Tramadol is in a drug class called opiate agonists. What can happen to me? Side effects are often observed at the beginning of therapy and usually disappear upon continued use of medication. Long term use of Xanax can lead to physical or psychological dependence on the medication. Principles and Practice of Psychopharmacotherapy 5th ed. Archived from the original on 8 December The drug is designed to correct a chemical imbalance in the brain which is causing anxiety. Can you overdose on Xanax?
Neonates exposed to serotonin-noreponephrine reuptake inhibitors SNRIs or selective serotonin reuptake inhibitors SSRIs late in 3rd trimester of pregnancy have developed complications necessitating prolonged hospitalization, respiratory support, and tube feeding. Increased risk of hepatotoxicity, sometimes fatal; monitor for abdominal pain, hepatomegaly, elevations in hepatic transaminases exceeding 20 times upper limit of normal; jaundice; cholestatic jaundice with minimal elevations of hepatic transaminases have also been reported; use not recommended in patients with substantial alcohol use or chronic liver disease.
SSRIs and SNRIs may impair platelet aggregation and increase the risk of bleeding events, ranging from ecchymoses, hematomas, epistaxis, petechiae, and GI hemorrhage to life-threatening hemorrhage; concomitant use of aspirin, NSAIDs, warfarin, other anticoagulants, or other drugs known to affect platelet function may add to this risk.
Severe skin reactions eg, erythema multiforme and Stevens-Johnson syndrome ; discontinue at first appearance of blisters, peeling rash, mucosal erosions, or any other sign of hypersensitivity if no other etiology can be identified. Diabetes due to worsening of glycemic control in some patients; monitor increases in fasting blood glucose and hemoglobin A1c. Monitor weight and growth in adolescents and children; decrease in appetite and weight loss reported.
Bone fractures reported with antidepressant treatment; consider possibility of bone fracture if patient complains of unexplained bone pain or joint tenderness or experiences bruising or swelling. Use caution in gastroparesis, hypertension, controlled narrow angle glaucoma, renal impairment, or seizure disorders. May lower seizure threshold when administered oncurrently with other drugs that lower seizure threshold.
Risk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomy. Headache, dizziness, nausea, diarrhea, paresthesia, vomiting, irritability, insomnia, hyperhidrosis, anxiety, and fatigue reported in patients following abrupt discontinuation of duloxetine.
Therapy may increase blood pressure; measure blood prior to initiating treatment and periodically throughout treatment. Abnormal bleeding reported when used in combination with aspirin, NSAIDs, or other drugs that affect coagulation. Angle closure glaucoma reported in patients with untreated anatomically narrow angles that do not have a patent iridectomy and are being treated with antidepressants. Controlled studies in pregnant women show no evidence of fetal risk.
Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done. Positive evidence of human fetal risk. Do not use in pregnancy. Risks involved outweigh potential benefits. Exact mechanism of action unknown; inhibits reuptake of serotonin and norepinephrine; weakly inhibits reuptake of dopamine; has no MAOI activity; has no significant activity for histaminergic H1 receptor or alpha2-adrenergic receptor.
Adding plans allows you to compare formulary status to other drugs in the same class. To view formulary information first create a list of plans. Your list will be saved and can be edited at any time. The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.
By clicking send, you acknowledge that you have permission to email the recipient with this information. Sign Up It's Free! If you log out, you will be required to enter your username and password the next time you visit. Brand and Other Names: Share Email Print Feedback Close. Use not recommended Hepatic impairment: Use not recommended, because of risk of hepatic injury. Acute episodes often necessitate several months of sustained therapy Diabetic peripheral neuropathic pain: Hepatic Impairment Avoid use in patients with chronic liver disease or cirrhosis.
Administration Because of enteric coating, must be swallowed whole; do not chew, crush, or open capsule and sprinkle contents in food or liquid Can be taken without regard to meals. Safety and efficacy not established years: Significant - Monitor Closely. All Interactions Sort By: Anaphylactic reaction, angioneurotic edema, hypersensitivity Cardiovascular: Hypertensive crisis, supraventricular arrhythmia, myocardial infarction, tachycardia, Takotsubo cardiomyopathy Endocrine: Galactorrhea, gynecologic bleeding, hyperglycemia, hyperprolactinemia Neurologic: Restless legs syndrome, seizures upon treatment discontinuance, extrapyramidal disorders Ophthalmic: Tinnitus upon treatment discontinuance Psychiatric: Aggression and anger particularly early in treatment or after treatment discontinuance , hallucinations Musculoskeletal: Trismus, muscle spasm Skin: Serious skin reactions eg, erythema multiforme and Stevens-Johnson syndrome necessitating drug discontinuance or hospitalization, urticaria, rash Gastrointestinal: If you wish to stop taking this medication, first talk to your health care provider, then taper off by slowly decreasing your daily dose.
