I have taken Xanax 2 times since I was 18 and I am now 33. I need to start taking it again due to a divorce and I am wondering what the average daily dose for someone with moderate to severe panic disorder is. My doctor Rx me .5mg 1x daily to start, which I know will not be enough but he also Rx Venlafaxine which I have never taken. How much is the average xanax dose these days and how well does Venlafaxine work for panic attacks and anxiety? It's sad that I have to fight for a medication that (when taken properly) affects my panic disorder so effectively without the side effects of SSRIs. When I first took them 15 years ago, I was on 4mg daily. 3 years ago, it was 2mg. I'm just wondering what I'll be dealing with in the medical profession these days
I am sorry you are going through such stress with divorce
I am also taking xanax for anxiety and panic,my doc started me off on 0.25 then upped to 0.5 coz the 0.25 was doin nothing for me,my anxiety increased but he would'nt prescribe anymore then 0.5 twice dailly.Eventually i was put on 1mg twice daily but at my last visit the end of last month he put me back to 0.5,which i am finding it very hard to cope with as my panic attacks are back again.I guess it depends where you are from or what kind your doc is,mine does not like giving xanax out and will do everything not to and i suffer severe panic attacks.I read of other people on twice the amount i'm prescribed and dont seem to have a problem getting them from their doc's.You said you were on them going back a few years well i think so many people have abused them that now,those who actually need them cant get them or find it incredably hard to have them prescribed.In my case my doc is hard to ...
get through to.Maybe you will have no problem getting them upped but be careful if you do,they are so addictive and thats what the docs are afraid of now days but if you only take what you are prescribed then you will be fine.If you can try to stay on the lowest dose possible then do try but if that does'nt work try get him/her to up it.It is such a good med for anxiety,its just such a pity people abuse it and make it difficult for those of us who need it.
Sorry i babbled so much,hope you get your anxiety under control,its such a horrible feeling to have,i wish you all the best.Hope you start to feel better soon.
Unfortunately, like puckiemull said, doctors have to contend with the abuser of the benzodiazepines like xanax. Makes it difficult for those that really need it and take as prescribed. The recommended maximum a day for Xanax is 4mgs for anxiety disorder and 5 to 6 mgs for panic disorder but it is best to use the minimum necessary. So the doctor will start at the lowest dosage and titrate up if necessary.
Venlafaxine (Effexor) may well help with the anxiety also. It really depends on the individual. One size does not fit all. There are numerous antidepressants that also treat anxiety to try. It will cause some side effects the first couple of weeks which will subside with continued use and will take upwards of a month to reach maximum effectiveness. If the side effects become too bothersome don't hesitate to let the doctor know.
We are here to support you. Good luck on the new med and keep in touch,
Hello hannah77. Tricky question in as much as, as you know, your dose will vary upon your anxiety level. Its initial dose, per say is 0.5 mg usually, divided up, and taken tree or four times a day. I was on xanax for several years. (eighties) It ended up working the opposite of in as much as helping me, with my anxiety. Towards the end, of taking it, my daily dose was a extremely high between 9 and 10 mg per day. Upon my pharmacists advice, then through various doctors, I was hospitilized and then immediately went into detox I I was given phenobarbital in place of the xanax). While there, I had a seizure, which caused me the ability to speak. Long story short, it took months to be able to learn to talk again, and even then, it was far from what it once was. Today, I take paxil, (amongst many other drugs prior) for my anxiety, its not a benzodiazepine, and it certainly is not close to what a xanax pill might do as far as immediate relief is concerned.
I'd like to make this point, for its not meant to be a critique on what people think about say, xanax. In my case, my body built up a immunity to the dose that I was on. Its a snowball effect. My body needed more of the drug to control my anxiety. And it was prescribed accordingly. Today, as has been for several years, people take this drug for recreational use. Why, I've no Idea. It never gave me a feeling such as, say a valium might do. I've no answer as to why its abused through and for those reasons. If xanax would have continued to work for me and then of course at an acceptable or safe dose, I would think, certainly after all these years. I'd most probably still be taking it. In a nutshell, you probably have a fair idea, how high your anxiety levels run and you migght then know, after again, going to be on xanax, it, in my opinion, will not take you long to know how much and how often you'll be taking it. Very best of wishes hannah77. I was also on effexor, and without a long story, it was not a medication that I much success with, Honestly not trying to be negative here, heavens know, just happens that both these drugs were eventually not for me. :0) be well and hopefully these medications will work for you.
I feel the same as punkiemull it's so sad to have to go through this and I also agree with the statement that it kind of depends on your doctor, I am prescribed Xanax but I take less than prescribed (so much goes on with abuse and you never know when a doctor will discontinue it) I know it is something that can easily become addicting but I think there are many folks who will not take any more than is prescribed on the bottle the way you say it was prescribed for you is how my script is written I stick with 2 doses a day, Panic is hard to control the Venlafaxine should help but it takes time to get blood levels sometimes as much as 4 weeks, I feel the same way as you do about Xanax but when all is said and done it's up to the doctor, I don't think you're suppose to take much more than 4mg you can take up to 10mg in divided doses,
it does come in extended release but if you are ever on this don't ever forget and crush chew or dissolve in any way, it also comes in 2mg bars, and if memory serves me correctly 0.25 and 0.5 and 1mg then 2mg extended release and 3mg extended release. In closing I hope the xanax and the combination of the other medication start to kick in and that you improve. another point I wanted to make my mom is 93 she only wanted a very (like 0.25 dose for prn use her Dr. refused because he said there is the chance of the medication causing dizziness and might result in a fall) Again I wish you the best take care,
Thank you for your helpful responses. I do agree, it does depend on the doctor. My ex husband (who is a physician and takes xanax) told me that it is not out of line to call a doctor's office and ask up front if the dr is ok with Rx Xanax. So, when looking for a new dr I will be doing this. I do plan on going to therapy in conjunction with the meds for extra help. I also try to take as little as possible. My dose seems to work at 1.5mg. Or .5 3x/day. I appreciate your advice and it doesn't sound like effexor is that effective on anxiety but it's worth a shot.
Hey Hannah! Not sure if this helps AT ALL but the dosage will depend on the severity of the attacks, your weight, and how long you take it. I'm a lil guy, and I take .25 as needed, and I have SEVERE panic attacks. The .25 helps most times, but if the attacks are really bad I need to up it to .5 to handle it without being rushed to the emergency room. I also try to take as many breaks from the xanax as possible so as to prevent a tolerance or addiction from forming. (although now my doc has me taking it EVERY night to help sleep... )
My brother who also has panic disorder on the other hand is a ... well... he's fluffy... and he takes 2mg as needed. So just make sure when you talk to your doc that they provide you an accurate dosage for your needs!!
- Xanax Information for Consumers
- Xanax Information for Healthcare Professionals (includes dosage details)
- Side Effects of Xanax (detailed)
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Updated 9 Aug 2012 • 3 answers
I suffer with Gad, severe panic disorder and ptsd. Doc recently decided to try low dose xanax for r?
Updated 9 Nov 2013 • 2 answers
Updated 26 May 2014 • 2 answers
Updated 14 Mar 2018 • 4 answers
My doctor prescribed Xanax for my anxiety 14years ago at the dose of 4mg. daily. Is it safe to wean?
Updated 7 Jan 2019 • 1 answer