On Prozac for years but not much help. Is xanax too risky because of potential withdrawl, tolerance, etc. Is a safe to take a low amount long-term; will that keep working?
Can low amounts of xanax be taken safely long-term for chronic anxiety panic phobic-avoidances, etc?
Question posted by pengg on 29 Oct 2011
Last updated on 10 October 2019 by Dottie25
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12 Answers
Everyone responds differently. I’ve been on Xanax for abt 23 yrs for ptsd and gad. Had bad reactions to antidepressants so I don’t even want to go there. Every doctor seems to be pushing Prozac and that’s not an option for me. I am prescribed 4mg Xanax a day by a wonderful doctor. Some days I don’t even need it if I’m not stressed or busy with something I enjoy. I always take it at bedtime. I take 1 mg, sleep for abt 3-4 hrs, then take 1/2 to get back to sleep. Really bad days I take the full 4 mg prescribed.
Good question I was put on xanax 18 years ago for sleeping .25 and was happy taken it without any problems at all. now all of a sudden Dr don't want to prescribe it any more wants me to wean of it over a 2 week period. I would be happy to stay on it for the rest of my life if I could get a Dr to prescribe it to me. I will not buy it with out a prescription. I am in the Cincinnati Ohio area and the worst thing you cannot get people to understand that you need this medicine to live a normal life. Is anyone else in the area that can give me some advice
I have suffered anxiety and depression most of my life, I was also diagnosed adhd as a kid, but never medicated for that till my early 30s with methylphenidate for about a year. I hated it. thc was better! but for the past couple years I take .25 mg of alprazolam in the morning on my way to work. I am prescribed 20 .5’s and I break then in half and the 20 last me about 40 days. I occasionally take a second half if I have a really bad day, or feel a panic attack coming on.. most days I barely notice it at all, but I always have a better day with it than without it.. I would say avoid excessive alcohol use and stay in touch with your doctor and have a good pro to talk with for emotional stability.. I hate the idea of being dependent on it.. but life is too short to be miserable.. better living with chemistry! good luck all.
I have dealt with depression/anxiety now 3 times in my life. The first two times I started using .5mg xanax a couple times a day. Switched over to 100mg Trazodone ( yeah I know it's old but works for me ) and used xanax off and on for a couple weeks until the Trazodone was in full effect.
THIS now third time which came on about 3 weeks ago I have once again been doing the same except I find I need the xanax once every couple of days still to "take the edge off." Still only .25 to .5 mg when I take it. Waiting for the Trazodone to come up to full speed once again.
I don't know how I would make it through without XANAX even at such a low dose as I work to get my SSRI up to full potential.
I have not tried Xanax, but I have used clonazepam for years at a low dose- .5-1mg 3to 4 times per week for mild anxiety/insomnia. I started when I had panic attacks after cancer surgery. I’ve had no side effects. Helps turn off my brain and I sleep well.
I have struggled with anxiety and treatment resistant depression for more years than most of you have lived, and STILL struggle. Xanax works great on anxiety, but after 2 or 3 days it makes me VERY depressed. Can anyone relate ? I found help with Effexor for several years, but developed tartive dyskinesia, a very serious side effect and had to discontinue. Any suggestions would be greatly appreciated! I am extremely sensitive to medication. I break a .5 mg Xanax in fourths and feel relief usually. Thanks for any responses!
Not sure if and when you gonna see this but I have the same situation and reaction to meds as you. I am one of those people afraid of medication. So did you find anything that worked for you?
Is there someone from Australia here i have something to ask about xanax???
It worked wonders for me.I'd tried many different meds for depression, which is what my gp at the time insisted I had. I disagreed and found another gp.finally I was listened to.1mg xanax a day treatment began at rnd 20.I'm now 40. Long term use didnt do me any harm. Bout a yr or so ago here in Australia, many of us were cut off and told the authority was no longer okayed. For me that news was life changing, devastating.
I've been taking 0.5mg to 1.0mg of Xanax every night for over 20 years to fight insomnia and I FEEL FINE. But just google this quote: "benzodiazepines exposure increased the overall cancer risk up to 21%, specifically for brain 98%, colorectal 25%, lung 10%, esophagus 59%, prostate 36%, bladder 39%, liver 18%, pancreas 41% and other cancers 27%", you will see a whole bunch of articles saying the same thing.
