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  • Common Side EffectsCommon Side Effects
  • Serious Side EffectsSerious Side Effects
  • Long-term Side EffectsLong-term Side Effects
  • Risks & WarningsRisks & Warnings
  • Important Things to KnowImportant Things to Know
  • Who Experiences Them More?Who Experiences Them More?
  • How to CopeHow to Cope
  • Managing Side EffectsManaging Side Effects
  • Should I Stop Taking Them?Should I Stop Taking Them?
  • AlternativesAlternatives
  • How to GetHow to Get
  • Questions to AskQuestions to Ask
  • Provider’s TipsProvider’s Tips
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Xanax Side Effects

Emily Guarnotta Updated Headshot

Author: Emily Guarnotta, PsyD

Emily Guarnotta Updated Headshot

Emily Guarnotta PsyD

Emily is an expert clinical psychologist with a special focus on parental and infant mental health conditions. She uses her 10+ years of experience and her expertise in CBT and other methods to help families heal and find peace.

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Headshot of Benjamin Troy, MD

Medical Reviewer: Benjamin Troy, MD Licensed medical reviewer

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Benjamin Troy MD

Dr. Benjamin Troy is a child and adolescent psychiatrist with more than 10 years. Dr. Troy has significant experience in treating depression, bipolar disorder, schizophrenia, OCD, anxiety, PTSD, ADHD, and ASD.

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Published: May 29, 2025
  • Common Side EffectsCommon Side Effects
  • Serious Side EffectsSerious Side Effects
  • Long-term Side EffectsLong-term Side Effects
  • Risks & WarningsRisks & Warnings
  • Important Things to KnowImportant Things to Know
  • Who Experiences Them More?Who Experiences Them More?
  • How to CopeHow to Cope
  • Managing Side EffectsManaging Side Effects
  • Should I Stop Taking Them?Should I Stop Taking Them?
  • AlternativesAlternatives
  • How to GetHow to Get
  • Questions to AskQuestions to Ask
  • Provider’s TipsProvider’s Tips
  • Additional ResourcesAdditional Resources
Brand name:
Xanax
Generic name:
Alprazolam
Is the generic available:
Yes
Class of drug:
Benzodiazepine
Boxed warning:
Yes
FDA-approved treatments:
Generalized Anxiety Disorder, Panic Disorder
Common Off-label Uses (non-FDA approved):
Insomnia, Depression, Premenstrual Dysphoric Disorder (PMDD)
Common alternatives:

Klonopin, Valium, Ativan

View Drug Class, FDA-Approved Uses, Off-Label Uses, and more

*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.

Common Xanax side effects include drowsiness, slowed breathing, forgetfulness, and poor coordination. Serious side effects require medical attention such as a risk of suicidal thoughts and behaviors, symptoms of mania, seizures, and allergic reactions.

Many people consider stopping their medication due to side effects. If your Xanax side effects persist or get worse, talk to your provider. They can help you understand your treatment options, which may include a change in dosage, timing of dosage, or switching your medication.

If you are considering Xanax or want to discuss your current medication treatment with a provider, online psychiatry platforms, such as Talkiatry and Circle Medical are good places to start. The providers on these platforms can do assessments and consult you about your Xanax prescription. They can answer any questions you have about side effects and other risks.

Boxed Warning: Risks of Alprazolam (Xanax) include misuse, addiction, withdrawal and even death

Click here to open and close the box warning container.

Alprazolam, the active ingredient in Xanax, has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA).

  • Taking Xanax, a benzodiazepine, with other opioid medications increases your risk for serious side effects that include severe sedation, slower breathing, coma, and death. Xanax should not be taken with an opioid unless there are no other options.
  • Taking Xanax can lead to misuse (abuse) and addiction of the medication, which can increase your risk of overdose and death.
  • Using Xanax can lead to physical dependence and this risk increases the longer you take Xanax. If you suddenly stop taking Xanax, you can experience withdrawal. Withdrawal can be life threatening. Xanax should only be discontinued by gradual tapering of the dose.

