A member asked:

Is there a specific reason why i'm so shaky and my heart races when i wake up in the morning until i take my xanax (alprazolam)? i don't want to take this 4ever ):

3 doctors weighed in across 2 answers

Anxiety: This should be discussed with the docs who know you. Anxiety disorder can be worked on with experienced personnel.

Answered 8/4/2013

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Dr. Pamela Pappas answered

Specializes in Psychiatry

Xanax (alprazolam): Xanax (alprazolam) produces tolerance -- you gradually need higher doses for the same effect. Also, when your xanax (alprazolam) level decreases overnight, you can get inter-dose withdrawal symptoms (like shakiness & heart racing). Please discuss this with your doctors -- these issues make xanax (alprazolam) not a good long-term option for anxiety, even though it's potent. There are excellent talk therapies plus other meds.

Answered 7/8/2016

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