commonly used in treating anxiety and panic disorder.
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Benzodiazepine group:
pharmacological class of drugs acting by suppressing the activity of nerves in the brain also called antianxiety medications. This class contain a group of drugs like diazepam, alprazolam, clonazepam, lorazepam, flurazepam and others.
Xanax effects use in treating the following condition:
Indications of Xanax:
- Anxiety (as monotherapy or adjunctive therapy).
- Vertigo acute episodes and treatment.
- Procedural anxiety (premedication).
Xanax adverse effects:
As with all medication, alprazolam has many adverse effects you should be alert about it, and if happen call your doctor.
- Memory impairment.
- Cognitive dysfunction.
- Skin rash.
- Weight gain or weight loss.
- Decreased libido.
- Increased or decreased appetite.
- Disturbance in attention.
- Allergic skin reaction.
- Nausea and vomiting.
- Muscle twitching.
- Blurred vision.
- Nasal congestion.
- Allergic rhinitis.
Contraindications of Xanax effects:
Your doctor will ask you about the following conditions as it’s contraindicated to use Xanax if you have one.
- Hypersensitivity to Xanax or other benzodiazepines.
- Acute narrow-angle glaucoma.
- Myasthenia gravis: an autoimmune disease that caused muscle weakness.
- Severe hepatic insufficiency.
- Severe respiratory insufficiency.
- Sleep apnea.
- Concurrent use of medications that interact with Xanax like ketoconazole.
Besides these contraindications, there are diseases related concerns to be warning use of Xanax:
- Depression: Xanax use with caution in patients with depression.
- Hepatic impairment: Xanax use with caution, extended effect, and high risk of toxicity.
- Renal impairment: Xanax use with caution in a patient with renal impairment.
- Respiratory disease: Xanax use with caution in respiratory disease.
Xanax effects interaction with other medications:
- Drugs should be avoided to use with Xanax:
- Fusidic acid.
- Oxybate salt product.
- Drugs decrease the effect of Xanax:
- Theophylline derivatives.
- Drugs increase the effect of Xanax and may cause toxicity:
- Chlorphenesin carbamate.
- Magnesium sulfate.
Special populations:
- Debilitated patients: Xanax use with caution in debilitated patients, use a lower starting dose, and titrated gradually.
- Elderly patients: Xanax use with caution in elderly patients as a higher risk of death especially in elderly dementia patients.
- Obese patients: Xanax use with caution in obese patients, as may have prolonged action.
- Smokers: Cigarette smoking may decrease Xanax concentrations by up to 50%.
- Pregnancy: Xanax has the potential to cause harm to the fetus, by crossing the human placenta. Teratogenic effects have been observed.
- Breastfeeding: Xanax is present in breast milk, so breastfeeding is not recommended by the manufacturer. If it is needed in breastfeeding females use of a shorter-acting agent is preferred.
Certain parameters you should monitor during Xanax use:
Your doctor will advise you to follow up on this parameter before starting and during the use of Xanax:
- Blood pressure.
- Heart rate.
- Respiratory rate.
- Liver enzyme.
- CBC (complete blood count).
- Mental status.
Xanax effects overdose signs and symptoms:
Ingestion of overdose from Xanax or concomitant administration of other medications that interact with Xanax and increase its efficacy all of that increase risks of toxicity.
Signs and symptoms:
- Impaired coordination.
- Diminished reflexes.
If you feel the previous symptoms called your doctor and go directly to the emergency department.
Xanax withdrawal symptoms:
Your doctor will advise you to tapper dose gradually until discontinue.
If Xanax stopped suddenly you may feel:
- Fatigue and tiredness.
- Nausea and vomiting.
- Abnormal involuntary movement.
- Weight loss.
- Decrease appetite.
- Cognitive disorder.
- Decreases salivation.
- Memory impairment.
- Impaired coordination.
- Blurred vision.
- Muscle tone disorders.
- Muscular twitching.
Doctors advise before starting Xanax effects:
The doctor will advise you to ensure the safety and efficacy of using Xanax:
- Avoid alcohol consumption.
- Avoid concomitant use of other benzodiazepines.
- Avoid increasing the Xanax dose without asking your doctor.
- Avoid stopping using Xanax suddenly.
- Avoid operate machinery.
- Avoid driving the car.
- Avoid Xanax use if you are pregnant or breastfeeding.
- Avoid Xanax use if you are elderly.
- Avoid Xanax use if you are obese.
- Avoid Xanax use if you have impaired hepatic function.
- Avoid Xanax use if you have impaired renal function.
- Avoid Xanax use if you have an allergy.
Xanax allergic reaction:
If you have an allergy from Xanax, you may feel:
- Difficulty breathing.
- Swelling of the face, lips.
What is Xanax used for
What is Xanax used for?
Xanax is approved by the FDA to be used to treat anxiety and panic disorder, Xanax is a very potent drug belonging to the benzodiazepines group and we will discuss here what is Xanax used for?
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Xanax is converted through the liver by hepatic microsomal oxidation, yielding hydroxyalprazolam, and is metabolized by cytochrome P450 (CYP) 3A4.
The FDA’s approval for Xanax depended on two large, randomized, clinical trials that analyzed the efficacy and tolerability of Xanax versus placebo (no_effect drug).
For targeting symptoms of panic disorder, the plasma concentration of Xanax should range between 20 and 40 ng/mL, as higher concentrations are associated with more central nervous system CNS depressant effects.
The most common side effects of Xanax include depression, dizziness, fatigue, drowsiness, headache, memory impairment, and dysarthria.
In a review of Xanax efficacy as monotherapy for the treatment of depression, anxiety, and panic disorder, 84 studies of Xanax have been reviewed versus other drugs and/or placebo and it was found that Xanax was superior to placebo and as effective or superior to all comparator benzodiazepines, including lorazepam, diazepam, and bromazepam and all comparator antidepressants, including dothiepin, imipramine, amitriptyline, and buspirone for the treatment of anxiety disorder.
