Alprazolam is a drug used in the treatment of anxiety disorders and panic attacks (sudden attacks of fear and worry). This drug belongs to the group of drugs called benzodiazepines. It works by decreasing abnormal reactions by enhancing the effects of GABA (Gamma-aminobutyric acid), a natural chemical found in the body.
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I have a history of premature ventricular contractions and fluttering after taking Alprazolam. Why?
Query: Hi doctor, I have been taking 0.5 mg of Alprazolam, once daily, for approximately three weeks. I have used it for things like airplane flights or to get good sleep, for many years. My last dose was a couple of days ago and today my heart has been fluttering pretty much all day. There is no real patt... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query and understand your concern. Alprazolam belongs to the benzodiazepine group of drugs that are used for sleep problems, and to control anxiety. It is indicated for short-term use only, that is until other medications start working because it has a... Read Full »
What is the best method to taper Alprazolam dosage?
Query: Hello doctor, I am a 60 year old female in not too bad health. I have been on 0.25 mg of Xanax in the morning, and 0.50 mg of Xanax at bedtime, since the last three months. Now it is time to come off it. Also, I take 50 mg Pristiq in the morning. My doctor wants to change my Xanax schedule to 0.25... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query, and understand that you are looking to taper Xanax. Xanax is Alprazolam and is a benzodiazepine drug. Dose tapering after prolonged use should be done in a gradual manner. For my patients, I reduce the dose by 20 to 25 % every two weeks. Doses c... Read Full »
How to become more energetic and active?
Query: Hi doctor, I am taking Stalopam 10 bd, Fludac 20 od and Alprax 0.5 od for anxiety and depression. I feel sleepy in daytime and frequent yawning. I feel fatigue and no energy or activeness. I am also on Olmesartan for high BP; Harty and Mactor EZ for high cholesterol levels. Kindly suggest some medic... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. You are suffering from anxiety and depressive disorder and are on 20 mg Escitalopram and 20 mg Fluoxetine per day.Both these drugs are SSRIs (selective serotonin reuptake inhibitor) and in my opinion there is no use in taking two SSRI drugs ... Read Full »
Are Xanax and premature ejaculation related?
Query: Hello doctor, My problem is very common with statistically around 30% of men face, which is premature ejaculation. There is no erectile dysfunction. It is just that I discharge at an extremely swift pace, that is within 30 seconds to 2 minutes of sexual activity. I have tried all techniques like st... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration.Frequently, performance anxiety could be a cause of premature ejaculation. In that case, you can take deep breath ... Read Full »
Are depression, insomnia, and anxiety withdrawal symptoms of Xanax?
Query: Hello doctor, I have been taking 0.5 mg Xanax for sleeping most nights for the past 2 to 3 months. I bought it myself and took it to help me sleep. I have started trying to stop, or take less, and have noticed feelings of depression, insomnia, feeling anxious, and an aching neck and jaw and feeling... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, during withdrawal from Benzodiazepines, people do feel the problems you are facing currently. Yes, they are withdrawal symptoms. Sertraline was prescribed because your GP suspected depression. If you already took this medicine in past, you can again start it now. T... Read Full »
How to prevent serotonin syndrome while taking antidepressants?
Query: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on Duloxetine 60 mg (will stop in the next 7 weeks), Paroxetine 20 mg (will be reduced in the following weeks), Clomipramine hydrochloride... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. There is always a possibility of serotonin syndrome when two or more serotonergic antidepressants are being used.However, Clomipramine and an SSRI (selective serotonin reuptake inhibitor) like Paroxetine are frequently used together in resistant OCD (obsessive-compulsive ... Read Full »
Is it safe to drop down Mirtazapine and Xanor at the same time?
Query: Hello doctor, I was taking 30 mg Mirtazapine for 10 weeks before being told by the doctor to take 45 mg three weeks ago. I have now been told to drop it back to 30 mg a day. I also have been taking Xanor 0.25 mg for past six months. For the first two weeks, I took two tablets a day then was told to... Read Full »
Answer: Hello, Welcome to icliniq.com. If he is asking to reduce the doses, then no need to get worried. Mirtazapine has different actions and is a different drug than Xanor (Alprazolam). No need to get worried about that. Even Mirtazapine is a unique drug which has great effects on sleep at 15 to 30 mg d... Read Full »
What is the cause for lower pelvic pain with numbness and tingling of the same side leg?
Query: Hello doctor, I have been having some pelvic pain in the lower left side for a couple of weeks. I went to the doctor, and he said everything looked fine. So, I thought maybe it is a muscle strain in the groin area. Today two hours back, I was sitting on the floor for 20 to 30 minutes, and my entire... Read Full »
Answer: Hi, Welcome to icliniq.com. We need to evaluate stroke with such description. This could be an anxiety attack, but ruling out stroke is utmost important. In such a case, I would recommend you to go to a nearby ER and get evaluated clinically. If they find any evidence of stroke, they will... Read Full »
Can low doses of Alprazolam cause serious side effects when used once?
Query: Hello doctor,I am prescribed a 6 x 0.25 mg Alprazolam tablet as a sleeping pill. Is a 1.5 g Alprazolam tablet dangerous when used once? Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. May I know for what reason you were prescribed this medicine? I would say it is not harmful if you have taken it once. But if you have taken that dose for a longer duration and stopped it abruptly, it will be detrimen... Read Full »
I am a 48-year-old female, and I am mentally distraught. I cannot sleep and have bad dreams. Kindly help.
Query: Hello doctor,I am a 48-year-old female, and I am mentally distraught. This past year my 18-year-old daughter's horse died, I caught my husband with a woman in my bed, and my father died in his home, which was 100 feet from my home. I filed for divorce, my husband filed for bankruptcy with the compan... Read Full »
Answer: Hello, Welcome to icliniq.com. I am very sorry for your loss and what you have been going through. It is very limited what I can do being online. But I will still try and motivate you. You have suffered a lot in the past few years. Having extramarital affairs and cheating on your spouse has almost... Read Full »