Xanax is a controlled substance, which means that it’s more likely to be misused or cause dependence. There are federal and state laws that limit the amount of medication that can be prescribed or dispensed within a certain period of time.

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Key Takeaways

  • Common Xanax side effects include drowsiness, slowed breathing, forgetfulness, and poor coordination. Serious side effects requiring medical attention can also occur.

  • If Xanax side effects last longer than a few weeks, your provider can help you determine next steps, which may include a change in dosage, timing of dosage, or medication.

  • There are several ways to cope with Xanax side effects, including self care practices, medication adjustments, and therapy.

  • If you are considering Xanax or an alternative, a good place to start is with an evaluation from a medical provider. Many online psychiatry platforms offer online assessments and medication management, such as Talkiatry, or Circle Medical.

Common Xanax Side Effects

Common side effects of Xanax can affect memory, alertness, coordination, and the digestive system. Some may require medical attention but others may improve on their own.

Xanax is available in two forms, Xanax and Xanax XR. The key difference is in how the medication is released into the body. Xanax provides immediate relief and can be taken multiple times a day. Xanax XR has an extended-release formulation, and is effective with less frequent dosing.

Common side effects of Xanax may include:*1,2

  • Problems with coordination
  • Lower than normal blood pressure
  • Slow or slurred speech
  • Drowsiness
  • Dizziness
  • Memory problems
  • Changes in sex drive
  • Constipation
  • Nausea

*All medications, including Xanax, can cause side effects that can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.

Serious Xanax Side Effects

Some side effects of Xanax may become severe or persistent. If you experience any of the serious side effects listed below, seek immediate medical care.

Serious side effects of Xanax that require immediate medical care include:*1,2

  • Sedation (excessive sleepiness)
  • Seizures
  • Suicidal thoughts and behaviors
  • Symptoms of mania
  • Loss of coordination
  • Difficulty concentrating
  • Memory loss

*All medications, including Xanax, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and to understand the potential side effects and benefits of any medication.

Xanax Addiction

Taking benzodiazepines like Xanax can lead to addiction.1,2 Addiction means a person has trouble controlling their use of a substance or medication and may continue to take it even when it negatively affects their life. Anyone who takes Xanax can potentially become addicted, but people who misuse it have a much greater chance.

Misusing Xanax can involve taking it without a prescription or taking it in ways other than how it was prescribed. This includes taking a larger amount, crushing it up and snorting it, or mixing it with alcohol or drugs.

Because of the risk of addiction with Xanax, the medication is not right for everyone. Anyone with a past or current history of substance use should avoid Xanax.1,2 If you do take Xanax, it’s important to stay away from alcohol and any other addictive substances or medications.

If you notice yourself taking more Xanax over time, or if you have difficulty controlling your use, talk to your healthcare provider. Xanax addiction can be treated.

Xanax Withdrawal

Benzodiazepines like Xanax can cause withdrawal symptoms. This can happen when a person has been taking it over an extended period of time and suddenly stops or decreases the dose.3 This is because Xanax causes physical dependence, where a person’s body becomes accustomed to taking the medication.

When the medication is no longer available, the body goes into withdrawal. Xanax withdrawal can happen after taking the medication for a few months, but depends on the dose.4

Symptoms of Xanax withdrawal include:

  • Seizures
  • Delirium
  • Psychosis
  • Anxiety
  • Increased heart rate
  • Increased blood pressure
  • Sweating
  • Tremors
  • Insomnia
  • Sensory sensitivity

Follow your healthcare provider’s recommendations and discuss your desire to stop taking the medication with them. If you experience any withdrawal symptoms, seek medical attention right away. Xanax withdrawal can be dangerous and you should be monitored by a medical professional.3,4

Long-term Xanax Side Effects

Xanax is prescribed as a short-term treatment for anxiety and panic attacks.5 It’s most effective for sudden, intense episodes of anxiety rather than ongoing, all-day symptoms.