The review found that the onset of the action of Xanax was significantly more rapid compared with amitriptyline, propranolol, and imipramine.
However, a meta-analysis of randomized controlled trials comparing Xanax with other benzodiazepines as antipanic agents found no significant difference in clinical efficacy if compared with other agents.
About the overdose, the studies found that Xanax is relatively more toxic than other benzodiazepines.
The antidepressant Xanax has not been systematically evaluated so its use as an antidepressant is still off-label. In a review of 25 studies included 2643 participants, Xanax was found to be superior to placebo, and as effective as all comparator antidepressants including doxepin, imipramine, amitriptyline, desipramine, clomipramine, and dothiepin for the treatment of neurotic and moderate depression, whereas the other antidepressants were perhaps superior to Xanax for the treatment of severe depression.
“neurotic depression” was defined as depressive symptoms associated with major personality disorders. According to the review, data collected from several studies concluded that the onset of antidepressant effect was significantly more rapid for Xanax compared with the other antidepressants, and Xanax was just as well-tolerated as all comparator medications.
A Cochrane review of Xanax’s efficacy as antidepressant monotherapy evaluated 21 more recent randomized controlled trials and found that Xanax was superior to placebo and as effective as the tricyclic antidepressants, including dothiepin, desipramine, amitriptyline, doxepin, and imipramine. However, this review included heterogeneous, or poor-quality studies and only pointed to the short-term effects, thus the conclusion was not significantly confirmed.
The clinical trials involved Xanax didn’t include any comparison between the newer antidepressant drugs called selective serotonin reuptake inhibitors SSRIs However, while the available data show that Xanax monotherapy is as effective as other benzodiazepines for the treatment of anxiety and panic disorders, this must be weight with its propensity for dependence, tolerance, and rebound anxiety.
What is Xanax used for? And how much do you need from it?
1- Anxiety: (monotherapy or adjunctive therapy): start with 0.25g three times daily, increase the dose according to efficacy and tolerability by less than or equal to 1mg by day at intervals ≥3 days to reach a usual dose of 2 to 6 mg/day in 3 to 4 divided doses. The dose may reach 8 mg/day for an optimal response the maximum dose is 10 mg/day. Increase the dose slowly with doses >4 mg/day to minimize the chance of adverse effects, periodically reassess and consider dosage reduction.
Xanax should only be used for a short term until the main therapy becomes effective. The duration should not exceed 12 weeks. Long-term, low-dose therapy (eg, 2 mg/day) can be an option for patients not controlled on other treatments or with patients who cannot tolerate other treatments well. Benzodiazepines may worsen symptoms in patients suffering from posttraumatic stress disorder PSD.
2- Procedural anxiety: Xanax can be used as a premedication before general anesthesia, a dose of 0.5 mg can be used 30 to 90 minutes before the procedure and may be repeated after 30 to 60 minutes.
3-Vertigo as an alternative agent in acute episodes and only reserved for those lasting several hours to days.
Discontinuation of Xanax:
Gradually withdraw the high doses of benzodiazepines to minimize the rebound symptoms of withdrawal.
The optimal tapering plan will vary from person to person but you can taper the total daily dose by 10% to 25% every 1 to 2 weeks based on response and tolerability.
The tapering period may last for more than 6 months.
For patients on high doses, you can taper rapidly in the beginning and slow the reduction rate over time.
This was a brief about what Xanax is used for And it’s clinical uses it.
What does Xanax feel like
What does Xanax feel like?
Xanax is the trade name for the active ingredient Alprazolam, used to treat anxiety and panic disorders, in addition to other specific types of them and other off-label use.
It takes less than one hour to work producing a calming effect.
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What does Xanax feel like?
The effects of Xanax appear and disappear rapidly.
Some people take it for recreational reasons to produce a calming effect.
But these fast effects may lead to misuse or addiction, unfortunately.
What does Xanax feel like?
The feel of Xanax differs according to many factors.
- The mental status of the patient at the time he takes the drug
- Age
- Weight
- Metabolism (The process of converting Xanax into inactive form to be excreted from the body)
- Dosage
What does Xanax feel like if you are using it to treat anxiety and panic disorders?
After taking the first dose of the medication, you will feel normal and calm.
The sedation caused by Xanax helps to alleviate the symptoms of anxiety and feeling calmer.
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What does Xanax feel like if you are using it for recreational uses?
The patients using Xanax recreationally say they feel sedated or calm.
Xanax may also lead to falling asleep or passing out.
Some patients reported memory impairment or blacking out without remembering what happened for several hours.
Higher doses are more likely to cause these symptoms more than lower doses.
To avoid these reactions happening from higher doses, you have to understand the right way to take the drug and the usual doses taken.
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Dosing and administration:
There are usual doses of every drug but the best way to take any drug is the individualized dose based on the medical condition, age, and weight of the patient.
The presence of another chronic medical condition also affects the dose prescribed.
Before taking Xanax, read the medication guide carefully and ask the doctor or the pharmacist about any misunderstandings.
Never take higher doses or longer duration than determined by your doctor.
This drug may cause abuse or addiction, don’t share this drug with another person; this drug should be taken with a prescription and under the supervision of a doctor.
Xanax is usually taken for 4 months to treat anxiety disorder and for 10 weeks maximum to treat panic disorder.
Call your doctor immediately if the symptoms don’t improve or worsen.
Using Xanax for a long time, you will need to make medical tests frequently.
Xanax is a drug that causes dependence and should not be stopped at once.
The dose must be decreased gradually or it may cause withdrawal symptoms which can be extremely serious.
Withdrawal symptoms:
- Depression
- Suicidal thoughts or behaviors
- Confusion
- Hostility
- Hallucinations
- Racing thoughts
- Uncontrolled muscle movements
- Seizures
Regular doses of Xanax:
Regular dose for adults in treating anxiety:
- 25 to 0.5 mg taken 3 times per day
- Maximum dose: 4 mg per day
Regular dose for adults in treating panic disorder:
- 5 mg taken 3 times per day
- Maximum dose: 10 mg per day
Regular dose for elders in treating anxiety:
- 25 mg taken 2 or 3 times per day
Regular dose for elders in treating panic disorder:
- 25 mg taken 2 or 3 times per day
If you missed a dose, take once you remember, if it is the time for the next one, don’t take double doses.
