Florida Neurologist Clinic

Xanax Dosage, Side Effects, Withdrawal, & ways to Buy Online

If you or someone you know and care about has ever struggled with anxiety or panic attacks in life, you’ve probably heard of Xanax. It is one of America’s most popular prescribed medications for anxiety, known for its quick relief during stressful moments. But Xanax has its own risks either short term or long term, which includes dependence on the drug, withdrawal effects, and drug abuse. Xanax is widely available online and it is important to know its proper uses and the risks it involves.

What Is Alprazolam (Xanax)?

Alprazolam, classified as a benzodiazepine, is known by its brand name Xanax. Alprazolam is a prescription medication primarily used to treat anxiety disorders, panic disorders and disturbing sleep. It works by increasing the effect of GABA (gamma-aminobutyric acid) inside the body and brain, GABA is a neurotransmitter that calms nerve activity.

Because of xanax calming effects and high risk of dependency and withdrawal symptoms in individuals, Xanax is categorized as a controlled substance in the United States by FDA. It is available in various forms, tablets, extended-release tablets (use for chronic pain mostly), and orally disintegrating tablets.

Understanding Xanax Dosages

Alprazolam (Xanax) is a highly controlled and addictive medication, it is important to understand xanax dosage to stay on the safer side. It is advised to always follow doctor’s prescription

Xanax Available Dosages and Colors

Tablet StrengthColor (Regular Tablets)
0.25 mgWhite
0.5 mgPeach
1 mgBlue
2 mgWhite (rectangular bars)

Xanax Common Dosage

Xanax dosages between 0.25 mg and 2 mg per dose, while generic Alprazolam can typically be found in 0.25 mg, 0.5 mg, 1 mg, 2 mg or higher daily; doctors rarely exceed this amount due to increased risk of addiction, dependence, and severe side effects.

How Long Does Xanax Last?

The calming effects of Xanax generally start in the first 20 to 60 minutes on in-take oral administration and lasts about 4 to 6 hours. The Extended release formulations provide relief which last at least 12 hours, it can vary based on the patient’s age, dosage and body reaction to the medicine.

How Long Xanax Stays Detectable in the System

Xanax can be detected for:

  • Blood: up to 24 hours
  • Saliva: up to 48 hours
  • Urine: up to 5 days (average detection window)
  • Hair: up to 90 days

Xanax Half Life:

Alprazolam (Xanax) half life is approximately 11 hours

Please Note: Detection can vary depending on individual factors such as age, metabolism, dosage, and frequency of use.

Medical Uses and Off-Label Uses of Xanax

When to Take Xanax

Xanax FDA Approved usage is to manage anxiety disorders and panic disorders for mental health patients, typically taken during episodes of intense anxiety or panic attacks. Doctors also use it in patients before medical operations and surgeries to calm and relax them.

Off-Label Uses of Xanax

Just like for pre-operations and surgeries Uses of xanax, It have more Off label uses as well which includes:

  • Tooth pain or toothache
  • Back pain
  • Hangovers

Xanax for Dogs: Veterinary Use

Vets prescribe Xanax for dogs which experience severe anxiety or phobias, such as thunderstorms or travel anxiety. Please always consult a veterinarian before giving Xanax to your pets.

Side Effects and Adverse Reactions of Xanax

Side Effects and Adverse Reactions of Xanax
Side Effects and Adverse Reactions of Xanax

Using xanax without doctor advice can cause severe side effects and reactions, some common and serious reaction includes:

Common Side Effects

  • Drowsiness or Sleepiness: Xanax frequently causes sedation, making patient feel tired or sleepy.
  • Blood Pressure Changes: Xanax can mildly lower blood pressure, which might cause dizziness or faintness upon standing.
  • Paradoxical Anxiety: In some cases, Xanax use may increase anxiety or agitation, particularly at higher doses.

Serious Adverse Effects

  • Breathing Problems: A High dose or taking Xanax with alcohol or opioids drugs can dramatically increase the risk of severe respiratory depression.
  • Allergic Reactions: Signs include rash, swelling of the face, lips, or throat, and difficulty breathing. If you or anyone you know experience these, call for immediate help at 911.
  • Overdose Risk: Exceeding required doses and long term use against doctors advice can lead to coma or death, especially when mixed with other depressants.

It is best to describe all your past medical experience and allergies to your doctor so he can prescribe you the correct dosage plan according to your health.

Xanax Addiction and Dependence

Is Xanax Addictive?

Xanax is a highly addictive substance because of its active ingredient, Alprazolam. Regular use of xanax increases risk of dependence and withdrawal. With time, the body will develop tolerance, where higher amounts of Xanax are needed for the same calming effect, and significantly increases the risk of substance use disorders.

Recognizing Xanax Addiction

Xanax addiction symptoms include:

  • Constant cravings for Xanax
  • Needing increasingly higher doses (developing tolerance)
  • Experiencing withdrawal when stopping

Withdrawal from Xanax

Some Common Xanax withdrawal symptoms which can occur if stopped xanax suddenly includes:

  • Anxiety and panic
  • Insomnia
  • Tremors or shaking
  • Seizures (in severe cases)
  • Rapid heartbeat and sweating

Withdrawal symptoms can be seen within hours to days after the last dose intake and need medical supervision immediately.

