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What is Xanax?

Xanax (alprazolam) is a benzodiazepine. It is thought that alprazolam works by enhancing the activity of certain neurotransmitters in the brain.

Xanax is used to treat anxiety disorders and anxiety caused by depression.

Xanax is also used to treat panic disorders with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).


Xanax can slow or stop your breathing, especially if you have recently used an opioid medication or alcohol.

Get medical help right away if you stop using Xanax and have symptoms such as: unusual muscle movements, being more active or talkative, sudden and severe changes in mood or behavior, confusion, hallucinations, seizures, or thoughts about suicide.

Xanax is a federal controlled substance (C-IV) because it can be abused or lead to dependence. Keep this medicine in a safe place to prevent misuse and abuse. Selling or giving away this Xanax may harm others, and is against the law. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription medicines or street drugs.

Before taking this medicine
You should not take Xanax if:

you also take antifungal medicine such as itraconazole or ketoconazole; or

you have a history of allergic reaction to any benzodiazepine (alprazolam, lorazepam, diazepam, Ativan, Valium, Versed, Klonopin, and others).

How should I take Xanax?

Swallow the Xanax XR extended-release tablet whole. Do not crush, chew, or break the tablet.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

An overdose of alprazolam can be fatal if you take it with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing.

Overdose symptoms may include severe drowsiness, confusion, slurred speech, muscle weakness, loss of balance or coordination, feeling light-headed, slow heartbeats, weak or shallow breathing, fainting, or coma.

What should I avoid while taking Xanax?

Avoid drinking alcohol. Dangerous side effects or death could occur.

Xanax side effects:

Get emergency medical help if you have signs of an allergic reaction to Xanax: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Alprazolam can slow or stop your breathing, especially if you have recently used an opioid medication or alcohol. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

Call your doctor at once if you have:

weak or shallow breathing;

a light-headed feeling, like you might pass out;

a seizure;

hallucinations, risk-taking behavior;

increased energy, decreased need for sleep;

racing thoughts, being agitated or talkative;

double vision; or

jaundice (yellowing of the skin or eyes).

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