Xanax, Xanax XR
Alprazolam
Treats anxiety and panic disorder
Anxiolytic, benzodiazepine
Tablet, extended-release tablet
By mouth
The FDA has approved Xanax for the acute treatment of generalized anxiety disorder (GAD) and panic disorder.
Tablet
0.25 mg
0.5 mg
1 mg
2 mg
Extended-release tablet
0.5 mg
1 mg
2 mg
3 mg
For generalized anxiety disorder: 0.25–0.5 mg three times a day to start that may increase over time (maximum dose: 4 mg per day in three divided doses) OR 0.5–1 mg extended-release Xanax taken once per day to start that may increase over time to 3–6 mg taken once per day
For panic disorder: 0.5 mg three times a day to start that may increase over time to an average dose of 5–6 mg daily taken in three divided doses OR 3–6 mg extended-release Xanax taken once per day
RELATED: Xanax dosage, forms, and strengths
Xanax
10 tablets bottle
Xanax
100 tablets bottle
Xanax
20 tablets bottle
Xanax
30 tablets bottle
Xanax
0.25mg tablet
Xanax
0.5mg tablet
Xanax
1mg tablet
Xanax
2mg tablet
Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
Read the medication guide, particularly the section titled, “What is the most important information I should know about XANAX.”
Swallow tablets whole with a glass of water. Do not crush, break, or chew the tablets.
Store Xanax in a closed container at room temperature out of the reach of children.
Take the missed dose when remembered. However, if it is nearly time to take the next dose, skip the missed dose and take the next dose as scheduled.
Never take extra medicine or a double dose to make up for a missed dose.
This medicine is not right for everyone.
Do not use it if you have had an allergic reaction to alprazolam or similar drugs called benzodiazepines.
Tell any healthcare provider or other healthcare provider who treats you that you are using this medicine.
Your healthcare provider will need to visit you regularly to assess your progress. Keep all appointments.
Take the prescribed dose. Taking too much Ativan can cause extreme dizziness, weakness, trouble breathing, slow heartbeat, seizures, and cold, clammy skin.
Xanax can cause physical dependency and become a drug habit. Abuse of this drug can result in overdose and death. Do not use more than your prescribed dose or take Xanax for longer than prescribed. Call your healthcare provider if you think your medicine is not working.
Alprazolam may not be safe to take for long periods. Long-term use can lead to physical dependency and result in protracted withdrawal symptoms when discontinued.
This medicine can cause withdrawal symptoms that could last for months. Do not stop using this medicine suddenly. Your healthcare provider will need to slowly decrease your dose before you stop it completely.
Tell your healthcare provider if you have:
Kidney disease
Liver disease
Lung disease
Breathing problems
A history of seizures
A history of mental health issues such as depression, mood problems, or suicidal thoughts or behaviors
A history of drug or alcohol abuse
This medicine can increase thoughts of suicide. Tell your healthcare provider right away if you start to feel depressed and have thoughts about hurting yourself.
It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your healthcare provider right away if you become pregnant.
Tell the healthcare provider if you’re breastfeeding or planning to breastfeed. Alprazolam can make a nursing infant sleepy or less willing to feed.
This medicine may make you dizzy, drowsy, or lightheaded. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
Xanax is a federally controlled substance. Giving or selling this drug to anyone else is dangerous and against the law.
Because of the risk of overdose, death, or misuse, keep Xanax tablets securely out of the reach of children.
To avoid potentially hazardous drug interactions, tell the prescribing healthcare provider about all prescription drugs, over-the-counter medicines, and supplements you are using before taking diazepam.
Tell other healthcare providers you are using this medicine before they prescribe new medications.
DO NOT take Xanax if you are also using the antifungal drugs ketoconazole or itraconazole.
Taking Xanax along with narcotic pain relievers (opioids) can cause serious problems, including slowed breathing, coma, and death.
Xanax is a sedative, so combining Xanax with other drugs that slow down the nervous system can cause excessive sedation, severe impairment, and even compromised breathing. Drugs to avoid include other benzodiazepines, sleeping pills, antihistamines, antidepressants, muscle relaxants, and alcohol.
Do not drink alcohol when taking Xanax.
Avoid eating grapefruit or drinking grapefruit juice when taking Xanax.
Tell the prescribing healthcare provider if you are using any of the following medicines:
Mental health medications such as SSRIs
Antifungal drugs called azoles
Birth control pills
Macrolide antibiotics such as clarithromycin or erythromycin
Nefazodone, fluvoxamine, cimetidine, digoxin
Find more detailed information about alprazolam interactions to avoid here.
Serious side effects
Talk to a healthcare provider if you notice any signs or symptoms of a possible serious side effect including:
Blue lips, fingernails, or skin
Extreme drowsiness or weakness, slow heartbeat, trouble breathing
Seizures
Confusion, lightheadedness, dizziness, problems with muscle control or coordination
Unusual mood or behavior, worsening depression, thoughts about hurting yourself, trouble sleeping
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Less serious side effects
Drowsiness
Tiredness
Loss of coordination
Irritability
Memory problems
Appetite changes
Cognitive impairment
Weight changes
Constipation
Lowered sex drive
Dry mouth
Slurred speech
Confusion
Find more detailed information about Xanax side effects here.
Xanax alprazolam tablet prescribing information, DailyMed (NIH National Library of Medicine)
Xanax XR alprazolam extended-release tablet prescribing information, DailyMed (NIH National Library of Medicine)
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