Taking too much Xanax may cause overdose which may be extremely dangerous.
Overdose symptoms:
- Extreme drowsiness
- Confusion
- Muscle weakness
- Loss of balance
- Incoordination
- Lightheadedness
- Fainting
If you suffered from any of these symptoms, go to the nearest emergency room.
What does Xanax feel like when concomitantly used with Alcohol?
Alcohol increases the effects of Xanax and increases the time for the drug to get out of the body.
You may suffer from extreme lethargy and memory loss for a long time.
Not just alcohol, but combining Xanax with any other drug can be dangerous leading to deadly side effects.
These side effects include:
- Breathing difficulties
- Extreme drowsiness
- Confusion
- Seizures
These drugs include many drugs, some are completely contraindicated, some of them may cause serious side effects and an alternative drug should be used, and some when used concomitantly with Xanax should be closely monitored.
Contraindicated drugs:
- ketoconazole
- tipranavir
Serious, use an alternative:
- abametapir
- apalutamide
- benzhydrocodone/acetaminophen
- calcium/magnesium/potassium/sodium oxybates
- carbamazepine
- chloramphenicol
- cimetidine
- clarithromycin
- cobicistat
- erythromycin base
- erythromycin ethylsuccinate
- erythromycin lactobionate
- erythromycin stearate
- hydrocodone
- idelalisib
- itraconazole
- ivosidenib
- ketoconazole
- lonafarnib
- lopinavir
- metoclopramide intranasal
- nefazodone
- rifabutin
- rifampin
- saquinavir
- selinexor
- sodium oxybate
- St John’s Wort
- sufentanil SL
- valerian
- voxelotor
These drugs can increase the effects of Xanax and the time which is taken to eliminate it from the system which may be leading to an overdose.
Don’t take Xanax before consulting with your doctor about the chronic medical conditions you are suffering from and the drugs taken.
Xanax is a very good drug in treating anxiety and panic disorders, but if you will know how to use it correctly.
Xanax side effects
Xanax side effects
Xanax is the most used benzodiazepine, used for the treatment of anxiety and panic disorder is classified as a highly addictive substance and this absolutely limits its clinical benefits, especially that some physicians prescribe it for longer periods than recommended. And even the clinical trials do not completely clarify the abuse liability of Xanax it still the most used one. We will discuss here the most common Xanax side effects.
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Possible Xanax side effects
Xanax is like all other drugs that can cause side effects by different severity levels, do not stop Xanax treatment by yourself as if it may cause harm to you if you stopped it immediately.
Treatment with Xanax can cause serious behavioral or psychiatric effects you should monitor for it:
- Agitation
- Restlessness
- Aggressiveness
- Irritability
- Violent anger
- False beliefs
- Nightmares
- Hallucinations
- Sudden wheeziness
- Difficulty in swallowing or breathing
- Swelling of face, eyelids, or lips, itching or rash (especially if spread all over the body)
When to see your doctor immediately:
- Memory loss (amnesia)
- Yellowing of the skin and whites of the eyes (jaundice), as the dose or treatment, may be changed in these cases
Other side effects that may occur are:
Very common: can occur by a percent more than 10%
- Sleepiness and drowsiness
- Jerky, uncoordinated movements
- Inability to remember bits of information
- Slurred speech
- Dizziness
- light-headedness
- Headaches
- Constipation
- Dry mouth
- Tiredness
- Irritability
Common: can occur by a percent less than 10%
- Loss of appetite
- Confusion and disorientation
- Increased sex drive (men and women)
- and erectile dysfunction
- Nervousness or feeling anxious or agitated
- Insomnia (inability to sleep or disturbed sleep)
- Unsteadiness like if you are drunk especially during the day
- Loss of alertness or concentration
- Inability to stay awake, feeling sluggish
- Shakiness or trembling
- Double or blurred vision
- Feeling sick
- Skin reactions
- Change in your weight
Uncommon: occur by 1%
- Feeling elated or over-excited, which causes unusual behavior
- Hallucination
- Feeling agitated or angry
- Incontinence
- Cramping pain in the lower back and thighs, which may indicate the menstrual disorder
- Muscle spasms or weakness
Not known: cannot be estimated how frequent they may occur from available data
- Too much prolactin production can lead to irregular periods in women
- Feeling hostile or aggressive
- Abnormal thoughts
- Twisting or jerking movements
- Being hyperactive
- Stomach upsets
- Liver problem and increase in liver function tests in blood with or without inflammation of the liver (hepatitis)
- Imbalance to part of the nervous system
Symptoms may also include:
- fast heartbeat
- unstable blood pressure (feeling dizzy, light-headed, or faint)
- A serious allergic reaction causes swelling of the face or throat, Swelling of the ankles, feet, or fingers
- Skin reaction caused by sensitivity to sunlight
- Difficulty urinating or bladder control problems
- Vision disturbances, increase blood pressure in the eyes
Xanax stopping
See your doctor before stop taking Xanax as the dose should be decreased gradually. Rebound effects can occur if decrease the dose suddenly or stop taking Xanax. These effects called withdrawal symptoms as you became restless or anxious or can’t get asleep.
These symptoms can be resolved if you retake Xanax or increase the dose again discuss this with your doctor or pharmacist.
Dependence and withdrawal
Xanax has a high possibility of dependence while you are taking them and withdrawal symptoms can occur if you stop it suddenly.
Withdrawal symptoms are more common if you:
- Stop treatment suddenly
- Have been taking high doses
- Use the drug for a long duration
- Have a history of alcohol or drug abuse
This can cause effects such as
- Headaches
- Muscle pain
- Extreme anxiety
- Tension
- Restlessness
- Confusion
- Mood changes
- Difficulty sleeping and irritability
severe withdrawal symptoms can be some the following :
- nausea (feeling sick)
- Vomiting
- Sweating
- Stomach cramps
- Muscle cramps
- A feeling of unreality or detachment
- Sensitivity to light or sound or physical touch.
