Medications like Valium or Ativan are commonly prescribed Xanax alternatives, offering similar effects. Over-the-counter options include supplements like melatonin, kava, or passionflower, which are known for their calming properties but also carry risks. If switching from Xanax, consult your healthcare provider to discuss potential alternatives and a gradual tapering plan to minimize withdrawal effects and ensure a smooth transition.
Which anxiety medications can help you feel better?
There are many effective medications for anxiety including Zoloft and Lexapro, which a Plushcare doctor can prescribe. In as little as 15 minutes, you can speak with a board-certified doctor from PlushCare to receive anxiety treatment.
Plushcare DOES NOT prescribe controlled substances, including XANAX.
What Is Xanax?
Xanax contains the active ingredient alprazolam and belongs to the class of drugs known as benzodiazepines, which are known for their sedative and anxiolytic (anxiety-reducing) effects. It enhances the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, leading to a calming and relaxing effect.1
Xanax is commonly used as an FDA-approved medication to treat disorders such as2
- Generalized anxiety disorder (GAD)
- Panic disorder with or without agoraphobia
Xanax may also have off-label (non-FDA-approved) uses for treating:3
- Insomnia
- Muscle spasms
- Seizure disorders
An off-label use of a medication is a use that is not FDA-approved. Prescribers may opt for off-label use based on their professional judgment, believing it could be beneficial.4
Although limited case studies suggest potential benefits in conditions like post-traumatic stress disorder (PTSD), more research is still needed to determine if Xanax is safe and efficacious for this use. Talk to your doctor if you want to use Xanax for off-label purposes.
The Best Alternatives to Xanax
Anxiety is a complex mental health condition that can significantly impact one’s quality of life. While Xanax (alprazolam) is a well-known medication often used to manage anxiety symptoms, it’s important to recognize that there isn’t a one-size-fits-all solution.
People’s responses to anxiety medications vary based on their health history, previous experiences with side effects, and individual body chemistry. Individuals must work closely with their healthcare providers to find the most suitable treatment approach. Fortunately, there are alternatives to Xanax that can also effectively alleviate anxiety symptoms.
Benzodiazepines
Apart from Xanax, several other benzodiazepines can be prescribed to alleviate anxiety symptoms. These medications, including Valium (diazepam), Ativan (lorazepam), and Klonopin (clonazepam), work by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that calms nerve activity in the brain. This leads to a reduction in anxiety and a sense of relaxation.
However, like Xanax, benzodiazepines carry a risk of tolerance, dependence, and withdrawal symptoms if used for an extended period. All benzodiazepines carry the same black box warning from the FDA for this risk. They are generally recommended for short-term use or in acute situations due to these potential drawbacks.
Antidepressant Medications
Antidepressants are another class that can effectively address anxiety symptoms. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed antidepressants for anxiety management. These medications work by modulating neurotransmitters like serotonin and norepinephrine in the brain, which regulate mood and anxiety.5
Medications like Prozac (fluoxetine), Zoloft (sertraline), and Lexapro (escitalopram) fall under the SSRIs category, while Effexor (venlafaxine) and Cymbalta (duloxetine) are examples of SNRIs. These drugs are generally considered safer for long-term use than benzodiazepines and are less likely to lead to dependence. They also carry black box warnings for increased risk of suicide in certain people. It’s important to talk with your healthcare provider about the risks of any medication that you may want to switch to.
What Are the Common Side Effects of Medication Alternatives?
Anxiety medications are commonly prescribed to alleviate the symptoms of anxiety disorders. These medications can provide relief by targeting neurotransmitters in the brain that play a role in anxiety regulation. Like any medication, anxiety medications can have side effects. Some of these adverse effects may occur early on as the body adjusts to the medication and tend to dissipate after a few weeks. However, it’s important to note that some medication side effects may persist if the person continues taking the medication.
