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Clovis, CA
A 30-year-old male asked:

went from 2 mg a day of xanax (alprazolam) to 1 mg in a little over a month. i find it easier to split the tablet in half. take one half in the morning and one early evening. i want to continue tapering down. how can i taper more with a 1mg tablet?

7 doctor answers14 doctors weighed in
Dr. Richard Reams
Specializes in Family Medicine
Continue: You can take and cut the one half tablet in half but that is getting small. You can get a 0.5 mg tablet and cut those in half and take them like you are at one half tablet twice a day. Otherwise you could alternate days taking 1/2 tab of 1mg twice one day and just once the next day and then eventually go to once daily. Then would need to change pill to taper further. Hope this helped.
Dr. Rachel Johns
Specializes in Internal Medicine
Hard to do: It's hard to split the tablets into more than 2 pieces. Usually what happens is that the split is uneven and you'll get a bigger dose with some pieces and a smaller dose with the others. Would be easier to continue weaning off with a 0.5mg tablet at this point.
Dr. Edward Seegers
Internal Medicine 46 years experience
Xanax (alprazolam) taper: EricF ~ this all hinges on how long you have been taking xanax (alprazolam) 2mg and why. If it has been a short period and for minor social anxiety, then you can taper very fast, if at all. So the 1mg can immed go to 0.5mg and then 5-7 days later stop. The longer you have been on it the more fastidious the taper. From what you say I think you can taper quickly, but always discuss with treating physician
Dr. Ayisha Gani
Specializes in Internal Medicine
Drug tapering: You can half the 1 mg first then half it again will give you 0.25 mg, which you can sue for few days to weeks, then get the prescription for 0.5 mg, you can divide also if you still need it.
Dr. Michael Blumenfield
Psychiatry 57 years experience
Gradually: If you have been on Xanax (alprazolam) for a long time your are correct in slowly tapering it. Xanax (alprazolam) does come in 1/2 mg tablets as well as 1/4 mg tablets. If you have a pill cutter you can cut these pills in half. You can also consider taking them as needed but not more than once or twice /day and the working your way down to 1-2 times per week. You doctor may be able to teach you so relaxation techniques.
Dr. Krishna Kumar
Psychiatry 55 years experience
Xanax (alprazolam) Dose tapering: I commend you for decreasing need for Xanax (alprazolam) as it is habit forming. Feel good about managing your stress and anxiety with50% dose in a month. Xanax (alprazolam) comes in o.25mg and 0.5mg tablets See Psychiatrist for your desire “to continue tapering down “ dose of Xanax (alprazolam), follow up; have Therapy Do Breathing and Music Relaxation,, Visual Imagery of National Parks, Meditation, Yoga Exercise and Tai Chi
Dr. Izabella Gokhman
Specializes in Psychiatry
Smaller dosage : Ask you doctor to prescribe you a smaller dosage of Xanax (alprazolam) (0.5 mg or 0.25 mg) and go down by tapering off gradually.

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Last updated Jul 10, 2017

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