Common "Alprazolam Dependence" queries answered by top doctors | iCliniq

Alprazolam Dependence

Alprazolam dependence or benzodiazepine dependence is when a person develops withdrawal symptoms on stopping the drug. The withdrawal symptoms include anxiety, sleep problems, mood swings, tremor, twitches, and headache.

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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 m...  Read Full »


Dr. Seikhoo Bishnui

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 percent every two weeks. D...  Read Full »

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 »


Dr. Aneel Kumar

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 »

How to reduce the dosage of Xanax gradually?

Query: Hello doctor, I am taking tablet Alprazolam 5mg (three tablets, a total of 1.5mg) at bedtime. I do not take any Alprazolam or any other benzodiazepines during the day. Also, I started taking Alprazolam about 6-8 months ago. Originally this was for a short period of insomnia due to a life situation w...  Read Full »


Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. Thanks for your detailed query which is self explanatory about the problem. It was lengthy but it contained only relevant thoughts necessary to express your deep rooted concern. First of all feeling nervous or anxious is common term and if you do not know what it mean...  Read Full »

I am unable to sleep without Alprazolam. What to do?

Query: Hello doctor, I am taking Alprazolam 3mg since 5 years. I am also taking Carbamazepine 30mg since 3 years. Now I am unable to sleep without the medicine. Please help.  Read Full »


Dr. Nidhi Jain

Answer: Hello, Welcome to icliniq.com. You have been taking such a high dose of tablet Alprazolam 3mg since 5 years (long duration) and now you are dependent on it. My treatment plan is to shift you to tablet Valium, a long acting benzodiazepine (in place of Alprazolam) and then gradually taper of...  Read Full »

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