- Numbness and tingling of the feet and hands
- Hallucinations
- Tremor or epileptic fits
Xanax tolerance
Xanax tolerance is a phenomenon where the effect of Xanax after several weeks is no longer enough for you and you feel that you need to increase the dose to reach the same usual effect. It is important not to take Xanax more than the doctor told you as this can lead to overdose.
Xanax overdose
If you had:
- Drowsiness
- Feeling cold
- Confusion
- Slurred speech
- Decrease in blood pressure
- Difficulty breathing
These symptoms may indicate overdose, seek medical advice if you have one of them.
Missed dose if you suffer from Xanax side effects
Take the forgotten dose as soon as you remember but not with the next dose, don’t ever duplicate your dose.
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Xanax overdose
Xanax overdose
Xanax is alprazolam, which has two forms regular Xanax and Xanax XR.
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They belong to a group of drugs called benzodiazepines, working as anxiolytics.
Xanax works in the management of anxiety, panic disorder, and anxiety associated with depression, and premenstrual syndrome (off-label).
To understand the Xanax overdose and the symptoms caused due to it, we have to understand the dosage and administration.
Administration:
Xanax is only available in oral dosage forms.
Tablets, extended-release tablets, orally disintegrating tablets, and oral solutions with many concentrations.
Extended-release tablets are swallowed as a whole without crushing, chewing, or breaking.
Orally disintegrating tablets are taken out of the cover just before taking it as it is highly affected by air and moist.
Oral solutions are taken with a special measuring device or measuring syringe, don’t use the household spoons to make sure you are taking the correct dose.
Dosage:
It is not used in children younger than 18 years old.
Adults
Treatment of anxiety:
0.25 – 0.5 mg 3 to 4 times per day
The dose is increased gradually in 3 – 4 days
The dose not to exceed 4 mg per day
Treatment of panic disorder:
Immediate-release tablets
0.5 mg every 8 hours
The average dose is between 5 – 6 mg per day
The dose not to exceed 10 mg per day divided into 3 doses
Extended-release tablets
0.5 – 1 mg every day
The average dose is between 3 – 6 mg per day
Treatment of anxiety associated with depression:
1 – 4 mg per day divided into 3 doses
Treatment of premenstrual disorder:
0.25 mg every 6 – 12 hours
Start the treatment on day 16 – 18 of menses
The dose not to exceed 3 – 4 mg per day
Dosing modifications:
Renal impairment: it is not studied and must be used with caution
Advanced hepatic impairment:
Immediate release: The dose is decreased to 0.25 mg every 8 – 12 hours, and maybe increased if needed as tolerated
Extended-release: 0.5 mg per day, and maybe increased if needed as tolerated
Geriatrics
Treatment of panic disorder:
Immediate-release tablets
The starting dose is decreased to 0.25 mg every 2 or 3 times per day
The dose is increased if necessary and tolerated to 5 – 6 mg per day as an average dose
Extended-release tablets
Start the dose by 0.5 mg per day
The dose is increased if necessary and tolerated to 3 – 6 mg per day
Treatment of anxiety associated with depression:
The initial dose is decreased to 0.25 mg every 8 – 12 hours
The dose is increased if necessary and tolerated to 1 – 4 mg per day
Dosing considerations:
The doctor prescribes the lowest effective dose to avoid undesirable side effects like ataxia (disorder affecting coordination, balance, and speech) and oversedation.
If you miss a dose, take it as soon as you can, if it is the time for the next dose; don’t take two doses at one time.
If you take two doses at one time, you may be subjected to Xanax overdose.
Xanax overdose symptoms:
- Extreme drowsiness
- Confusion
- Muscle weakness
- Loss of balance or co-ordination
- Light-headedness
- Fainting
If you feel any of these symptoms, you must seek medical attention at once.
Mixing Xanax with other drugs or with alcohol especially increases Xanax overdose susceptibility.
Another factor is taking the drug for high doses and a long duration.
When drinking alcohol while using Xanax dangerous side effects or even death may occur.
Xanax side effects:
Not just overdosing causes side effects but also the regular dose does that but with different aspects and extents.
Consult with your doctor at once if you feel:
- Weak or slow breathing
- Lightheadedness that may proceed to faint
- Seizures
- Hallucinations
- Hyperactivity
- Decreased need for sleeping
- Racing thoughts
- Agitation or talkativeness
- Double vision
- Jaundice (yellow skin and eyes due to liver problems)
Falls and accidents are more common in elders as the drug stays in their systems.
Common side effects:
- Ataxia
- Cognitive dysfunction
- Constipation
- Urination difficulties
- Drowsiness
- Dysarthria (motor speech disorder)
- Fatigue
- Memory problems
- Skin rash
- Weight changes
- Anxiety
- Blurred vision
- Diarrhea
- Insomnia (sleeping disorder)
- Decreased libido (sexual drive)
- Increased or decreased appetite
Less common side effects:
- Hypotension
- Sexual disorder
- Muscle twitchings
- Increased libido
Warnings:
- Xanax may lead to addiction, misusing the drug may be extremely dangerous, take this medication under the supervision of a doctor to avoid any abuse.
- Opioids are specifically dangerous when combined with Xanax, severe drowsiness and shallow breathing is the top side effects of this combination.
- Xanax is a federally controlled substance that has to be used under the control of a doctor.
- Xanax can cause severe allergic reactions, if you suffered from any blisters, hives, and swelling of the face, lips, and limbs, consult with your doctor immediately to stop the drug.
- Xanax is a drug that should not be stopped immediately and stopped gradually to avoid withdrawal symptoms.
Xanax is an antianxiety drug used for several types of anxiety and panic disorders use it correctly and you will have the most benefit from it.
Generic Xanax
Generic Xanax
Generic Xanax is Alprazolam.