Taking Xanax for longer periods can increase the risk of memory problems, accidents, and injuries. It also raises the risk of developing physical dependence and addiction.

Dependence occurs when the body gets used to the presence of a substance and adapts to its effects, which can lead to withdrawal symptoms if stopped suddenly. Addiction is the loss of control over intense urges to use a substance even with negative consequences.6

Long-term side effects of Xanax include:5

  • Cognitive impairments like increased reaction time, loss of muscle control, and memory problems
  • Physical dependence
  • Addiction

Each person taking Xanax will experience different side effects, if at all. It is important to understand your risk and know what to do if a particular side effect occurs. Work with your doctor to have a plan and seek medical help immediately if you experience severe side effects.

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What Are the Risks & Warnings for Xanax?

Misuse & Addiction

Taking Xanax can lead to misuse (abuse) and addiction to the medication, which can increase your risk of overdose and death. Patients with a substance use disorder or history of substance abuse should use Xanax cautiously.

Suicidal Thoughts & Behaviors

Xanax can increase the risk of suicidal thoughts and behaviors. Patients with a history of suicidal thoughts or who are at risk for suicide should consult with their providers on the risks and benefits of Xanax and how to use it safely.

History of Depression

There is an increased risk of worsening depression when benzodiazepines, such as Xanax, are used in patients with depression. Xanax may also cause mania or hypomania in patients with depression.

Severe Sedation

Taking Xanax, a benzodiazepine, with opioid medications increases your risk for serious side effects including severe sedation, slowed breathing, coma, and death. Xanax should not be taken with an opioid unless there are no other options.

Do not drive, operate heavy machinery, or do other dangerous activities until you know how Xanax affects you.

Physical Dependence & Withdrawal Symptoms

Taking Xanax can lead to physical dependence and this risk increases the longer you take Xanax. If you suddenly stop taking Xanax, you can experience withdrawal. Withdrawal can be life-threatening. Xanax should only be discontinued by gradual tapering of the dose under the guidance of a medical provider.

Breathing Problems

Due to the risk of breathing problems, people with pulmonary disease should avoid Xanax entirely.

Pregnancy

It is unclear if Xanax is safe to take while pregnant. It is also important to discuss with your provider whether or not you are pregnant or may plan to become pregnant while taking Xanax.

Breastfeeding

There may be risks with taking Xanax while breastfeeding. It is also important to discuss with your provider whether or not you are actively breastfeeding or plan to breastfeed while taking Xanax.

Allergic Reactions

For some people taking Xanax, an allergic reaction may occur which may be dangerous.

Severe allergic reactions to Xanax can include:

  • Breathing problems
  • Swelling
  • Rash/hives

If you experience wheezing, difficulty breathing, or swelling in the throat, seek immediate medical help.

Drug Interactions

Taking certain medications, herbs, or supplements alongside Xanax can change how Xanax works in your body or increase the risk for serious side effects. Do not start, stop, or change the dosage of any medicines without your provider’s approval.

Substances you should avoid using while taking Xanax include:*

  • Central nervous system (CNS) depressants, such as alcohol, other benzodiazepines, and anticonvulsants)
  • Opioids, such as morphine, methadone, oxycodone
  • Medications that affect the liver enzyme CYP3A
  • Ritonavir
  • Digoxin
  • Herbs, herbal remedies, and over-the-counter treatments

*This is not a comprehensive list of medications that interact with Xanax. Be sure to talk with your doctor or pharmacist about any prescription or over the counter medications you take, as well as supplements, herbs, and teas.

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Important Things to Know About Taking Xanax

Before starting Xanax, it’s important to understand how it may affect you. It’s common for side effects to show up during the first few weeks of treatment. However, they can occur at any time while taking your medication.