I was taking Xanax a couple of years ago, not daily but only when needed. My brother-in-law suggested Paxil instead, but I never felt like it was doing anything for me. Now I'm on meds through another doctor, but I still don't feel like these are helping. Is there any reason I shouldn't go back on Xanax? Unfortunately, your question doesn't have a simple answer. Treatment with these types of medications is very patient-specific, and it's often based on trial and error. If you have had previous success with Xanax alprazolam , you may want to contact your doctor and discuss this treatment option again.
You should also discuss your concerns and reasons for switching treatments and decide, with your doctor, which treatment option best meets your individual needs. Is it safe for me to use Xanax? Studies have shown evidence of risk to the fetus in mothers taking Xanax alprazolam. This medication can cause birth defects in an unborn baby. You should check with your doctor to see if an alternative medication can be used based on your health status.
Can I still use Xanax while I am pregnant? Studies have shown positive evidence of human fetal risk in mothers taking Xanax alprazolam. The following link will provide additional information on pregnancy. I have extreme anxiety and panic attacks and am currently on alprazolam 1 mg three times a day. I have been on it for years and have actually only take 2 mg a day. Is alprazolam XR a better way to go? I know that this drug is addicting, but I have been on this for years and have never had to up my dosage and it is a godsend for me.
I am extremely anxious and go to therapy twice a month. Xanax XR alprazolam XR is an extended-release formulation of alprazolam. It is commonly dosed once a day and indicated for patients with panic attacks. It is not indicated for anxiety disorder. For anxiety, alprazolam immediate release is often taken as needed because the onset is quick and duration is short.
For frequent panic attacks, alprazolam can be taken around the clock to prevent attacks, which may be triggered by certain situation or condition. When alprazolam immediate release is taken around the clock, it may produce unwanted side effects due to fluctuation in blood concentration. The difference between the Xanax XR and immediate release is that the XR formulation has a slower rate of absorption, longer duration and has a more constant blood level.
A dose of 0. The Xanax XR may provide a more consistent and lower effective concentration, therefore resulting in a lower required dose with less side effects. Whether switching to Xanax XR is appropriate or not is a decision between the prescriber and the patient. Factors worth considering are dependency, tolerability of current medication and cost.
For further information, please refer to the following links. What are the effects of taking Xanax and over-the-counter drugs, such as vitamin C, Caltrate, zinc, and Metamucil? There are no known drug interactions found between Xanax alprazolam and the following over-the-counter medications: Talk to your doctor if you have any concerns about your prescription or over-the-counter medications.
Do not start or stop any medications or treatments without first talking to your doctor. I believe you will find the following links at everydayhealth. Is long term use 20 years of Xanax harmful? I wouldn't say that it is harmful. Obviously it depends on the dose and frequency the medication is taken. In many cases, taking a Xanax alprazolam would be preferable than having alcoholic beverage for some people. I always recommend having yearly check ups with your physician and having both kidney and liver function tests performed.
However, I have yet to run into any serious consequences for people using Xanax for 20 years. Abusing the medication is a different story. Feel free to visit us here for more information: What are the possibilities of having a seizure if you take Xanax? According to Clinical Pharmacology, when taken at the recommended dose, an uncommon side effect of Xanax Alprazolam is seizures. This side effect was reported in less than 1 percent of patients taking alprazolam in clinical studies.
With short-term and long-term use of alprazolam, patients may experience withdrawal symptoms including seizures. If you experience a seizure while taking alprazolam, it is considered a serious side effect and you should contact your doctor immediately. To minimize the possibilities of this serious side effect, alprazolam should be taken only as prescribed and not with any other drugs that affect brain chemicals unless they are prescribed by a doctor who is aware of all the medications a patient is taking.
It is also important to not take the medication with alcohol. I take 6 mg of Xanax a day, along with calcium, Estroven with a multivitamin in it and flaxseed oil. Am I doing okay with what I am taking? Xanax alprazolam is a highly potent, short-acting benzodiazepine primarily used to treat moderate to severe anxiety disorders e. Generally speaking, drug interactions fall into three main categories: Drug-disease interactions may occur when an existing medical condition makes certain drugs potentially harmful.
Antacids calcium may decrease the serum concentration of benzodiazepines, however, no action is required. For more detailed information, consult with your physician or pharmacist for guidance based on your specific condition and current medications, particularly before taking any action. How long does it take to get Xanax out of your system? The average half life of Xanax alprazolam for adults is approximately The immediate release formulation has a half life range of 6.
