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Doctor insights on: Pex 2 Alprazolam

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Been on 0.25mg of Xanax (alprazolam) once a day for two years. Is this harmful for that long?

Been on 0.25mg of Xanax (alprazolam) once a day for two years. Is this harmful for that long?

Yes: Benzodiazepans like Ativan (lorazepam) have an additicve potential. And patient will become accustomed to medication and will reqeuire it on regular basis.

4-6 weeks is maximum amount of time recommended. ...Read more

Dr. Alan Ali
952 Doctors shared insights

Alprazolam (Definition)

Alprazolam is a short acting benzodiazepine, it does not last long in the system. So when used regularly with multiple doses to treat anxiety, it is associated with inter-dose withdrawal, tolerance and a resulting increase level of baseline anxiety. So in anxiety clinics, we use it only in cases of " flight, dentist or other infrequent anxieties, ...Read more


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I've been taking 1/2 of 0.25 Xanax (alprazolam) twice daily Will I have withdrawls if I go two days w/out taking them? I have to wait for my refill until then.

Not likely: This is a pretty small dose, but if you are running out before you are supposed to, you are either taking more than was prescribed, or a drug that was supposed to be used very occasionally is now being used more often. You need to talk to the prescriber about how you are taking them. Benzodiazepines are not the best drugs for longer-term anxiety, and your doctor can discuss alternatives. ...Read more

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I recently took 3 two mg alprazolam two days in a row and was wondering how long it will be in my urine. I am 21 and 160lbs?

Alprazolam: Most benzodiazepines, depending on the half life will be detected anywhere from hours to days.
Alprazolam, a short acting benzodiazepine will ususally be detected 1-4.5 days after the last dose was taken. Longer acting agents like diazepam may have a detection window of up to 6 days or greater, depending on the metabolites. ...Read more

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I took 3 two mg alprazolam two days in a row and have a drug test in 7 days in your opinion will I pass the test I am 21 and 160lbs?

I took 3 two mg alprazolam two days in a row and have a drug test in 7 days in your opinion will I pass the test I am 21 and 160lbs?

Odds are favorable: It depends on the sensitivity of the screening test. It also depends on your overall health, condition of your liver and whether or not other drugs are competing for metabolism. In general, the shorter acting benzodiazepines are cleared from the body within a week. Barring any additional use of Xanax, (alprazolam) the chances are good that the screen will be negative. Hope this helps. ...Read more

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I've been off Xanax (alprazolam) for two weeks now, but I'm still shaking and having anxitity attaches is there something else I can do?

I've been off Xanax (alprazolam) for two weeks now, but I'm still shaking and having anxitity attaches is there something else I can do?

Xanax (alprazolam): Don't know how long your were on xanax (alprazolam) or what the dose was. Significant side effects can occur if one stops this medication cold turkey or without adequate tapering. At this point, would encourage you to advise the prescribing provider who knows you best - so that a specific plan can be developed for you. ...Read more

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Does using 0.25mg of Xanax (alprazolam) two times per week cause prolactin levels to rise? Is it possible such a small dose could do that?

Does using 0.25mg of Xanax (alprazolam) two times per week cause prolactin levels to rise? Is it possible such a small dose could do that?

Rare: Xanax, (alprazolam) very rarely can cause prolactin elevation and if you are prone to it, the frequency or dose may not matter. Most common psychiatric medications to cause this are antipsychotics by blocking Dopamine which helps control prolactin level. See your doctor and rule out other causes as well. ...Read more

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Xanax (alprazolam) 1.0- 2 days on- 2 days off- for two wks. Dr said stop, did 5 days, felt worse so had. 5. Dr says not w/d, if not why do I feel awful? Taper?

Xanax (alprazolam) 1.0- 2 days on- 2 days off- for two wks. Dr said stop, did 5 days, felt worse so had. 5. Dr says not w/d, if not why do I feel awful? Taper?

Xanax (alprazolam) Withdrawal--NO: This is not withdrawal, rather this is a return of your original anxiety, which may have worsened during the two week of inadequate treatment of your anxiety. You should stay off the benzos if possible, and ask your doctor to prescribe an ssri that will treat your underlying anxiety disorder. My colleagues will likely list other treatment options for anxiety. You need to be in psychotherapy, cbt. ...Read more

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Is it possible for me to drink Xanax (alprazolam) after two beers?

Is it possible for me to drink Xanax (alprazolam) after two beers?

Not advisable: First of all you just asked me if it's possible to drink xanax (alprazolam). That alone makes me think that you're already intoxicated. No one should have two beers or more plus a xanax (alprazolam). You're likely to drink yourself under the table with the combination. There are also other dangers associated with it such as the cessation of breathing. Please don't do it. And especially, do not drink and drive. ...Read more

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If I have two beers at 5 pm can I take alprazolam before bed at 11pm?

Benzodiazapines: I recommend that my patients who take benzodiazapines don't drink (at all). ...Read more

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Could you take Xanax (alprazolam) and wygesic within two hours of each other?

