I'm currently taking 3mg of Xanax daily for my anxiety disorder, and have an opiate addiction to OxyContin. My doctor wants to give me Suboxone to get off the OxyContin and I've heard that taking Xanax and Suboxone together was dangerous and could have adverse side effects. I was just wondering if anyone knew if it was safe or dangerous to combine the two drugs? And if so, what are the side effects of taking them together, if any?
Are Xanax (Alprazolam) and Suboxone safe to take together... are there any adverse side effects?
Question posted by Derek23 on 18 July 2009
Last updated on 10 April 2023
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44 Answers
I have been taking Suboxone for 8 yrs now. I take 1/2 of 8/2 strip 2 times a day. I have also been taking Klonopin 1mg daily as needed. I’ve never had a problem as I need the Klonopin for my nerves. I guess maybe if you didn’t need this and took recreationally that you could have a problem. Also most drugs work the opposite on me. Adderall makes me sleepy and Klonopin gives me a little boost. I think it’s called paradoxical effect. There is so much misinformation out there, it’s best to always do your own research and be an advocate for your own health.
Nothing is full proof but if you’re taking a lower dose of subs like 4mg Then taking a benzo is not an issue but unfortunately every doctor I’ve talk to still won’t comply even after paying hundreds of dollars I only got prescribed gabapentin which sucks for anxiety
Therefore I have to buy my Xanax on the street and the bars are not equally dosed meaning they could be fentanyl or have 4 or 8 or 20mg in one bar, thanks doctor for not providing now i truly take unnecessary risks…
Some people could potentially have a major interaction:
https://www.drugs.com/interactions-check.php?drug_list=133-0,439-2040
Just be careful the first couple of times that you take it until see how you react. These interactions are fairly rare and your doctor may have determined that the benefit to you is greater than the risk.
Best regards,
Wildcat,
I have been on both these medications for 12 years. I take them just like the prescription says. I have never had a problem. The only time I have a problem is if I accidentally run out of either early and have to go 2 or 3 days without. Then I have a problem. But, I can tell you that Propranolol will stop the worst part on an acute anxiety attack. It keeps your heart down out of your throat. Or at least that's where mine feels like it is if I do have a bad one.
No
If u do them together u will lose the effect of the Xanax I know I did
That’s why you take the buprenorphine first thing in the morning and start the alprazolam roughly three hours after. Maybe sooner. You won’t lose either effects that way. You’ll still get the relief of both medications that way. Never take the Alprazolam first.
Really? I didn’t know that!!
Really? I didn’t know that!!
this morning my second day of suxboxone i took my dose of 8mg and then shortly after ide say twenty minutes i took xanax and vomited. horribly. so most definetly wait a bit before you take both
You may just be either allergic, sensitive or naloxone resistant. Are you taking the buprenorphine combination properly? The right way? Most doctors, (even psychiatrists) don’t and won’t ever tell you how to effectively administer buprenorphine. Still have no idea why to this day. I’m currently taking 7mg daily of alprazolam, 45mg of Adderall and 16mg of buprenorphine daily. Have been on Adderall and alprazolam for 16 years now and Zubutex and Zubsolv for 5 years and absolutely zero side effects. I wouldn’t be able to function in society if it weren’t for my Alprazolam.
That’s definitely not the alprazolam buprenorphine combo making you nauseous. Are you taking the film the right way? Always spit the residue in the saliva out once the pill or film is fully dissolved. That may be contributing to the nausea.
That’s definitely not the alprazolam buprenorphine combo making you nauseous. Are you taking the film the right way? Always spit the residue in the saliva out once the pill or film is fully dissolved. That may be contributing to the nausea.
That’s definitely not the alprazolam buprenorphine combo making you nauseous. Are you taking the film the right way? Always spit the residue in the saliva out once the pill or film is fully dissolved. That may be contributing to the nausea.
I had a friend die from mixing these.. however, from Feb to May I was prescribed 2 sub (8mg 2mg) a day, and during that time I was heavily abusing the xanax, 6 to 14 mg per day, whatever I could afford.. I guess I got lucky bc I am answering this question.. I am an average girl, age 28, 5'8", 115 lbs.. well I guess I am on the smaller side.. still, if u choose to mix, only do a small dose.. best to stick to the sub only.. unless otherwise directed.
I am on the same 2 things. My dr says not to take it within 4 hours of eachother and it will b fine but it has to be four hours or more
It is very dangerous to take both these drugs together. You can become very disoriented and cause sleep walking and blackouts.