If you are a Xanax long-term user, please share with us how you do. You got cancer or something like these articles said? I read a few comments of people here who are using it for a very long time too. I hope the study was wrong and we will be ok.
The main point is that everybody is different. I have been taking 4 MG of Xanax for over 25 years, other people I have met take just 1 MG and they are knocked out for 12 hours. To me they are no more exciting than taking a vitamin pill. It really boils down to working closely. with your psychiatrist.
I agree with you totally. I have been on Xanax for 10+ yrs. Prescribed 1mg up to 5 times a day but usually get by on 4 a day. My roommate can take a half of 1mg and be knocked out. Because of other meds and my medical history, even pain doc agrees Xanax is a better "fit" for my situation. Like you, I take on schedule and feel like I just took nothing stronger than a vitamin. Don't feel I need anything else either.
I guess taking 2 to 4mg per week isn't to bad. Been treated for GAD for about 12 years now. Every now and then 1mg is very effectively controls anxiety beyond the therapeutic meds. It does however remain with me for about 24 hours and I sleep like a corpse the day I take it even when taken early in the morning..
Isn't that due to your tolerance levels being higher than "someone you have met"?
Don't. I was on Xanax for about 10 years.. I just went to my THIRD detox in THREE years. It's been 3 weeks to the day that I haven't had a Xanax. I'm still feeling a little withdrawal. Heads a little fuzzy. Anxiety isn't bad. Comes n goes. But it's MANAGEABLE now. Sooo happy to be off this horrible drug. Only take it as needed.if u take daily, your body lies to you and tells u you're anxious
Well I believe drugs affect you differently if you don't actually need them. Cause I take 2mg 2-3 times a day and It just makes me normal. While my boy takes a 1mg and is faded. That's just what I think
Well I believe drugs affect you differently if you don't actually need them. Cause I take 2mg 2-3 times a day and It just makes me normal. While my boy takes a 1mg and is faded. That's just what I think
Well I believe drugs affect you differently if you don't actually need them. Cause I take 2mg 2-3 times a day and It just makes me normal. While my boy takes a 1mg and is faded. That's just what I think
I think that the main point is that everyone's body chemistry is a bit different. Work with a good psychiatrist and figure out what's best for YOU. I take ~.25mg of xanax/day for 5+years. Some days more, some days none at all. It helps ME with my GAD and that's what is most important.
I would be careful with the xanax for sure and be aware that you will develop a tolerance to it over time. My fiance takes klonopin and has been on it for ten years. The reason he is on it is because he was prescribed xanax for anxiety and after taking it for a year he missed a few doses and it have him a seizure, so he now takes 6 mg of klonopin daily to prevent seizures and his tolerance is so high they do nothing for anxiety but keep him from having seizures. I have panic disorder and take xanax as needed, but for long term anxiety klonopin is much better, longer acting, and safer. But as with all benzos if you are on them for longer than 3 months daily never miss doses for longer than a day or two or ypu are at high risk for seizures. Also note that all drug rehab centers will tell you that the only life threatening substances to get off of our alcohol and benzos. So my suggestion is just be careful, if you notice yourself taking more maybe switch to klonopin. I hope this helps.
I've been taking Xanax .50 2-3 times a day since 1988! I have never once took more than what is prescribed, but also I take Paxil, so I've never felt the need to take more! Not everyone will build up a tolerance and have to take more, I don't ever feel the need to take more. I would suggest if you feel that need speak with your doctor before you take more than the prescribed dose.
6 mg of klonopin a day for seizures is acceptable. Seizures are dangerous and life-threatening. Mental illness is also a disease that needs to be treated. I have been on .5 mg twice a day of Klonopin for 7 years, when all of a sudden a dr. decided it was time to go off without any suggestions of what I might do to relieve the symptoms, tapering slowly, or following me to make sure I was ok. I was stubborn and withdrew at home with my 4 y/o twins and my husband taking over all duties while I writhed in bed in the most agony I've ever felt in my life physically. I thought many times about dying. It literally took a month or more. After a few more months... all my symptoms came back. Agorophobia, red-face syndrome, extreme anxiety and self negative talk, brain switching back and forth to subjects that made things worse (all going on since I was 5 yeard old).