Yes: They are in different classes of medications. The problem would be that both can cause sedation. The xanax (alprazolam) is for anxiety and the wygesic is for pain. ...Read more

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I've been taking Xanax (alprazolam) but my new doct won't prescribe it. I need it to cope with my two year old?

Try other things: Children can be extremely stressful. It is better to try and develop coping strategies and non-pharmacologic techniques to deal with issues in your life than to rely on medications. Talk to your doctor about trying other strategies, consider joining a local mothers group, church support group of other type of support group. See if friends can help. Long term benzodiazepines are addictive. ...Read more

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5 mg bisoprol at 6:30 am. 0.5 mg Xanax (alprazolam) at 3:45 pm. Is it safe to have one or two low ABV beers (<5%)at 9 pm?

5 mg bisoprol at 6:30 am. 0.5 mg Xanax (alprazolam) at 3:45 pm. Is it safe to have one or two low ABV beers (<5%)at 9 pm?

No: It is NOT advised to consume both benzodiazepines (i.e. Xanax (alprazolam)) with alcohol under any circumstance. If taking Xanax (alprazolam) for anxiety, know that alcohol can worsen anxiety. ...Read more

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I take. 5 mg Xanax (alprazolam) as needed. Last dose was 26 hrs ago and once 80 hours before that dose. Safe to have a beer or two?

Yes it is: If you have not taken Xanax (alprazolam) for several hours ax indicated then if is safe to have s beer or two. However, you need to keep in mind that Xanax (alprazolam) is an addictive drug and regular use is not a good idea. The underlying cause for which it is being taken needs to be addressed. ...Read more

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If I took 10mg of Xanax (alprazolam) 2 on one day and 8 two days after how long until it's not detectable in my urine? I'm 5'9 300 lb male.

If I took 10mg of Xanax (alprazolam) 2 on one day and 8 two days after how long until it's not detectable in my urine? I'm 5'9 300 lb male.

This depends on: The sensitivity of the test used and also weather or not you survived after taking 80 mg of Xanax (alprazolam) in one day. Please contact your psychiatrist to discuss the timing and short term use of this medication. ...Read more

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I took a diet pill two days ago and I'm gonna take a alprazolam 0.5 will it interfere or no is it ok to take alprazolam two after taking the diet pill?

I took a diet pill two days ago and I'm gonna take a alprazolam 0.5 will it interfere or no is it ok to take alprazolam two after taking the diet pill?

OK but: No problem but you are taking an upper one day then a downer a couple of days later. I think you may benefit from some counseling since your chances of losing weight from this approach are nil. Once you get your emotional state stabilized, you will more likely be successful in getting your weight down. ...Read more

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I took 1.5mg Xanax (alprazolam) for two weeks to sleep and it worked very well until developing a tolerance. Is there a suitable long-term replacement?

I took 1.5mg Xanax (alprazolam) for two weeks to sleep and it worked very well until developing a tolerance. Is there a suitable long-term replacement?

Have you tried: Melatonin ; good sleep hygiene. Retire ; rise same time each day. Keep bedroom dark ; cool ; use only for sex ; sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs ; no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized ; finish at least 2 to 3 hrs before sleep. Can try warm milk, chamomile tea or melatonin along w light reading ; warm bath. ...Read more

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Stopped Percocet 5mg 48hrs ago. Is it OK to take my Xanax (alprazolam) before my flight? Know I shouldn't combine the two so is Percocet out of my system?

Ask your doctor: It takes Percocet 4-5 days to be out of your system (non-detected on urine drug screening). You should ask your doctor who knows you if it is safe to take your xanax (alprazolam) before your flight. If your doctor gives you the green light, just keep in mind that you could experience some added drowsiness. Talk about starting with half your usual dose. You can always take the other half later if needed. ...Read more

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My sister is having seziures and I think its from her medication. She is taking Xanax (alprazolam) and at night melatonin could the two be a bad combination?

My sister is having seziures and I think its from her medication. She is taking Xanax (alprazolam) and at night melatonin could the two be a bad combination?

See a doctor: If your sister is having seizures, she should see a doctor immediately so that a diagnosis can be made and treatment prescribed. Withdrawal from large doses of Xanax (alprazolam) can cause seizures, so if she is taking a large dose and suddenly stops it she might have seizures. Otherwise it is unlikely that either Xanax (alprazolam) or melatonin would cause seizures. ...Read more

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I take 0.5 Xanax (alprazolam) daily. I am nursing my son but also supplementing. Dr said wait two hours til I nurse after taking, pharmacists said 4.which one?

Aprazolam: In general, it is suggested to use one of the shorter acting benzodiazepines while nursing, such as lorazepam or oxazepam since they have a shorter half life. Alprazolam is long acting so if you wait 2 or 4 hours, it will still be in your breastmilk. ...Read more

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The neighbor child just turned two. She is small, peite size maybe 22 lbs. Took two. 25 mg of grandfather's xanax (alprazolam). She threw up twice, was stumbling,?

The neighbor child just turned two. She is small, peite size maybe 22 lbs. Took two. 25 mg of grandfather's xanax (alprazolam). She threw up twice, was stumbling,?

