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?
- 29 Oct 2011 by pengg
- 10 days ago
- prozac, xanax, depression, anxiety, obsessive compulsive disorder, panic disorder, generalized anxiety disorder, anxiety and stress, chronic
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,
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.
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.
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.
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