Safely Withdrawing from Xanax

Medical supervision is crucial when discontinuing Xanax. Discuss with your Doctors, they will gradually lower your dosage (tapering) and prescribe medications to ease withdrawal symptoms.

  • Withdrawal symptoms can last days to weeks, sometimes longer than 12 months.
  • Medicines commonly used during withdrawal: other benzodiazepines or certain anticonvulsants.

Legal and Safety Information About Xanax 

Is Xanax a Narcotic or an Opioid?

Xanax (Alprazolam) is neither a narcotic nor an opioid. As it belongs to the benzodiazepine drug class, which differs significantly in chemical structure and functions from opioids. However, benzodiazepines like Xanax share similar addiction risks and controlled substance status.

Legal Status of Xanax

  • Xanax is classified as a Schedule IV controlled substance in the United States.
  • Having xanax Possession without prescription is illegal and may result in drug possession or felony charges.
  • Only licensed medical professionals or doctors, including primary care doctors, psychiatrists, and certain specialists, can prescribe Xanax to individuals
  • Xanax cannot be shared with anyone without a doctor’s prescription. Do not share your prescription medicine with a friend or family without consulting a doctor.

Getting a Xanax Prescription

As a controlled substance, buying xanax either from a pharmacy or through an online pharmacy required a medical prescription issued from a licensed health professional. Urgent care facilities and emergencies can also prescribe Xanax after evaluating patient health and need, but this is only for limited circumstances and short term use. Xanax is not available over-the-counter due to its classification as a Schedule IV controlled substance.

Spotting Fake Xanax

Spotting Fake Xanax
Spotting Fake Xanax

Fake drugs like Xanax are dangerous due to unpredictable active ingredients. It is important to know how to identify genuine and fake tablets:

  • Appearance: Look at the shape and imprints. Real Xanax tablets have precise imprints, consistent color, smooth edges, and clear dosage markings mentioned.
  • Taste: Real Xanax has a mildly bitter taste with minimal aftertaste. Fake Xanax often tastes unusual, chalky, or excessively bitter.
  • Test Strips: Using specialized Xanax test strips can detect harmful substances like fentanyl.

Always get your medication through registered pharmacies with a valid prescription to avoid counterfeit drugs. Do not buy xanax online through a pharmacy offering without prescription, getting xanax without prescription can increase chances of getting fake tablets with fentanyl. If you have doubts about having fake tablets, do not take it and dispose of it by flushing it in the toilet or use the test strips to check for fake tablets.

Safe Use and Important Precautions for Xanax

Proper Use and Storage

  • Before use, Always go through your prescription label before taking Xanax.
  • Store at room temperature, do not expose to heat and direct sunlight
  • Never share Xanax tablets with anyone, especially individuals with no prescription and histories of drug addiction.

Xanax and Pregnancy

  • Avoid use of Xanax if pregnant or planning to become pregnant, it can harm the unborn baby or lead to dependence and withdrawal symptoms in newborns while inside the womb.

Xanax and Blood Pressure

  • Xanax can lower blood pressure because of its calming effects, but it is not the primary use of xanax to control blood pressure in patients.

Risks of Mixing Xanax with Other Substances

Combining Xanax with other substances and drugs without doctors advice can cause serious health issues. Never combine or interact Xanax with the following:

  • Alcohol: Combining Xanax and alcohol causes severe breathing problems, sedation, overdose, and can result in death. Wait at least 24 hours after taking Xanax before drinking alcohol.
  • Opioids (Methadone, Tramadol): Mixing Xanax with opioids like methadone or tramadol intensifies the sedative effects in the brain and body, causing life threatening respiratory disorder.
  • Illicit Drugs (Cocaine, Methamphetamine): Taking Xanax with stimulants will result in severe cardiovascular issues, anxiety, unpredictable behavior, and overdose.

Xanax vs. Ativan: What’s the Difference?

Xanax (alprazolam) and Ativan (lorazepam) both belong to the benzodiazepine family, use to treat anxiety disorders and panic attacks. Still they function similarly by enhancing GABA activity, there are some important differences between the two:

Effectiveness and Duration:

  • Xanax: Fast acting, short term relief, effective within 1 hour, last about 4 to 6 hours.
  • Ativan: Slightly longer lasting effects compared to xanax, last up to 8 hours.

Dosage Forms:

  • Xanax comes in both regular and extended-release tablets with FDA Approval.
  • Ativan only comes in standard tablets and injectable solutions.

Addiction and Dependence:

  • Both have high addiction potential.Compared to Ativan, Xanax is often taken as higher abuse potential due to quicker effects.

Withdrawal Severity:

  • Xanax withdrawal symptoms do appear quickly and may be severe, requiring careful medical oversight.
  • Ativan withdrawal symptoms, while similar, appear slower but also require medical attention.

Due to these risks, doctors recommend careful evaluation when prescribing either of these medications to patients.

Quick FAQs

Does Xanax cause red eyes?

Red eyes caused by Xanax is rare. Red eyes can be resulted from allergic reactions or misuse with other substances.

Can Xanax help with tooth pain or back pain?

Xanax is not effective for pain relief. It only helps with anxiety related to pain. Still Dentists prescribe xanax as an off-label use for pain management after wisdom tooth or root canal surgeries

How long after taking Xanax can I drink alcohol?

Wait at least 24 hours after your last Xanax dose before drinking alcohol.