Your prescriber will discuss how to take Xanax, your dosage, precautions and warnings, and side effects that may occur. They will also discuss what to do if side effects don’t go away on their own and which ones may require medical care.

How Long Does It Take for Xanax to Start Working?

Xanax starts working within 2 hours of taking the dose, and may take longer for the extended-release form, Xanax XR.1,2 It may also take some a little more or less time to feel the effects of Xanax as everyone’s response to medication is unique.

Can Xanax Make You Feel Worse at First?

Yes, some people starting Xanax may start feeling side effects. These may include feeling sleepy, dizziness, and problems with coordination.1,2 Xanax also has a risk of rare but serious side effects. Excessive drowsiness and shallow breathing can occur, especially with certain health conditions or an overdose. If you experience any of these or other serious side effects, get medical help right away.

What Happens If I Miss a Dose?

Xanax is commonly prescribed for use only as needed, rather than on a regular schedule. This means that you can take the medication if you feel your anxiety is high and need medication. Always discuss when you should take your medication with your provider.

There is a maximum dose that your doctor will prescribe you. Take your medication as prescribed to avoid overdose and never take a double dose of Xanax.1,2 Taking more Xanax than prescribed can lead to overdose, which can be harmful or even fatal. If you suspect an overdose, get emergency medical care.

Do not abruptly stop Xanax or make a change to your dosage unless you have talked with your provider. Doing so can lead to withdrawal symptoms, which can be life-threatening.

Who Experiences Side Effects More?

Some taking Xanax are more likely to experience side effects than others. While side effects may develop for anyone, those with certain risks should be cautious with Xanax, possibly avoiding it.

Those Taking Other Medications

Xanax can have harmful interactions with medications. This may include serious reactions requiring medical care or reduced effectiveness of Xanax, the other substance, or both.

Those taking certain medications or treatments also have a higher risk of side effects, such as:*

  • Central nervous system (CNS) depressants, such as alcohol, other benzodiazepines, and anticonvulsants)
  • Opioids, such as morphine, methadone, oxycodone
  • Medications that affect the liver enzyme CYP3A
  • Ritonavir
  • Digoxin
  • Herbs, herbal remedies, and over-the-counter treatments

*This is not a complete list of possible interactions with Xanax. Consult with your healthcare provider before combining Xanax with any over-the-counter medications, prescription medications, or herbal supplements to ensure safety and effectiveness.

Those With Certain Health Risks

Discuss your health conditions with your provider when considering treatment with Xanax. This information will help them select the most suitable medication for you.

Those with a history of certain health concerns have a higher risk of side effects, such as:

  • Substance misuse or dependence
  • Depression
  • Suicidal thoughts or behaviors
  • Prior allergic reactions to Xanax or its components

This is not a complete list of possible health risks associated with Xanax. Discuss your full health history before considering Xanax as a treatment.

Here are other groups of people who need to consider Xanax with caution:

Older Adults

Older adults may be especially sensitive to side effects while taking Xanax.1,2 This is because it takes them longer to metabolize Xanax (break down in the body). This can cause higher concentrations of it in the blood.

This sensitivity can put them at risk for serious side effects like sedation and cognitive problems, and increase the likelihood of accidents and injuries. Because of this, providers usually start older adults at a lower dose of Xanax.

Xanax side effects in elderly include:5,7

  • Sedation
  • Cognitive impairment
  • Impaired driving
  • Increased risk of hip fractures and other injuries

Women

Women may experience changes to their menstrual cycle as a side effect of taking Xanax.1,2 Women who take oral contraceptives (birth control pills) should alert their provider before taking Xanax. This is because oral contraceptives increase the concentration of Xanax in the body and decrease how quickly it’s eliminated.