Hey all..have to admit I've been reading blogs like this for info for 6 months and finally got the courage to "join in". Without trying to be too long and boring here's my abbreviated story: 3 years ago I destroyed my knee in a bad fall. Started with 5mg prks, soon went to 10mg then 2 10mg still all from docs, when a friend intro'd me to roxis, stronger opiate and no tylenol so i supplemented. By the way, I've suffered with anxiety since my son was born 12 yrs ago so I also take zoloft and xanax daily. Anyway, in 4 months after my accident, my husband walked out on my son and me and I had gone from 4 5mg prks a day to bout 15 10mg prks AND 4 or 5 30mg roxis. At the worst point I was taking at least 300 mgs of oxy a day just to stay normal. I sold jewelry, my violin, basically anything I could to have these drugs so I could function and be a mom to my son who I love more than anything.
It was on his birthday last year, that I made him late for his own party cause I was waiting for my script that I thought what kinda mother am I becomming? Thats when I found suboxone and it completely changed my life. Now I will admit in the beginning I flipflopped a bit, still wanting to be high so I wld take roxis for few days then go thru that first day of hell before I cld go back on subs again and again realized I would never get better unless I grew the &@$# up and stayed on subs. Currently, I take 8/2 sub every day along with 100mg zoloft and 1mg of xanax and for the first time in forever, I am an actual human being again and although I used to tell myself my son ALWAYS came first, now he really does. Anyone out there on the fence like I was, please dont wait til you fall off that fence and hit bottom like me. Climb down now or if you are lucky enuf let someone help you down. The views so much more beautiful down here. So much for nnot being too long, sorry! But if I help one person make that decision I consider it well worth it. Good luck to all of you!
I'm a newbie to Suboxone. I just started it 3 days ago and am on 16 mg a day. I am also on 6 mg of Xanax a day (2 mg 3x a day) my sub dr knows and even tho I heard of a lot of risks he told me if I take everything appropriately I would be ok. I'm still in the early stages and having a lot of weird drowsy/woozy side effects and just started taking Xanax after 2 days cuz I wasn't comfortable with my breathing when I first started the Subs. But I feel ok but DEFINITELY recommend u take EVERYTHING as prescribed and be 100% honest with your doc because all the research I've done including talking to nurses and pharmacists say they r a dangerous combo. I'm taking it slow and don't forget that every body is different! Good luck!
Well there is very small to moerate risk specially since your body is use to Xanax already too!!! Im on 16mg of Suboxone Films and 3mg of Xanax XR and 100mg of Pristiq a day and ive had NO adverse side effects like feeling nasuated, or slow breathing or dizzy or high at all!!! Of course everyone is diffrent and has a diffrent reaction to meds. If you abuse Xanax and take to much then the risk increases of you stop breathing so DO NOT ABUSE XANAX WHILE TAKING Suboxone take your Xanax only like your doctor describes!!! Suboxone saved my life from Oxy and is truly a awesome med unlike methadone which still makes you feel high and when you fel high you have a altered look on life unlike Suboxone which just makes me feel normal!!! Good luck!
hi wickdeye71, i like this answer from you. honest and to the point. you said you take the 3mg xr xanax? how do they compere to the 1mg 3 x a day? just want your take on this subject... subzero58 aka pete
THE WARNINGS ON SUBOXONE SAY,benzo's should not be taken by anyone who is not benzo tolorent already. but if you were on benzo's before you started taking sub then you should be ok. but talk it over with your doctor.my doctor and my insurance company both know that i'm on 20mg of suboxone and 3 mg of alprazolam.If those 2 drugs are helping you then talk with your doctor and your nurse case manager and tell them that they the right combo of meds.there will be no problem... pete
I have currently been on Suboxone 8mg/2mg sublingual strips, one every 12 hours. I had a lengthy battle with Vicodin, Percocet, Roxys, any painkiller I could get my hands on. Suboxone is a miracle drug. It immediately, and I'm talking within minutes, took my withdrawals away from painkillers, yet left me feeling very good as almost as if I was high. I take 0.5 xanax, 3 times daily, and it is has never interacted badly with the Suboxone, if ANYTHING, the only thing it did was make me doze off during a movie or something, thats all. It all depends on what you are doing... if you are at a carnival lets say for instance, you might not get tired because of your surroundings. Keep active.
Related topics
oxycontin, suboxone, xanax, anxiety, generalized anxiety disorder, alprazolam
Further information
- OxyContin uses and warnings
- Suboxone uses and warnings
- Xanax uses and warnings
- Alprazolam uses and warnings
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