Alprazolam has three brand names Xanax, Xanax XR, or Niravam.
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Generic Xanax Alprazolam is also common and well-known as well as the brand names.
What is generic Xanax Alprazolam?
Alprazolam is a triazolobenzodiazepine that belongs to a group of medicines called benzodiazepines (also known as benzos). This group works in the central nervous system and acts by enhancing the activity of certain neurotransmitters in the brain. Benzodiazepines attach to certain receptors in the brain known as GABA receptors (Gamma-aminobutyric acid) and decrease the sensitivity of nerves to stimulation causing a calming and relaxing effect, that’s why benzodiazepines are known as central nervous system (CNS) depressants.
Benzodiazepines are used to treat various medical conditions. They may be used to treat anxiety, alcohol withdrawal, panic attacks, seizures, and in some cases act as a muscle relaxant.
Alprazolam is used as an antianxiety drug that helps in the treatment of anxiety disorders, panic disorders, and anxiety associated with depression. It may also be prescribed off-label for insomnia, depression, and premenstrual syndrome.
How to take Xanax?
Xanax should be used only and exactly as prescribed by the doctor. A medication guide should be available for this medication and you should read carefully the instructions inside it. You may need to change the dose after a while according to the doctor’s advice. This medicine must never be shared with another person especially those who have a history of drug abuse or addiction.
If you use the liquid form of Xanax measure carefully your dose using a measuring syringe.
The tablet form of Xanax should be swallowed not crushed or chewed.
Xanax should not be taken for longer than 4 months to treat anxiety disorders, and for no longer than 10 weeks to treat panic disorders.
Consult your doctor if symptoms persist or if they become worse.
Medical tests may be required for the long-term use of this drug.
Avoid stopping Xanax suddenly otherwise you may suffer undesirable withdrawal symptoms.
Xanax should be stored at room temperature, avoid sun, heat, moisture, and light.
Xanax liquid form is not used after 90 days.
What are the factors affecting how Xanax influences you?
There are several factors such as:
- Age
- Weight
- Dosage
- Metabolism
- Mental status while taking Xanax
Dosage information:
- The usual adult dose for anxiety is 0.25 to 0.5 mg three times daily, the maximum dose is 4 mg per day.
- The usual adult dose for panic disorder is 0.5 mg three times daily, the maximum dose is 10 mg per day.
- The usual geriatric dose for anxiety is 0.25 mg two or three times daily.
- The usual geriatric dose for panic disorder is 0.25 mg two or three times daily.
If side effects appear the dose may be lowered. The minimum required effective dose should be administered.
In case of impaired renal function, you may need a dose adjustment and use it with caution.
Xanax elimination route:
Xanax is mainly eliminated in the urine.
Xanax overdose:
Xanax overdose symptoms may include sleepiness, drowsiness, confusion, muscle weakness, slow reflexes, loss of coordination, fainting, coma, and death. Alcohol use at the same time as taking Xanax lead to a higher potential of overdose symptoms. You should call emergency medical attention if you experience overdose symptoms as it may be fatal.
Precautions:
- Avoid drinking alcohol while using Xanax.
- Avoid driving or using machines as dizziness or drowsiness side effects of Xanax may lead to a car accident or severe injuries.
- Avoid eating grapefruit or drinking grapefruit juice while using Xanax as they interact with Xanax leading to potentially dangerous side effects.
- Avoid concomitant use of opioids which may lead to respiratory depression, coma, or death.
- Avoid using Xanax for patients younger than 18 years old as safety and efficacy are not determined.
- You should talk to your doctor before starting Xanax if you are planning to become pregnant or you are breastfeeding.
Side effects:
Commonly reported side effects of Xanax such as:
- Cognitive dysfunction
- Ataxia
- Depression
- Constipation
- Drowsiness
- Fatigue
- Memory impairment
- Fatigue
- Tremor
- Nervousness
- Headache
- Anxiety
- Blurry vision
- Diarrhea
- Decreased libido
- Insomnia
- Hypotension
- Weight gain or loss
- Increased or decreased appetite
- Irritability
Other side effects require immediate medical attention such as:
- Feeling forgetful
- Feeling sad or empty
- Lack of appetite
- Loss of interest or pleasure
- Shakiness
- Discouragement
- Difficulty with coordination
- Clumsiness
- Relaxed or calm
- Slurred speech
- Trouble concentrating
- Trouble speaking
- Unusual tiredness
This medicine may increase depression and suicidal thoughts.
Drug interactions:
There are 35 major (the risk outweighs the benefit) drug interactions with Xanax, 416 moderate (usually avoid combinations unless necessary) drug interactions with Xanax, and 40 minor (minimized risk) drug interactions with Xanax.
Always consult your doctor to ensure the information provided in this article and ask him/her for further information.
Xanax 2mg
Xanax 2mg
Xanax 2mg is a tranquilizer, alprazolam is its active ingredient. Xanax belongs to a chemical group called benzodiazepines which have a lot of common characteristics.
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Benzodiazepines promote sleep and relieve anxiety and worry by changing some chemical processes in the brain. Xanax 2mg is only used to treat severe anxiety, especially when associated with depression.
Xanax cannot be used for the treatment of depression. Xanax tablets should not be used as a long-term treatment of anxiety. The duration of treatment should not exceed 12 weeks including the tapering period.
Use alprazolam with caution in these cases:
- A myasthenia gravis where your muscles are week and tired.
- A respiratory problem or serious chest condition e.g. emphysema or chronic bronchitis.
- Sleep apnoea this is a condition which characteristic by breathing problem during sleep, even breathing can stop for a while.
- Severe liver problems.
Always remember to tell your doctor if you:
- feel so depressed or have suicidal thoughts.
- Have any mental illness that required hospital treatment.
- Have problems with your kidneys, lungs, or liver.
- Have a history of substance abuse or alcohol addiction.
- Has been treated for anxiety before and used other tranquilizers.
- If you have an operation and will receive general anesthesia and used to take Xanax 2mg.