Pregnant & Breastfeeding Parents

Taking Xanax during pregnancy may be risky.3 There is a risk of congenital abnormalities when women take Xanax during the first trimester of pregnancy.1,2

Because of this, it’s recommended that pregnant women avoid taking the medication. If you become pregnant or intend to become pregnant, talk to your provider right away.

Xanax is also present in breast milk in small amounts, so talk to your provider if you plan to breastfeed. They can help you see how taking this medication may or may not fit with your breastfeeding plans.

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Personalized Treatment for Anxiety

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How to Cope With Common Xanax Side Effects

Some side effects of Xanax, such as drowsiness, constipation, and nausea, can be managed through lifestyle changes or timing of your dose. Talk to your medical provider if you have difficulty managing these symptoms on your own or if they become severe.

Drowsiness

Drowsiness may occur when taking Xanax. If you experience drowsiness, tell your provider so they can make sure you are taking an appropriate dose. Avoid doing activities that require alertness, such as driving or operating machinery. Your provider may also recommend taking your medication at a certain time of the day or may make an adjustment to your dose.1,2

Constipation

Xanax can cause constipation. To relieve it, try using over-the-counter treatments such as stool softeners and probiotic supplements. Drinking warm water, eating fiber-rich foods, and moving more may also be beneficial.8

Nausea

Xanax can cause nausea for some people. Follow the meal timing instructions for your medication. Also, drink plenty of water and eat smaller, more frequent meals. Talk with your provider first if you want to try teas with peppermint or other herbal remedies meant to soothe digestion. Over-the-counter treatments and supplements, including tea, may interact with Xanax.

Sexual Side Effects

Taking Xanax may affect sex drive for some people. Scheduling sexual activity before taking a dose may help. These effects may go away after the first few weeks. But if these effects are bothersome or don’t go away, your provider may consider a change of dosage or medication.

More Ways to Manage Xanax Side Effects

Here are more ways to cope with and reduce the impact of Xanax side effects.

Practice Good Sleep Habits

Your sleep habits can make a difference when adjusting to your new medication. Try waking up and going to bed at the same time every day. Make sure your sleep environment is dark and comfortable as well.

Also, Xanax can also cause drowsiness and dizziness. Be aware of the precautions for taking Xanax and how it affects your mental alertness and motor skills. Avoid activities such as driving or operating machinery until you know how Xanax may affect you.

Healthy Lifestyle Activities

Healthy lifestyle habits can also provide much-needed support for your body as it begins adjusting to a new medication. Focus on eating well, getting enough sleep, being physically active, and staying connected socially.

Follow Your Daily Routine

Staying with your normal daily routine while starting your new Xanax prescription can be helpful in several ways. Keeping a predictable schedule will reduce stress on your body and mind as you get used to the effects of Xanax. Also, be sure you’re following your provider’s instructions for taking your medication, paying close attention to the timing.

Consider Therapy

With psychotherapy, you can develop strategies to manage the impact of side effects. For in-person therapy, your primary care provider or insurance company can provide referrals in your local area. Or, you may get a recommendation from a family member or friend.

To find an online therapist, an online therapist directory is a great starting point. Many online psychiatry platforms, such as Talkiatry and Brightside Health, also offer therapy services.

Should I Stop Taking Xanax If I Start Feeling Side Effects?

Do not stop taking Xanax if you start feeling side effects. Stopping abruptly can lead to withdrawal symptoms such as seizures, which can be life threatening. If you need to stop taking Xanax or change your dosage, your provider will tell you how to safely reduce your dose.1,2

When Should I Call My Doctor About Xanax Side Effects?

Talk to your provider as soon as you notice side effects that persist or get worse. Side effects often lead people to stop taking a medication, and stopping Xanax without medical guidance can be unsafe. Your provider will discuss your side effects from Xanax, treatment options, and your next steps.

While some side effects can be managed and may fade on their own, some will persist for as long as a person takes the medication. Even when taken correctly, medications can still cause side effects. Xanax carries risk for serious side effects, including excessive drowsiness, slowed breathing, and worsened depression. These can be life-threatening and require immediate medical care.