The table below compares anxiety medication alternatives to Xanax:
Medication type | Brand | Generic | Common side effects |
Benzodiazepine | Klonopin | Clonazepam | Lethargy, fatigue, sedation, drowsiness, impaired coordination, impaired balance, and dizziness6 |
Benzodiazepine | Ativan | Lorazepam | Sedation, dizziness, weakness, unsteadiness7 |
Benzodiazepine | Valium | Diazepam | Drowsiness, muscle weakness, fatigue, ataxia, blurred vision, gastrointestinal disturbances, dry mouth, and changes in libido8 |
Selective Serotonin Reuptake Inhibitor (SSRIs) | Prozac | Fluoxetine | Headache, nausea, decreased appetite, weight loss, dry mouth, diarrhea, insomnia, sleepiness, nervousness, sexual dysfunction9 |
Selective Serotonin Reuptake Inhibitor (SSRIs) | Zoloft | Sertraline | Nausea, loss of appetite, diarrhea, indigestion, change in sleep habits (including increased sleepiness or insomnia), increased sweating, sexual problems (including decreased libido and ejaculation failure)10 |
*All medications 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 understand the potential side effects and benefits of any medication.
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Plushcare There are many effective medications for anxiety and depression, including Zoloft and Lexapro, which a Plushcare doctor can prescribe. In as little as 15 minutes, you can speak with a board-certified doctor from PlushCare to receive anxiety or depression treatment. Plushcare DOES NOT prescribe controlled substances. Visit Plushcare
Are There Affordable Alternatives to Xanax?
When seeking anxiety medication options beyond Xanax, several factors can influence affordability. Geographic location plays a role, as medication prices vary based on regional differences.
Additionally, the choice of pharmacy, insurance coverage, and available discounts or coupons can significantly impact the overall cost of anxiety medications. Considering these variables can help individuals find affordable alternatives that effectively address their anxiety while fitting within their budget.
The table below compares the costs of anxiety medication alternatives to Xanax11, 12, 13, 14, 15, 16, 17, 18, 19
Brand | Average Cost Without Insurance | Generic | Average Cost With Insurance |
Xanax | $300 (30 0.5mg tablets) | Alprazolam | $30 (30 0.5mg tablets) |
Klonopin | $250 (30 0.25mg tablets) | Clonazepam | $50 (30 0.25mg tablets) |
Ativan | $275 (30 1mg tablets) | Lorazepam | $40 (30 1mg tablets) |
Valium | $200 (30 5mg tablets) | Diazepam | $25 (30 5mg tablets) |
Buspar | (not available) | Buspirone | $20 (30 10mg tablets) |
Natural & Over-the-Counter Xanax Alternatives
For those seeking alternatives to Xanax to manage anxiety symptoms, there are various natural remedies for anxiety. These alternatives can provide effective relief without the potential side effects of prescription medications. From lifestyle changes to therapeutic interventions, exploring these options can offer individuals a comprehensive toolkit for managing their anxiety.
Natural and non-medication alternatives to Xanax for anxiety symptoms include:20
- L-Tyrosine: L-Tyrosine is an amino acid that produces neurotransmitters like dopamine and norepinephrine. It may help alleviate anxiety by supporting the brain’s response to stress and promoting a balanced mood.
- Cognitive behavioral therapy (CBT): CBT for anxiety that focuses on identifying and changing negative thought patterns and behaviors. It provides coping strategies and tools to manage anxiety effectively.
- Kava: While it was initially considered a promising treatment for anxiety, there have been reports of serious liver damage associated with its use. The FDA has issued warnings about dietary supplements containing kava.
- Passion flower: Some small clinical trials suggest that passion flower might help with anxiety. It’s generally considered safe, but it can cause drowsiness, dizziness, and confusion.
- Valerian: Some studies indicate that valerian can reduce anxiety and stress. It’s generally considered safe at recommended doses, but long-term safety trials are lacking. Side effects may include headaches, dizziness, and drowsiness.
- Chamomile: Limited data suggests that short-term use of chamomile is safe and effective in reducing anxiety symptoms. However, it can increase the risk of bleeding when used with blood-thinning drugs and may cause allergic reactions in some individuals.
- Lavender: There’s preliminary evidence that oral lavender or aromatherapy with lavender can reduce anxiety. However, its effects are still being studied, and it can cause side effects like constipation, headaches, and low blood pressure.
It’s important to note that natural alternatives can still cause serious side effects and have interactions with other medications you are taking. You should talk with your doctor or pharmacist about any medications (prescription and over-the-counter), herbs, supplements, and teas you use before you start any new treatments or change current ones.