Xanax 2mg with elderly
Benzodiazepines are associated with a high risk of fall in the elderly due to sedation and muscles weakness, so must be used with caution if you are older than 65 years.
Xanax 2mg with Children and adolescents
Benzodiazepines including Xanax 2mg should not be used with children and adolescents below the age of 18 years because no enough clinical trials approved their safety and efficacy.
Other medicines and Xanax
You should tell your doctor and pharmacist about all the drugs you are taking especially those drugs: medicines listed below, as the effect of Xanax or the other medicine, may change when taken at the same time: –
- Drugs used to treat anxiety or depression (e.g. nefazodone, fluvoxamine, fluoxetine).
- Opioids (e.g. morphine, codeine, or propoxyphene). Concomitant use is associated with a high risk of drowsiness, difficulties in breathing, coma, and maybe death. If both drugs are prescribed then the duration and the dose must be minimized.
- Drugs used to treat mental illnesses like schizophrenia.
- Medicines to treat epilepsy.
- Medicines for treating fungal infections (e.g. ketoconazole).
- Oral contraceptives (‘the pill’).
- Certain antibiotics (e.g. erythromycin).
- Cimetidine (for treating stomach ulcers).
- Diltiazem (used for angina and high blood pressure).
- Digoxin (used to treat various heart conditions).
- Medicines for HIV like ritonavir.
Xanax 2mg with food, drink, and alcohol
Alcohol increases the effect of Xanax 2mg, so It is important not to drink any alcohol with it. Take Xanax 2mg with or without food.
Xanax 2mg with pregnancy and breastfeeding
Xanax 2mg is categorized as D where benefits should outweigh the risks to use it as Xanax cross the placenta and may cause potential harm to the fetus.
The doctor must explain to you the potential risks.
Some of these risks are premature birth, low birth weight, hypoglycemia, and respiratory problems.
Xanax 2mg is excreted in breast milk, so it is not recommended to use it during breastfeeding. If using benzodiazepines is a must consider short-acting agents.
Xanax 2mg with driving and using machines
Xanax effect varies from person to person, you may feel sleepy more than the others, you must avoid activities that require a high level of alertness like driving or operating machinery until you know how Xanax can affect your mental functions.
How to take Xanax 2mg
Always take Xanax 2mg as the doctor prescribed, do not increase the dose by yourself. Do not swallow the tablet with alcohol.
The adults should start the dose by taking 0.25 or 0.5 three times daily per day. If the doctor decided that you need higher doses, the dose can be increased in small increments and will start with the night dose before the daytime doses.
You may reduce the dose if you had side effects, elderly, patients with kidney or liver problems should start with a low dose (250mg two or three times daily) and titrate it according to tolerance and efficacy. Xanax is not recommended for adolescents and children less than 18 years.
Duration of treatment should not exceed 12 weeks, Xanax should only be used for a short duration only. Your doctor will not prescribe Xanax for more than 4 weeks anyway and will ask you to revisit to assess the need for continue on Xanax 2mg.
Xanax symptoms
Xanax symptoms
Benzodiazepines are that class of drug that are used to treat several medical conditions mostly anxiety, seizures, and Insomnia.
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They include:
- Alprazolam the generic name for Xanax
- Clonazepam
- Diazepam
- Lorazepam
- Midazolam
Xanax is mainly indicated for the management of anxiety and panic disorders.
It can also be used for sleeplessness, premenstrual syndrome, and depression, but these indications are not yet approved by the FDA (Food and Drug Administration).
Xanax symptoms are differentiated into 4 types:
- Medical effects of Xanax
- Side effects of Xanax
- Overdosage symptoms
- Withdrawal symptoms
First, either of these symptoms is affecting patients according to many factors:
- Mental status before starting taking the drug
- Age
- Weight
- Metabolism (Transformation of the drug to inactive ingredients to get them out of the body)
- dosage
Medical Xanax symptoms:
When using it to treat anxiety, it will help to alleviate these symptoms and producing a calming effect on anxiety and stress.
Unfortunately, some people may also use it for recreational purposes and to produce euphoria.
Dosage and administration:
Xanax should be taken exactly as your doctor prescribed.
The doctor determines the dose based on your medical condition, age, and weight of the patient.
Adults have been prescribed a relatively higher dose than elders because they can tolerate this dose better.
But also, a higher dose can cause more severe side effects.
Patients can develop tolerance to Xanax, and higher doses may be prescribed.
Xanax is only available on oral dosage forms.
Extended-release tablets must be taken without chewing, breaking, or crushing.
Orally disintegrating tablets are taken out of their cover just before taking them to prevent the dissolving of the tablet.
Oral solutions are taken with special measuring devices, or measuring syringes, regular spoons are not used to ensure the correct dose is taken.
If you have a missed dose, it is ok to take it when you remember, but it is not ok to take it if the time of the next dose had come, or else you may suffer from undesirable side effects.
Overdosed Xanax symptoms:
Overdose symptoms depend on how much Xanax have you taken, how your body reacts to this dose, and whether you are taking other medicines in combination with it.
- Mild symptoms
- Confusion
- Uncontrolled muscle movements
- Poor coordination
- Slurred speech
- Tremors
- Slow reflexes
- Fast heartbeats
- Severe symptoms
- Hallucinations
- Seizures
- Chest pain
- Breathing difficulties
- Abnormal heartbeats
- Coma
Overdose Xanax symptoms may be extremely dangerous, go to the nearest hospital or call an ambulance if you experienced any of these symptoms.
Side effects:
Common side effects
- Drowsiness
- Depression
- Headache
- Constipation
- Diarrhea
- Dry mouth
- Impaired coordination
- Increased appetite
- Fatigue
- Memory impairment
- Irritability
- Decreased salivation
- Cognitive disorders
- Insomnia
- Decreased appetite
- Lightheadedness
- Weight changes
Less common side effects
- Tachycardia (fast heartbeats)
- Confusion
- Blurred vision
- Nasal congestion
- Hypotension
- Syncope
- Akathisia (Movement disorder)
- Nervousness
- Tremors
- Talkativeness
And many other Xanax symptoms, talk to your health care provider if you have any undefined symptoms.