When Should I Seek an Alternative to Xanax Due to Side Effects?

Because Xanax is fast-acting, you may notice some side effects of Xanax right away. While the initial side effects may fade on their own, others may continue or worsen. If you’re considering a change in your medication, talk with your provider. There are many Xanax alternatives available and they can help you determine which one may be a good fit. Several types of anti-anxiety medication can help reduce symptoms, though it’s important to understand the potential risks and benefits of each option.

Other benzodiazepines, such as Ativan, Klonopin, and Valium, can be used as alternatives to Xanax. Due to the risk of dependence and addiction, these medications are for short-term use only. They are also typically not the first treatment offered.

Antidepressants are safe and effective at improving mood and anxiety symptoms. Because depression and anxiety often occur together, antidepressants are often considered as the first treatment option. These medications are good options for those who want to or must avoid benzodiazepines.

Xanax

Drug class: Benzodiazepine

Used for
  • FDA-approved for generalized anxiety, panic disorder
  • Common off-label uses: Insomnia, depression, PMDD

$168

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Alprazolam

Drug class: Benzodiazepine

Used for
  • FDA-approved for generalized anxiety, panic disorder
  • Common off-label uses: Insomnia, depression, PMDD

$10

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Ativan

Drug class: Benzodiazepine

Used for
  • FDA-approved for anxiety
  • Common off-label uses: Akathisia, catatonia

$996

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Klonopin

Drug class: Benzodiazepine

Used for
  • FDA-approved for Seizure disorders, panic disorder
  • Common off-label uses: Bipolar disorder, catatonic reaction, insomnia

$84

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Lexapro

Drug class: SSRI

Used for
  • FDA-approved for depression, generalized anxiety
  • Common off-label uses: OCD, PTSD, PMDD, panic disorder, bulimia nervosa

$440

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Paxil

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, panic disorder, social anxiety, generalized anxiety, PTSD
  • Common off-label uses: Premature ejaculation

$292

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Zoloft

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, panic disorder, PTSD, social anxiety, PMDD
  • Common off-label uses: Bulimia nervosa, premature ejaculation

$426

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Prozac

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, bulimia nervosa, panic disorder
  • Common off-label uses: Anxiety disorders, PTSD, specific phobias

$427

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How to Get a Prescription for Xanax or Alternative Medications

The first step of getting a prescription for Xanax or an alternative in person is getting an evaluation of your symptoms. Your primary care provider may be a physician, nurse practitioner, or PA. They can help you get the evaluation process started. They’ll also determine if a referral to a specialist may be helpful. Based on their assessment, they’ll decide if Xanax or another medication should be part of your treatment plan.

To get an online prescription for a Xanax or an alternative, you’ll also begin with an evaluation  from a platform that prescribes benzodiazepines. We have carefully reviewed Talkiatry and determined it is a good place for such an evaluation. This online platform can prescribe controlled substances such as Xanax, though state laws may affect access. Talkiatry offers both assessments and prescription management.

There are also several antidepressants FDA-approved to treat anxiety, such as Lexapro and Paxil. Antidepressants may also be easier for online psychiatrists to prescribe than benzodiazepines, depending on your state, diagnosis, and other factors. If you are looking for an online provider that can prescribe Xanax alternatives, both Talkiatry and Brightside can offer antidepressants where they may be a good fit.

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Personalized Treatment for Anxiety

Talkiatry can match you with a real psychiatrist who accepts insurance. Talkiatry psychiatrists can evaluate you for anxiety and implement a personalized treatment plan, including medication. If appropriate for you and allowed by your state, this can include controlled substances. Get started with a short online assessment.

Visit Talkiatry

Questions to Ask Your Provider

Your provider will discuss possible side effects of Xanax with you. They will highlight those that may appear when you start taking Xanax and any that require medical treatment. Ask them if side effects will go away on their own and what to do if they persist or become difficult to manage.

