U.S. doctors online nowAsk doctors free
Hudson, FL
A 33-year-old male asked:

I am currently taking xanax, (alprazolam) 2 mgs daily, and want to start suboxone (buprenorphine) treatment, at a low dose. is this combination safe?

3 doctor answers4 doctors weighed in
Dr. Indravadan Gatiwala
Neurology 42 years experience
anxiety: First, xanax (alprazolam) is not answer if you have anxiety or panic attack for long time. It depends on why you are taking this medicine. It important to know what are your sxs.
Dr. Alan Wartenberg
A Verified Doctor commented
A US doctor answered Learn more
Many buprenorphine prescribers are VERY reluctant to take any patient on benzodiazepines, and in particular Xanax, which has high abuse potential. Antidepressant medications (SSRIs or SNRIs) are the first line drugs to prevent panic attacks, with the use of rescue benzodiazepines only when an attack occurs. Some physicians believe that Klonopin has less abuse potential and may be safer.
Oct 18, 2013
Dr. Samuel Bayles
Child Psychiatry 19 years experience
Xanax (alprazolam) a bad choice: xanax (alprazolam) should not be used daily for an indefinite amount of time. i lose a client every now and again as i will usually insist that if on Suboxone then no xanax (alprazolam). there are better options for long term management of anxiety. its not unreasonable to ask your physician to assist you with tapering the xanax (alprazolam) and getting on something with less tolerance and dependence.
Dr. Eric Chevlen
Medical Oncology 47 years experience
Yes.: It sounds like your question is the safety of the combination, not the wisdom of it. If you are currently addicted to opioids—the only reason to start Suboxone—Suboxone is a safe replacement for the opioid. Discuss Xanax (alprazolam) use with the doc treating your addiction. Good luck.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Apr 5, 2016

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.