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Lifestyle Habits That Help Manage Anxiety
Incorporating certain lifestyle habits into your daily routine can be crucial in managing anxiety symptoms. While these habits might not eliminate anxiety altogether, they can significantly contribute to a better sense of mental well-being. By positively changing your lifestyle, you can create a foundation for better stress management and emotional resilience.
Lifestyle habits that may help with anxiety symptoms include:20
- Getting enough sleep: Adequate sleep is crucial for mental health. Poor sleep can exacerbate anxiety symptoms, while quality sleep promotes emotional resilience and better coping mechanisms.
- Exercising: Regular exercise benefits mental health by releasing “feel-good” hormones that improve mood and reduce stress. It also provides an outlet for tension and promotes relaxation, helping to alleviate anxiety.
- Balanced diet: A diet rich in whole foods, including fruits, vegetables, lean proteins, and healthy fats, supports brain health and mood regulation. Avoiding excessive caffeine and sugar can also help stabilize mood.
- Social connections: Maintaining strong social connections and spending time with loved ones provides emotional support and reduces feelings of isolation, which can contribute to anxiety.
- Limiting caffeine and alcohol: Both caffeine and alcohol can trigger or worsen anxiety symptoms. Limiting or avoiding these substances can lead to a calmer nervous system.
- Time management: Effective time management can reduce stress and prevent feeling overwhelmed. Prioritizing tasks and setting realistic goals can promote a sense of control.
- Journaling: Writing down thoughts and feelings can help process emotions and reduce anxiety. It provides an outlet for self-expression and self-reflection.
When to Seek Professional Help
If you experience persistent anxiety symptoms that interfere with your daily life, seeking professional help is crucial. While feeling anxious occasionally is normal, ongoing and intense feelings of worry, fear, and restlessness may indicate an anxiety disorder. It’s important to find a therapist who aligns with your needs for effective treatment. Therapists can provide valuable strategies to manage anxiety through cognitive-behavioral therapy (CBT) or exposure therapy.
In some cases, online psychiatry services can be beneficial, particularly if attending in-person appointments is challenging due to distance, mobility issues, or time constraints. These services offer the convenience of remote consultations, making it easier to access professional help. Reaching out to a qualified mental health professional can guide you toward appropriate treatment, enabling you to regain control over your anxiety and lead a more fulfilling life.
Questions to Ask Your Healthcare Team About Xanax Alternatives
When you experience anxiety and are considering alternatives to Xanax, it’s essential to engage with their healthcare team comprising doctors, psychiatrists, and therapists. Engaging in a dialogue with them can offer a more comprehensive understanding of the options available.
Questions to ask your care team about Xanax alternatives include:
- Is it safe to take anxiety medication alongside my current medications?
- Am I at risk for side effects from anxiety medications or supplements if I am already taking other medications, such as antidepressants or anxiety medications?
- Are there any risk factors for experiencing adverse effects due to the combination of medications or supplements?
- What anxiety medication alternatives might suit me, considering the potential for fewer side effects?
- How do these alternatives compare to Xanax in terms of effectiveness?
- Are there non-pharmacological treatments I should consider before trying medications?
- Can you provide information on the long-term effects of Xanax versus the suggested alternatives?
- Are there specific lifestyle changes or therapies that could complement anxiety treatment without medication?
- How will the recommended alternatives impact my daily routine, including work, social life, and sleep?
- What are the potential withdrawal symptoms associated with Xanax and its alternatives?
- Are there any natural supplements or holistic approaches that I should explore?
- How long should I expect to wait before noticing improvements in my anxiety symptoms with the chosen alternative?
- What strategies can I use to manage and monitor my anxiety symptoms while trying an alternative treatment?
- Are there any specific coping mechanisms or relaxation techniques you recommend alongside the chosen treatment?
- Can you provide resources or references to learn more about the suggested alternatives?
- What puts me at risk of overdosing on Xanax?
In My Experience
Additional Resources
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Plushcare There are many effective medications for anxiety and depression, including Zoloft and Lexapro, which a Plushcare doctor can prescribe. In as little as 15 minutes, you can speak with a board-certified doctor from PlushCare to receive anxiety or depression treatment. Plushcare DOES NOT prescribe controlled substances. Visit Plushcare
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Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.