Call EMS immediatley: Anytime a child accidentally takes medication or toxic substance you should seek medical care immediately. I would recommend going to the nearest emergency room or physician. ...Read more

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Can I take milk thistle within two hours of taking xanax (alprazolam)?

Can I take milk thistle within two hours of taking xanax (alprazolam)?

Decreases effect: Milk thistle (used for liver cleansing) and xanax (alprazolam), as well as other prescription medications for anxiety are both broken down by the same enzymes. Using milk thistle within 4 hours of taking xanax leads to a decrease in the effectiveness of xanax. ...Read more

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I just realized I took. 25mg of Xanax (alprazolam) along with my beta blocker (coreg--25mg). Usually I space the two out. Should I worry?

I just realized I took. 25mg of Xanax (alprazolam) along with my beta blocker (coreg--25mg). Usually I space the two out. Should I worry?

Xanax (alprazolam): Xanax (alprazolam) dose is low, but please do inform your prescribing doctor & watch out for excess sedation. Monitor blood pressure. ...Read more

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My husband has been on Xanax (alprazolam) for two years and his doctor wants to take him off. What should we do? And should I be around him

My husband has been on Xanax (alprazolam) for two years and his doctor wants to take him off. What should we do? And should I be around him

Work with doctor: If your husband's doctor has determined that he no longer needs the xanax, (alprazolam) then work with him or her to develop a very slow and gradual tapering schedule. Because of xanax's potency, this may take longer than expected. Sure, you can be around your husband - and your presence might help & support him. If you're concerned for some other reason, please tell the doctor also. ...Read more

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I am prescribed. 25mg XanaX (alprazolam) is It okay to take one several hours after I have taken my 30mg oxycodone? Could I even take two?

Medication effects: I understand your need to have relief.
Oxycodone is a narcotic for moderate to severe pain and is habit forming.
Xanax (alprazolam) is for treatment of anxiety and can be habit forming. Using Xanax (alprazolam) with Oxycodone may increase dizziness, drowsiness, difficulty concentrating, impairment in thinking and judgment.
See a Psychiatrist for Diagnosis, coping with stress, pain management Medication and Therapy. ...Read more

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I am taking alprazolam for the first time tomorrow. My doctor prescribed me. 25mg. How long should I wait in between taking two? The flight is 4.5h

I am taking alprazolam for the first time tomorrow. My doctor prescribed me. 25mg. How long should I wait in between taking two? The flight is 4.5h

3 hrs: If you are still awake. Make sure to let the flight attendant know where you are getting off to avoid sleeping through the arrival and return flight. ...Read more

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I've taken citalopram for two days and am stopping it and doing 25 mg of Xanax (alprazolam) I only take 1 in the morning do I have to worry about drinking tonight?

Xanax (alprazolam) 25mg?: I am sure you mean xanax (alprazolam) 0.25mg, as 25 mg is a wopper of a dose. Do not mix xanax (alprazolam) and alcohol as both act on the same receptor in the brain giving an additive effect with adverse reaction. ...Read more

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Are tension headaches a symptom of Xanax (alprazolam) withdrawal? Been taking two. 25mg pills daily for 2 years. Cut back to 1 pill, bad tension headaches now

Are tension headaches a symptom of Xanax (alprazolam) withdrawal? Been taking two. 25mg pills daily for 2 years. Cut back to 1 pill, bad tension headaches now

May be withdrawal: Or return of anxiety and tension. Follow prescriber's advice for gradual tapering of xanax (alprazolam) (such as half a pill a week) and management of anxiety and tension through life skills/strategies (relaxation, visual imagery, rhythmic breathing, meditation, exercise, focus on positive thoughts and activities) can be very helpful. Best regards for your success. ...Read more

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I took 0.25mg of Xanax (alprazolam) one to two times per week for 3 yrs. Stopped it recently, now having panic attacks, I never had before. Withdrawl? How long?

I took 0.25mg of Xanax (alprazolam) one to two times per week for 3 yrs. Stopped it recently, now having panic attacks, I never had before. Withdrawl? How long?

Probably not: This is probably not withdrawal, but could be the return of anxiety/panic symptoms. Please see your psychiatrist about this, and also consider individual psychotherapy to deal with anxiety/panic in non-pharmaceutical ways. ...Read more

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Prescribed Diflucan (two daily single doses). Took 1.5mg Xanax (alprazolam) and 10mg nortriptyline today. I know there are interactions. Safe to take the Diflucan?

Prescribed Diflucan (two daily single doses). Took 1.5mg Xanax (alprazolam) and 10mg nortriptyline today. I know there are interactions. Safe to take the Diflucan?

? drug interaction: Cardiac side effects are listed for both Diflucan (fluconazole) and nortriptyline which may be additive. May be insignificant, but best to check first with your prescribing doctor (s). Avoid alcohol while on these meds. Hope this helps. ...Read more

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Can I get two mg xanax (alprazolam) for insomnia and panic attacks?

Use Little and Short: Xanax (alprazolam) is very addictive and should be used under the supervision of a physician for the smallest dose for the shortest period of time. ...Read more

Xanax (Definition)

Alprazolam is a short-acting benzodiazepine which is a kind of sleep-inducing drug ...Read more