If they recommend that you take an opioid while using Xanax, they will discuss the risks with you. They’ll typically lower your Xanax dosage to reduce your risk for side effects as much as possible. The use of Xanax and opioid drugs may cause severe side effects, including extreme sleepiness and respiratory depression (slow or weak breathing).

Risk Of Misuse And Addiction

It belongs to a group of medications called benzodiazepines. A generic drug is an exact copy of the active ingredient in a brand-name medication. The generic is considered to be as safe and effective as the original drug. To find out how the cost of alprazolam compares to the cost of Xanax, see this article. Xanax tablets are scored and can be split if your doctor or pharmacist advises this. The manufacturer does not provide information on taking Xanax this way.
The Xanax pill comes in both regular and extended-release tablets, allowing for it to be dosed based on individual needs. To help avoid withdrawal symptoms, do not stop taking Xanax unless you first talk with your doctor. When you and your doctor agree that you should stop taking Xanax, they’ll reduce your dose slowly over time.
Xanax Tablet Colors: White, Peach, Or Blue
For more complete information on possible side effects of Xanax, you can talk with your medical professional or pharmacist. They may also be able to recommend tips on how to help prevent and ease side effects. Caution should be exercised when prescribing alprazolam in geriatric patients, as it may alter their motor functions and balance, as well as their cognitive functions.
5 Neonatal Sedation And Withdrawal Syndrome

They include strong prescription pain relievers, such as hydrocodone (Hysingla ER) and certain illegal drugs. For more examples, see the “Xanax interactions” section. If you no longer need to take Xanax and have leftover medication, it’s important to dispose of it safely.
Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies. Your doctor will probably start you on a low dose of alprazolam and gradually increase your dose, not more than once every 3 or 4 days. Remove the orally disintegrating tablet from the bottle just before it is time for your dose.
Risk Of Dependence And Withdrawal
- It is also used to treat panic disorder in some patients.
- Dosage reduction of XANAX is recommended in patients with hepatic impairment see Dosage and Administration (2.4), Clinical Pharmacology (12.3).
- The European Drug Report 2018 identified the increasing use and availability of sedative drugs amongst young people as an area of particular concern, requiring further investigation, policy consideration and prevention efforts.
- Until you know how the drug will affect you, it’s better to take less and build up to a higher dose.
ER means the tablets release the drug into your body slowly over a long period of time. Advise patients, their families, and caregivers to look for signs of suicidality or worsening depression, and to inform the patient’s healthcare provider immediately see Warnings and Precautions (5.6). 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).

Medications & Supplements
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.

Misuse of this medication is dangerous and against the law. Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
1 Clinical Experience
Your medical professional will also periodically check to see if you need to continue taking the drug. It’s also important to talk with them before you stop Xanax treatment. Before starting Xanax treatment, tell your medical professional about all medications you take.
Keep XANAX In A Safe Place And Away From Children
Ask your healthcare professional how you should dispose of any medicine you do not use. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- Do not stop taking alprazolam without talking with your healthcare provider.
- The products discussed in this site may have different product labeling in different countries.
- Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- There’s not a specific lowest dose that’s usually prescribed.
- The drug may cause harm in newborns who were exposed to it during pregnancy.
These include a spectrum of withdrawal symptoms; the most important is seizure see Drug Abuse and Dependence (9.3). Even after relatively short-term use at doses of ≤ 4 mg/day, there is some risk of dependence. Spontaneous reporting system data suggest that the risk of dependence and its severity appear to be greater in patients treated with doses greater than 4 mg/day and for long periods (more than 12 weeks). However, in a controlled postmarketing discontinuation study of panic disorder patients who received XANAX, the duration of treatment (3 months compared to 6 months) had no effect on the ability of patients to taper to zero dose.
If you have additional questions, talk with your doctor. If you can become pregnant, are breastfeeding, or are using birth control, it’s important to consider whether Xanax is a safe choice for you. Here’s some information about herbs, supplements, and Xanax treatment.
If your local pharmacy does not have these options, your doctor or pharmacist may be able to direct you to one that does. Taking the medication around the same times of day helps keep a steady level of the drug in your body. For example, you may take it in the morning, after lunch, and in the evening. 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.
For this reason, doctors usually prescribe lower doses of Xanax for older adults and may increase the dose slowly if needed. If your doctor confirms you’ve had a serious allergic reaction to Xanax, they may have you switch to a different treatment. The kinds of side effects you can have may vary depending on the condition you’re using Xanax to treat. If you need help remembering to take your dose of Xanax on time, try using a medication reminder. This can include setting an alarm or downloading a reminder app on your phone.