Xanax XR: Managing Anxiety and Withdrawal Symptoms

Xanax XR (Alprazolam Extended Release)

Recently, I haven't been feeling well, and with the stress of taking leave from work, I consulted a cardiologist.
They performed an electrocardiogram and X-ray, which showed no issues, but my blood pressure was slightly elevated.
After monitoring my blood pressure for three weeks, it returned to normal, but I still felt weak.
I researched online and found that it might be autonomic nervous system dysfunction, so I went to Chang Gung Memorial Hospital's neurology department.
The doctor prescribed Xanax XR (extended-release) and mentioned that I might have some depression.

I also experienced stomach discomfort, so I visited a gastroenterologist, who diagnosed me with gastroesophageal reflux disease (GERD) and noted liver inflammation.
Although I took medication for my stomach, I didn't feel much improvement.
After taking Xanax a few times, I felt a bit more energetic and happier, but I thought I was better and stopped taking it after three weeks.
During this time, I also took traditional Chinese medicine for autonomic nervous system issues for four days, along with Xanax for two days.
After that, I experienced withdrawal symptoms and couldn't sleep for four days.
My question is, will I be unable to sleep naturally in the future?

xxxxx119, 40~49 year old female. Ask Date: 2018/04/19

Dr. Qiu Junda reply Psychiatry

Hello.
Xanax has anxiolytic and sleep-inducing effects, and it is indeed possible to experience withdrawal symptoms.
However, it is not accurate to say that one will never be able to sleep naturally again.
If you wish to discontinue the medication, it is important to discuss a gradual reduction in dosage with your physician (do not stop abruptly).
Coupled with good sleep hygiene, this approach is more likely to be successful.
I recommend that you schedule a follow-up appointment with your doctor for consultation and discussion as soon as possible.

Reply Date: 2018/04/19

More Info

Xanax XR (Alprazolam extended-release) is a medication primarily used to treat anxiety disorders and panic disorders. It belongs to a class of drugs known as benzodiazepines, which work by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain. This action helps to produce a calming effect, reducing feelings of anxiety and promoting relaxation.

From your description, it seems that you have been experiencing a range of physical and mental health issues, including anxiety, depression, and gastrointestinal problems. It's not uncommon for individuals facing significant stress, such as work-related pressure or health concerns, to develop symptoms of anxiety or depression. Xanax XR can be effective in managing these symptoms, but it is essential to understand both its benefits and potential drawbacks.

Understanding Xanax XR and Its Effects
1. Mechanism of Action: As mentioned, Xanax XR works by enhancing GABA activity, which helps to calm the nervous system. This can lead to a reduction in anxiety symptoms, improved mood, and a sense of well-being. Many patients report feeling more relaxed and able to cope with daily stressors after starting this medication.

2. Duration of Action: The "XR" in Xanax XR indicates that it is an extended-release formulation. This means that the medication is designed to release slowly over time, providing a more prolonged effect compared to immediate-release formulations. This can be beneficial for individuals who require consistent anxiety management throughout the day.

3. Potential for Dependence: One of the significant concerns with benzodiazepines, including Xanax, is the potential for dependence and withdrawal symptoms. After three weeks of use, your body may have started to adapt to the presence of the medication. If you suddenly stop taking it or significantly reduce your dosage, you may experience withdrawal symptoms, which can include insomnia, anxiety, irritability, and physical discomfort.

Managing Withdrawal Symptoms
If you are experiencing withdrawal symptoms such as insomnia after reducing or stopping Xanax XR, it is crucial to approach this situation carefully:
1. Consult Your Doctor: The first step is to discuss your symptoms with your prescribing physician. They can assess your situation and may recommend a gradual tapering of the medication rather than an abrupt discontinuation. This can help minimize withdrawal symptoms.

2. Sleep Hygiene: Implementing good sleep hygiene practices can also aid in managing insomnia. This includes maintaining a regular sleep schedule, creating a comfortable sleep environment, and avoiding stimulants such as caffeine close to bedtime.

3. Alternative Therapies: In addition to medication, consider exploring other therapeutic options. Cognitive-behavioral therapy (CBT) is effective for anxiety and insomnia. Mindfulness practices, relaxation techniques, and physical exercise can also support mental health and improve sleep quality.

4. Lifestyle Modifications: Addressing lifestyle factors such as diet, exercise, and stress management can significantly impact your overall well-being. A balanced diet, regular physical activity, and stress-reduction techniques can help improve both your physical and mental health.

Conclusion
While Xanax XR can be effective in managing anxiety and depressive symptoms, it is essential to be aware of the potential for dependence and withdrawal. If you are experiencing withdrawal symptoms, it is crucial to consult with your healthcare provider for appropriate management strategies. With the right support and a comprehensive approach to your mental health, it is possible to regain control over your sleep and overall well-being. Remember, recovery is a journey, and seeking help is a vital step in that process.

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