Also, many online psychiatry services make accessing mental health care for anxiety convenient. You’ll get a mental health evaluation, diagnosis, and personalized treatment plan. Some platforms also allow you to change providers, if needed.

Questions to ask your care team about Xanax side effects may include:

  • How often should I come for checkups for my Xanax prescription?
  • What does it mean that Xanax is a controlled substance?
  • What common side effects will I likely experience when I start my Xanax medication?
  • How long will the medication’s side effects last?
  • Should I be concerned about addiction and withdrawal symptoms of the medication?
  • Am I at risk for more severe side effects if I am already taking medication for anxiety, depression, or other mental health conditions?
  • When should I reach out to you if I am experiencing side effects?
  • What should I do if Xanax does not work for me?
  • What will happen if I suddenly stop my medication?
  • What is the best dosage to ensure fewer side effects?
  • Are there drugs I am taking that could have negative interactions?
  • Can the side effects of Xanax interfere with my daily activities, such as work, school, or driving?

Provider’s Tips

Before starting Xanax, your provider will give you important instructions—such as how to take your medication, what interactions to avoid, and how to store it properly. They’ll also talk through what to do if side effects occur. Follow these tips for safe and effective use of Xanax.

  • Take your medication as prescribed, do not change your dose or stop taking it unless your prescriber tells you to. Keeping a consistent dosing schedule reduces the chance of unwanted side effects.1,2
  • Xanax has a risk for abuse, misuse, dependence, and addiction. Only use Xanax for the reason it was prescribed.
  • Take your medication at the same time each day. Doing so can help you remember to take it and make your treatment as effective as possible. Your healthcare provider can determine the best time to take your medication based on how you respond to it.
  • Tell your prescriber right away if you have any worsening mental health symptoms. While these rarely occur, Xanax may worsen mental health or trigger additional symptoms. These potential risks include suicidal thoughts and behaviors, symptoms of mania, and psychosis.
  • Talk to your doctor before drinking alcohol or taking substances that make you drowsy or dizzy while taking Xanax. Taking Xanax with these substances can make your drowsiness or dizziness worse.
  • Tell your prescriber about all medications and supplements you take, including over-the-counter treatments. Many over-the-counter medications and supplements can interact with prescription medications.
    Emily Guarnotta Updated Headshot Emily Guarnotta, PsyD

Frequently Asked Questions

What Is Xanax & What Is It Used to Treat?

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Xanax, with the active ingredient alprazolam, is a benzodiazepine FDA-approved to treat anxiety and panic disorder in adults only.1 Xanax XR, the extended release version, is FDA-approved to treat panic disorder.2

How Does Xanax Work?

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Xanax works by enhancing the effects of a body chemical called GABA. Xanax affects the central nervous system to create a sense of calm.1,2

How Does Xanax Make You Feel?

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When used as prescribed, Xanax’s intended effects should make you feel calm and reduce feelings and symptoms of anxiety rather than sleepy. It can reduce symptoms such as racing thoughts, muscle tension, feelings of impending doom, shortness of breath, and increased heartbeat. Both Xanax and Xanax XR (extended-release) are fast-acting medications. The effects can be felt within the first hour of taking them. Xanax lasts 4-6 hours for most people while Xanax XR lasts 10 or more hours. For some, side effects may begin shortly after taking the medication.1,2 Extreme drowsiness and breathing problems are serious side effects and a medical emergency. Get immediate medical care if you experience these.

How Long Do Xanax Side Effects Last?

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The timing of Xanax side effects can differ for each person. Mild side effects may improve on their own and may not last long. But if they persist or get worse, medical care is likely needed. Individual response, dosage, and overall health can all affect how long Xanax side effects may last.

What Are the Long-term Side Effects of Xanax?