(My mother thinks I have mild autism :)) but after about 5 months and trying every anti-anxiety medication not related to benzos, nothing helped. I took charge of my own mental health and went back on the klonopin. I'm still on .5 mg twice a dayand sometimes I only take one. I'm also on Effexor which helps greatly with depression. I have done some research and there is a mixed feeling in the medical community about benzos. There is NO scientific studies that prove a decline in memory except for the elderly and it wasn't even enough to cause any disruption in the daily activities. I choose to live my life. Have fun with my children and friends and be a happy person who does not suffer every single day from anxiety and depression. I've never needed an increase in dose. Maybe I'm lucky that way. That's my two cents. If someone can be on Klonopin for life because of seizures, then one should be able to make the decision to be on it for life for major anxiety disorder. It is also a disease. Peace out there to all of you :)
Hi Jodipeterson. I have to take it once a day for right now. I have GAD. I am terrified of going back to school and internship in a couple of weeks, but I find this helps control my anxiety levels. I am also on buspar and Sertraline, but I am not sure they are working well as I still have racing thoughts and fears. How are you doing?
As the other posted responded, you should not have any concerns being on xanax at a low dose long term other than tolerance and dependance.
I have been a low dose of Valium for over 5 years. For me, the same dose works for my anxiety and pain. But I do have a range of low doses that I take.
95% of the time I take 3 mg of valium per day. If I have a anxiety or panic attack or am about to get a lumbar epidural steroid injection, I will take 2 to 3 mg more for just that day. Since I don't take 5 to 6 mg per day everyday, the increase in dose still works for my anxiety and panic attacks after 5 years. I would recommend doing something similar. Have a typical low dose that you take on most days and then a higher emergency dose for really bad days.
If you ever want to get off xanax, be sure to do a slow taper preferably under supervision. I went cold turkey off valium once because I was afraid to take it with the morphine I was prescribed and had such a bad panic attack on my way home from work that I felt like I was dying. The longer you are on a benzodiazepine, the more severe the withdrawals can be. The withdrawals can even cause seizures which can be life threatening.
Xanax and other benzos can be very helpful for anxiety and panic, just keep in mind what you are signing up to when you decide to take them over the long term. And do a taper if you ever want to stop the medication.
3 mg of Valium a day means your are dependent on them and will be mentally unstable when you get off of them... even if they want you off. It took .05 MG for ten years and it took a year for me to feel normal when I weaned to nothing and I STILL TAKE ONE EVERY 3 WEEKS OR I WILL HAVE A SEIZURE OR BE A CRAZY LADY!!!
Either don't take them at all... or just once in a while when your anixey is thru the roof. But if you notice yourself taking them everyday, change your surroundings. And the people who give you anxiety :)
Did you injure your back to a point that it needed an injection, before you developed anxiety? Basically: did your pain from back come first or did your anxiety ? Thanks so much if you respond
The problem with benzodiazepines is that one builds up tolerance to them and in time without even realing it one needs a higher dose, and benzos are very addicting. I have been on almost all benzos and if you can avoid them I recommend you do.
But speaking from my experience as long as you keep a low dose you should not have a big problem, but remmember we all build up tolerance to medications... try to keep the xanax at a minimum , it can be done.
All the best,
Thank you.
You are welcome.-
Wow this was forever ago but what is a safe amount to take daily?
I have been on xanax xr for about 12 years 2mg. How do i ween off without the withdrawals? It does nothing for me anymore. I think my body is amuned to it.
Is anyone active on this site to help me.Im taking xanax 0.25mg twice a day for my panic disorder.Im moving to australia will xanax be prescribed to me from a doctor.I have all my records, documents, letters from my doctor here in Macedonia about my condition.
Related topics
prozac, xanax, depression, anxiety, obsessive compulsive disorder, panic disorder, generalized anxiety disorder, anxiety and stress, chronic
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