You have to stop Xanax gradually, you can’t stop them suddenly, you can have some withdrawal symptoms, which can be serious.
Withdrawal Xanax symptoms:
- Depressed mood
- Suicidal thoughts
- Confusion
- Hostility
- Hallucinations
- Racing thoughts
- Uncontrolled muscle movements
- Seizures
Talk to your doctor, so you can control these symptoms together.
Mixing Xanax with alcohol can increase Xanax symptoms and effects.
Extreme lethargy and prolonged memory loss are the most remarkable side effects of this combination.
Other Xanax symptoms caused by the combination of Xanax with alcohol are:
- Difficulty breathing
- Extreme drowsiness
- Confusion
- Seizures
These effects can be dangerous and fatal, seek immediate medical attention if you feel any of the following symptoms.
Drug-drug interactions:
Combining Xanax with other drugs can cause several interactions fading the effect of the drug or synergizing them.
Medications include:
- Antifungals like Itraconazole and Ketoconazole are specifically dangerous and completely contraindicated to be used with Xanax.
Other medications:
- abametapir
- apalutamide
- benzhydrocodone/acetaminophen
- calcium/magnesium/potassium/sodium oxybates
- carbamazepine
- chloramphenicol
- cimetidine
- clarithromycin
- cobicistat
- erythromycin base
- erythromycin ethylsuccinate
- erythromycin lactobionate
- erythromycin stearate
- hydrocodone
- idelalisib
- itraconazole
- ivosidenib
- ketoconazole
- lonafarnib
- lopinavir
- metoclopramide intranasal
- nefazodone
- rifabutin
- rifampin
- saquinavir
- selinexor
- sodium oxybate
- St John’s Wort
- sufentanil SL
- valerian
- voxelotor
These drugs are including oral contraceptives, antidepressants, antibiotics, and heartburn drugs.
Other drugs that may even lead to death are opioids such as Codeine and Hydrocodone.
The FDA (Food and Drug Administration) has issued a black box warning about mixing Xanax with opioids.
They may cause profound sedation, respiratory depression, coma, and death.
Unfortunately, with all of the benefits coming from Xanax, it may be misused or abused.
That’s why; we always assure that Xanax should be taken under the supervision of a doctor, with the exact dose and duration prescribed.
If you are suffering from anxiety or panic disorders, Xanax should be an excellent choice for you, but only if you used it correctly.
Is Xanax safe
Is Xanax safe?
Xanax is safe when taken properly.
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The best way to use Xanax is under the supervision of a healthcare provider, and following exactly the instructions provided in your prescription.
Xanax is safe when prescribed to be taken over the short term, but the long-term use can lead to severe side effects, abuse, or addiction.
Xanax should be exactly used as prescribed by the healthcare practitioner to be safe.
Is Xanax safe?
It is safe when taken in the accurate dosage prescribed to each patient according to his condition.
It is safe when it is not excessively used among teenagers.
It is safe when avoiding the risk of addiction by taking the correct dose in the correct way prescribed by the doctor.
It is safe when the patient is too cautious about some side effects such as hallucinations, aggression, or mania.
Benzodiazepines:
If you are dealing with any anxiety disorders or panic attacks, Xanax may be the drug of choice.
Xanax’s generic name is Alprazolam which is a medication that belongs to a group of medications called Benzodiazepines.
Benzodiazepines are used to manage anxiety by their calming effect for patients with anxiety or panic disorders, they may be used for short-term treatment of severe insomnia, alcohol withdrawal, and prolonged seizures.
How long does Xanax take to work?
Xanax starts to work after one to two hours. Patients stop feeling the effect of Xanax a long time before it is eliminated from the body.
Taking too much Xanax may lead to dependence or accidental overdose.
What happens if Xanax used without a prescription?
- Patients who take Xanax by themselves, without a prescription describe the feeling of sedation, relaxation, quiet, tiredness, or calming.
- Some patients complained of memory issues like memory loss for several hours. Higher doses increase the severity of these effects.
Xanax may be dangerous due to its direct effect on the brain, as it acts on neurotransmitters or brain chemicals called GABA (Gamma-aminobutyric acids), these neurotransmitters slow down the activity of the nervous system causing relaxation. This can be harmful while long-term used.
If the patient even used Xanax for only 3 or 4 weeks he may also become Xanax dependent due to its strong effect. The patient may suffer withdrawal symptoms of Xanax if he suddenly stopped taking it. Therefore, doctors should limit Xanax doses to the lowest effective dose and limit prescriptions that last for more than 1 to 2 weeks to avoid tolerance that leads patients to need higher and higher doses causing addiction.
The long-term use of Xanax:
The long-term use of Xanax affects negatively general health over time, in addition, it leads to tolerance and dependence.
Studies have shown that the use of Xanax for longer than six months may lead to higher risks of developing Alzheimer’s disease.
It is dangerous when the patient ceases long-term use of Xanax, leading to mild to moderate withdrawal symptoms such as:
- Sleep problems
- Fatigue
- Weakness
- Pain
- Irritability
- Blurry vision
- Increased heart rate
Some severe withdrawal symptoms may occur such as hallucinations or seizures. In severe cases, seizures may lead to coma or death.
Is Xanax safe when mixed with other substances?
Alcohol, for example, increases the potential of overdose when taken with Xanax, hence it is not safe. Alcohol is like Xanax depresses the central nervous system causing over sedation and relaxation and maybe deadly.
Combination of Xanax and alcohol exhibit symptoms like drowsiness, slurred speech, slow pulse, coordination problems, seizures, coma, or death.
Is Xanax safe during pregnancy?
Xanax is not safe during pregnancy.
During the first trimester:
Months from 1 to 3 of pregnancy are more susceptible to birth defects including cleft lip, cleft palate, …etc.