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Taking Xanax for longer periods of time can increase the risk of physical dependence and addiction. It can lead to other issues such as increased reaction time, loss of muscle control, and memory problems. These may lead to accidents and injuries.

Do Older Adults Have a Higher Risk of Side Effects From Xanax?

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Yes, older adults are more sensitive to side effects. Lower doses can reduce this risk. 1,2

Does Xanax Cause Sexual Side Effects?

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Yes, Xanax can cause sexual side effects in males and females. Xanax may decrease sex drive, delay ejaculation, and interfere with orgasms.1,2

Should I Stop Taking Xanax If I Experience Side Effects?

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No, do not stop taking Xanax unless your provider tells you to do so. Stopping Xanax abruptly may cause withdrawal symptoms that can be life threatening. These include seizures, suicidal thoughts and behaviors, and sudden and severe mental or nervous system changes.1,2

Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Xanax – alprazolam tablet. (January 18, 2023). DailyMed.nlm.nih.gov. Retrieved from
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

  • Xanax XR- alprazolam tablet, extended release. (April 12.2023). DailyMed.nlm.nih.gov. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

  • Ait-Daoud, N., Hamby, A. S., Sharma, S., & Blevins, D. (2018). A review of alprazolam use, misuse, and withdrawal. Journal of Addiction Medicine, 12(1), 4–10. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846112/

  • Longo, L. P., & Johnson, B. (2000). Addiction: Part I. Benzodiazepines-side effects, abuse risk and alternatives. American Family Physician, 61(7), 2121. Retrieved from https://pubmed.ncbi.nlm.nih.gov/10779253/

  • Johnson, B., & Streltzer, J. (2013). Risks associated with long-term benzodiazepine use. American Family Physician, 88(4), 224-226. https://pubmed.ncbi.nlm.nih.gov/23944724/

  • Szalavitz, M., Rigg, K. K., & Wakeman, S. E. (2021). Drug dependence is not addiction-and it matters. Annals of medicine, 53(1), 1989–1992. Retrieved from https://doi.org/10.1080/07853890.2021.1995623

  • Madhusoodanan, S., & Bogunovic, O. J. (2004). Safety of benzodiazepines in the geriatric population. Expert Opinion on Drug Safety, 3(5), 485-493. Retrieved from https://pubmed.ncbi.nlm.nih.gov/15335303/

  • Treatment for Constipation. (2018). NIDDK.nih.gov. Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/constipation/treatment

Show more Click here to open the article sources container.

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

May 29, 2025
Author: No Change
Reviewer: No Change
Primary updates: Added “Key Takeaways” feature. Edited for clarity. Condensed “What is Xanax?” and moved to FAQs. Revised and condensed “Common Side Effects of Xanax (Alprazolam)” and “Severe Side Effects of Xanax” sections. Revised and moved content from “Warnings & Interactions to Avoid While Taking Xanax”, “Xanax Side Effects In Elderly”, and “Xanax Side Effects in Women” sections into new “What Are the Warnings & Risks of Xanax?” feature. Added new sections “Important Things to Know About Taking Depakote” and “Who Experiences Side Effects More?”. Added info from “Xanax Side Effects in Women” sections into new “Who Experiences Side Effects More?” section. Added “How to Cope With Common Xanax Side Effects”. “More Ways to Manage Depakote Side Effects”, “Should I Stop Taking Depakote If I Start Feeling Side Effects?”, “When Should I Seek an Alternative to Depakote Due to Side Effects?”, “How to Get a Prescription for Depakote or Alternative Medications” and all included subsections. Added FAQ section to the end. Retitled “Questions to Ask Your Health Team About Xanax Side Effects” to “Questions to Ask Your Provider”. Replaced “Final Thoughts” with “Provider’s Tips” feature. Removed “For Further Reading”.
Original publish date: June 3, 2022
Author: Emily Guarnotta, PsyD
Medical Reviewer: Benjamin Troy, MD
Show more Click here to open the article update history container.

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