A member asked:

Why wont any doctors prescribe me xanax long term for insomnia and anxiety? i have serious insomnia and have for a very long time. it is caused by anxiety that seems to wash over my body in waves that feel almost like adrenaline and fear. as i type thi

4 doctors weighed in across 2 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

Hello. : Hello. I really haven't seen any sleep specialists making responses in the last few months, so i will change the tag to psychiatry so that you may get more responses. Xanax (alprazolam) is a dangerous drug. Many providers have elected to stop prescribing the fast acting form. One can easily develop a dependence on it. There have been deaths due to people coming off it quickly. Even though it is sedating it can seriously alter your sleep architecture which will prove problematic in the long run. Have you considered medical acupuncture to assist with sleep? Frankly, i don't prescribe xanax (alprazolam) for insomnia and i try to steer clear of it for anxiety when possible.

Answered 10/3/2016

5.3k views

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Dr. Brian Lynch answered

Specializes in Family Medicine

Fear: This is a general response : my feeling is that we have a very poor understanding of anxiety and insomnia . That is everyone . It takes a very long time to figure out what is going on .You describe a vicious circle; sleep -anxiety anxiety -no sleep. You want to get to the bottom of this and that's probably through therapy. Xanax (alprazolam) is a very powerful drug. Once on it you may never get off.

Answered 2/15/2020

4.6k views

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