Half life is defined as the amount of time it requires for approximately one half of the medication to be out of the system. Most sources state that it takes half lives for a medication to be completely removed from the body after stopping the medication. Therefore it would take approximately 56 hours for the medication to be out of the system. This is just an estimate as there are wide ranges in the half life values for Xanax and elimination of a medication is based on many patient specific variables.
Talk with your health care provider regarding questions and concerns you have about prescription medications. What's the difference between tramadol and Xanax? Tramadol is in a drug class called opiate agonists. Tramadol is used for the management of moderate to moderately severe pain. Tramadol works by altering pain sensation in the body. Xanax alprazolam is in a drug class called benzodiazepines. Xanax is used in the treatment of anxiety disorders and panic disorders.
Xanax is thought to work by affecting brain chemicals and lessening abnormal brain excitement. Xanax is a pregnancy category D. Xanax can cause birth defects in an unborn baby. Xanax should not be taken during pregnancy without the doctor. I have been taking Xanax for 5 years. What are the withdrawal symptoms and how long do they last?
Xanax is indicated for anxiety. Common side effects of Xanax include drowsiness, dizziness, dry mouth, muscle weakness, and blurred speech. Xanax may be habit-forming and should only be taken as the doctor prescribed. Symptoms of anxiety and restlessness may return once the Xanax is discontinued. Withdrawal symptoms may occur after using Xanax for a long period of time.
Withdrawal symptoms include blurred vision, loss of appetite, diarrhea, trouble concentrating, and numbness and tingling. This is not a complete list of the side effects associated with Xanax. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat.
Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects.
Tell your health-care provider about any negative side effects from prescription drugs. You can also report them to the U. Food and Drug Administration by visiting www. I have been taking Xanax for several years. I have been taking the 2 mg dose three times a day. I'm having a hard time finding a doctor and had to cut down very suddenly.
I am almost out of Xanax. What can happen to me? Symptoms of anxiety or restlessness may return once Xanax is stopped. If Xanax has been taken for a long period of time, withdrawal symptoms may occur. These symptoms include blurred vision, trouble concentrating, loss of appetite, muscle twitching, diarrhea, and tingling. Is it all right to take Xanax and then take Ambien about 30 minutes later? Will there be any interactions between the two? During use of both of these drugs, you and your doctor should watch for any excessive depression of the central nervous or respiratory symptoms.
Avoid hazardous activities requiring complete mental alertness and motor coordination until you know how these two affect you. Take your medications exactly as prescribed by your doctor. According to Pfizer, the manufacturers of Xanax, there are no gluten ingredients in the brand name Xanax tablets or the generic Greenstone brand. However, the company cannot guarantee that the ingredients they obtain from their suppliers are not tainted with gluten.
How long would Xanax 2mg stay in the body if only one was taken? The elimination half-life is about Therefore in healthy adults, it would take about 56 hours to be eliminated from the body. However, the elimination of drugs depends on certain factors such as age, dosage, weight and the health of the individual. Therefore the elimination of drugs can be very patient specific. Will my body build up a tolerance for Xanax if I need to take it daily? Benzodiazepines are classified as controlled medications.
Tolerance to a medication means that a person may have to take a higher dose of the medication over time to achieve the same results or benefits as before. According to the U. Drug Enforcement Agency, repeated use of large doses, or daily use of therapeutic doses of benzodiazepines may lead to tolerance and physical dependence. Suddenly stopping a benzodiazepine is not recommended. Withdrawal symptoms can occur if a benzodiazepine is discontinued suddenly.
Withdrawal symptoms depend on the dose and length of therapy. These symptoms may include: The dose of a benzodiazepine may need to be slowly tapered if a patient needs to discontinue the medication. What are Xanax and Valium used for? How do they work? Diazepam is used for anxiety and sometimes muscle spasms. Common side effects associated with diazepam include drowsiness, muscle weakness, and dry mouth. Other side effects may include headache, blurred vision and speech, nausea and memory problems.
Typically Valium stays in the system long than Xanax. It is also important when your doctor prescribes a new medication, be sure to discuss all your medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as the foods you eat. Also keep a current list of the drugs and supplements you take and review it with your healthcare provider and your pharmacist. I have been taking Xanax for 3 to 4 years. Do I need to be weaned off and how?
Is it wise to stop cold-turkey? Xanax alprazolam is a benzodiazepine used for the treatment of anxiety disorders. Withdrawal symptoms can occur with abrupt discontinuation of Xanax especially in patients on high doses or those who have been on the medication long term. Withdrawal symptoms from stopping Xanax too quickly may include; tremor, sweating, trouble sleeping, muscle cramps, stomach pain, vomiting, or unusual behavior.