During the second and third trimester:
Months from 4 to 9 of pregnancy where the baby is susceptible to physical, emotional dependence or addiction, may also cause withdrawal symptoms to the baby. Floppy infant syndrome (weak muscles of the baby and lack of control head, arms, or legs) may occur during the last trimester.
Is Xanax safe while breastfeeding?
During lactation Xanax can cross breastmilk reaching newborns in small doses, however, these small doses may cause sedation or respiratory problems in the babies.
It is advised to avoid Xanax during lactation. Some common side effects may be noticed in the infants receiving Xanax in breastmilk such as drowsiness, agitation, weight loss, lethargy, or they may refuse to feed.
Is Xanax safe for the liver?
Since Xanax metabolism takes place in the liver, the long-term use of Xanax may increase the potential of nerve tissue damage in the liver and liver inflammation. This risk is intensified if Xanax is mixed with alcohol.
Is Xanax safe for kidneys?
Kidneys should not be affected by Xanax even if it is used in the long run. Although kidney function doesn’t play a role in the elimination of Xanax it is thought that impaired renal function may slow down Xanax elimination from the patient’s body system.
We conclude that all studies, experts, and doctors advise people who need to take Xanax to read carefully the instructions and the prescription of the drug and to consult their doctor before starting Xanax and during the treatment too.
Xanax Anxiety
Xanax Anxiety
– Xanax is a medicine that belongs to a group of drugs called benzodiazepines, anxiolytics, and antianxiety agents used to treat anxiety, panic disorders, and anxiety associated with depression.
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– Xanax anxiety expression shows how strong the relation between Xanax and its positive effect in controlling anxiety.
– Xanax can be short-term used giving immediate relief for symptoms of anxiety, or it can be long-term used for management of the panic disorder.
– Xanax is effective and safe in adults 18 years old and elder.
– Xanax acts on the central nervous system by enhancing the activity of neurotransmitters in the brain producing a calming effect in the body.
– Although Xanax helps many patients calm down it may cause addiction, so it should be used according to the instructions of the doctor to reduce the risk of overuse or addiction.
Xanax anxiety
What are anxiety disorders?
Anxiety is a normal feeling where your brain reacts normally to occasional life changes like stress, potential danger, exams, or other problems. It is ok to feel anxious then but anxiety disorders mean intensive or excessive worry, fear, or terror about situations happening every day. They are a group of mental illnesses. Excessive anxiety can lead the patient to avoid work, family, school, or other social situations.
Examples of anxiety disorders:
Generalized anxiety disorders, panic disorders, social anxiety disorders (social phobia), specific phobias, agoraphobia (being in a place where you feel that you cannot escape, for example, airplane, public transportations or crowded places), selective mutism (kids who speak normally with their family cannot speak at school or in public), separation anxiety disorders, and medication-induced anxiety disorders.
Anxiety disorders symptoms:
- Feeling tense, nervous, or restless
- Feeling in danger, panic, or doom
- Increased heart rate
- Rapid breath
- Sweating
- Feeling tired
- Difficulty in concentration
- Difficulty in sleeping
- Trouble controlling worry
- Gastrointestinal problems
Xanax anxiety treating
Xanax doesn’t cure anxiety permanently; it only helps to reduce the symptoms. It helps with other medications like psychotherapy.
Xanax gives rapid action causing immediate relief of severe bouts of anxiety. That’s why it is considered as a bridge treatment until other medications are allowed to work.
Xanax can be taken about an hour before a performance event for calming down cognitive symptoms like worrying about performance events or judgment of others.
How to use Xanax?
– Xanax should be taken exactly as prescribed by your health care provider to avoid overdose or addiction.
– Xanax should be stored at room temperature securely; it should be out of the reach of others in a tightly closed container.
– Do not miss a dose of Xanax, if you forgot the dose take it as soon as you remember unless it is the time for the next dose do not double the dose.
– Avoid drinking alcohol or drugs that affect the central nervous system while using Xanax.
Does Xanax have the same effect on everyone?
Some factors that make the Xanax effect differ from one patient to another like:
- Age
- Weight
- Dosage
- Metabolism
- Mental status at the dose time
Dosing
Doctors usually recommend starting Xanax with the lowest possible dose that gives a better effect. The dose can be increased gradually according to the response of the body to the drug.
High doses of Xanax can be fatal, you should not take higher doses of Xanax unless prescribed by your doctor.
Usual adult dose: 0.25 to 0.5 mg three times per day for oral tablets. The maximum dose should not exceed 4 mg per day.
Usual geriatric dose: 0.25 mg two or three times per day.
Some patients may begin to feel the effect of Xanax within 5 to 10 minutes after taking Xanax, the majority of patients start to feel the Xanax effect within an hour.
Xanax anxiety treating
If it is the first time for you to take an antianxiety drug it is important to know and understand well the side effects associated with the drug
Side effects:
The most common side effects of Xanax are sedation and drowsiness. Other possible side effects like:
- Headache
- Confusion
- Sleepiness
- Muscle cramps
- Dizziness
- Decreased appetite
- Weight loss or gain
- Nausea
- Vomiting
- Diarrhea
- Blurry vision
- Dry mouth
- Decreased blood pressure
- Irregular heartbeats
In severe cases, Xanax may cause manic symptoms.
Some patients are more sensitive to the side effects especially pregnant women, geriatric patients, children and teens, patients with alcohol or drug abuse, or patients with respiratory medical conditions.
Symptoms of Xanax withdrawal:
Since benzodiazepines act on the central nervous system affecting the motivation regions of the brain and regulate the patient’s mode when Xanax dependency occurs these brain regions are affected as well. After stopping Xanax, the brain needs time to return to its normal condition and function. Some psychological and physical withdrawal symptoms may be significant during the removal of the drug from the body:
Psychological symptoms like:
- Depressed mood
- Suicide tendency
- Hallucinations
- paranoia
- Confusion
- Racing thoughts
Physical symptoms like:
- Headache
- Muscle pain
- diarrhea
- Uncontrolled muscle movements
- Seizures
- Diarrhea
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