According to the packaging information, abrupt discontinuation of Xanax should be avoided. It is recommended to decrease the dose by 0. Your doctor will be able to recommend a dosage taper for you. It is important to learn how to cope with everyday stress. Some alternative ways to help deal with stress include exercise taking a walk, yoga , enjoying some fresh air, spending time with friends or family that you enjoy, and focusing on the positive things in life.
Your healthcare provider may be able to provide you with other suggestions. If you need to use Xanax, but don't feel you need it every day, is that acceptable? Xanax alprazolam is a sedative that belongs to the class of drugs known as benzodiazepines. It is a short-acting medicine for anxiety disorders. The use of Xanax on an as-needed basis is common practice as it allows for more patient control over symptoms, may be helpful for short-term situations that cause fear or anxiety, and may decrease the overall use of the medication.
However, it is important that you follow the directions provided by your doctor and use Xanax as labeled. Xanax can be habit forming. Do not change your dosage without speaking to your doctor first. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. My mom's friend just had a very bad stroke and she has lupus so she is on prescription medication such as Valium, Percocet, methadone, and a few more.
Can an overdose of Xanax be the reason she had this stroke? There's also a possibility that she could has had an alcoholic beverage. There is no mention of stroke due to overdose in the prescribing information for Xanax. Some of the problems that can occur when there is an overdose of Xanax include: Death from overdose of Xanax has also occurred in combination with alcohol use. For more specific information, consult with a doctor for guidance based on her health status and current medications, particularly before taking any action.
I picked up my Xanax 1 mg. They gave me the oval blue pill form with "" and "V" on the bottom. It's the same size as Xanax 1 mg, but I've never seen one like it. Is it the same? The pill you described as blue, oval-shaped and marked " V" is identified to be alprazolam 1 mg Xanax manufactured by Qualitest Pharmaceuticals Inc. There are numerous manufacturers of generic medications on the market, and sometimes the manufacturers supplying the generics to your local pharmacy change.
The active ingredient in this medication is still alprazolam, which means it should work the same. However, the inactive ingredients may be different from other generics you have been getting. Some patients react differently and negatively to a different generic medication than the one they have been taking. If that is the case with you, consult with your pharmacist for guidance, particularly before taking any action.
I take Xanax and have been diagnosed with glaucoma. What other medications are safe with this condition? When anxiety cannot be treated with benzodiazepines, such as Xanax alprazolam , other medications, such as Buspar buspirone or antidepressants, such as the SSRIs selective serotonin reuptake inhibitors , Prozac fluoxetine , Zoloft sertraline , Paxil paroxetine , or Celexa citalopram , or the SNRIs serotonin-norepinephrine reuptake inhibitors Cymbalta duloxetine or Effexor venlafaxine can be used.
Antidepressants work because they act on neurotransmitters that are involved in depression and in anxiety. Side effects from these groups may include nausea, dizziness, insomnia, gas, and impotence. Earlier generation antidepressants, such as MAO monoamine oxidase inhibitors and TCA tricyclic antidepressants can also be used for anxiety, but they have more side effects, include cardiovascular, so they are not used as much.
In addition to medications, anxiety can often be successfully treated with psychotherapy alone, or along with medication. Psychotherapy can help a person find the triggers to their anxiety and help them find ways to cope with the issues. There are two types of therapy. One focuses on behavior and how to change behavior to cope. The other is cognitive therapy, which helps a person alter their thoughts to minimize the symptoms of anxiety. A general practitioner can recommend a psychologist who can help manage anxiety with the best treatment option for that person.
What are the long-term effects of Xanax? Long term use of Xanax can lead to physical or psychological dependence on the medication. Patients who have been on Xanax long term that plan to stop the medication need to taper the dose down slowly to avoid or lessen the amount of withdrawal symptoms experienced. Possible withdrawal symptoms with Xanax include tremor, sweating, trouble sleeping, muscle cramps, stomach pain, vomiting, or unusual behavior. One of the main side effects of Xanax is central nervous system depression which can impair mental and physical abilities, this can occur even with short term use.
It is important to avoid alcohol use while on Xanax. What would a round white pill marked R be? The pill with the imprint R is alprazolam 0. Xanax alprazolam is a benzodiazepine that works on chemicals in the brain that become unbalanced. It's used to treat anxiety. Will long-term use of Xanax. Xanax alprazolam is in a group of drugs called benzodiazepines which affect chemicals in the brain that may become unbalanced and cause anxiety.
The drug is designed to correct a chemical imbalance in the brain which is causing anxiety.