How To Handle Dangerous Xanax Withdrawal Symptoms?

Discover the dangerous symptoms to watch for and effective treatment options.

Dr. Deyhimy MD
May 2, 2024

Understanding Xanax Withdrawal

When an individual who has been consuming Xanax for an extended period of time decides to discontinue its use, they may experience withdrawal symptoms. It is important to understand the onset, duration, and severity of these symptoms to effectively manage and seek appropriate support during this challenging time.

Onset of Withdrawal Symptoms

According to American Addiction Centers, Xanax withdrawal can begin within 24 hours after the last dose. The first symptoms typically appear within 8 to 12 hours of discontinuation. These early symptoms can include anxiety, restlessness, and insomnia.

Duration and Severity of Symptoms

Xanax withdrawal symptoms can vary in duration and severity depending on factors such as the dosage and duration of use. For individuals who have been using Xanax for 6 months or more, approximately 40% may experience moderate to severe withdrawal symptoms upon discontinuation [2].

Physical symptoms are usually worse on the second day of withdrawal and tend to improve by the fourth or fifth day. Mental and cognitive symptoms, on the other hand, are often most severe on days 3 through 6. Symptoms such as insomnia, cravings for Xanax, and anxiety may persist longer.

It is important to note that protracted Xanax withdrawal, characterized by waves of mild psychological symptoms that come and go over several months, can affect approximately 10% to 25% of long-term benzodiazepine users. The duration of protracted withdrawal can extend up to one year.

Understanding the timeline and potential severity of Xanax withdrawal symptoms can help individuals prepare for the challenges they may face. Seeking medical guidance and support is crucial during this time to ensure a safe and manageable withdrawal process.

Dangerous Symptoms to Watch For

When withdrawing from Xanax, it's crucial to be aware of the potential dangerous symptoms that may arise. Xanax withdrawal can lead to severe and even life-threatening effects if not managed properly. Here are two dangerous symptoms to watch for during Xanax withdrawal:

Seizures and Hallucinations

Seizures and hallucinations are among the dangerous symptoms that can occur during Xanax withdrawal. Seizures, in particular, can be life-threatening and require immediate medical attention. It is estimated that around 40% of individuals experience severe withdrawal symptoms, which may include seizures, while approximately 60% experience milder symptoms. These symptoms can be distressing and may pose serious risks to the individual's well-being.

Delirium and Grand Mal Seizures

Delirium and grand mal seizures are potential risks associated with Xanax withdrawal, particularly for those who have been taking Xanax several times a day. Delirium involves abrupt changes in cognition and behavior, leading to confusion, disorientation, and sometimes even hallucinations. Grand mal seizures, on the other hand, are characterized by violent muscle contractions and a loss of consciousness.

To mitigate the risks associated with these dangerous symptoms, it is crucial to seek medical help when experiencing Xanax withdrawal symptoms. Medical professionals can provide the necessary support and guidance to ensure a safe withdrawal process.

Remember, tapering down the Xanax dosage under the supervision of a healthcare provider is highly recommended to minimize the risks of experiencing these dangerous symptoms. Seeking appropriate medical care is essential in managing Xanax withdrawal symptoms and ensuring the well-being of individuals undergoing the withdrawal process.

Factors Influencing Withdrawal

Various factors can influence the severity and duration of Xanax withdrawal symptoms. Understanding these factors is crucial for individuals who are considering discontinuing the use of Xanax. The two primary factors that play a significant role in withdrawal are the dosage and duration of use, as well as concurrent use of multiple benzodiazepines.

Dosage and Duration of Use

The dosage and duration of Xanax use can significantly impact the severity of withdrawal symptoms. According to the American Addiction Centers, individuals who consume higher doses of Xanax are more likely to experience more severe acute withdrawal symptoms. Additionally, the use of shorter-acting benzodiazepines like Xanax is associated with more intense withdrawal effects.

Research indicates that consuming more than 4 mg of Xanax per day for 12 weeks or longer increases the risk of physiological dependence and severe withdrawal symptoms. Approximately 40% of individuals who use benzodiazepines for 6 months or more experience moderate to severe withdrawal symptoms upon discontinuation.

Concurrent Use of Multiple Benzodiazepines

Concurrent use of multiple benzodiazepines can also contribute to the severity of Xanax withdrawal symptoms. Combining different benzodiazepines may lead to a higher risk of physiological dependence and more challenging withdrawal experiences. The American Addiction Centers suggests that individuals who engage in the concurrent use of multiple benzodiazepines are more likely to experience more severe acute withdrawal symptoms compared to those using a single benzodiazepine.

It's important to note that physiological dependence and the risk of withdrawal can occur even after prolonged treatment with therapeutic doses of Xanax. However, the likelihood of experiencing withdrawal symptoms and the factors affecting the risk of physiological dependence, such as exposure duration or dosage, are still not completely understood.

By considering the dosage and duration of Xanax use, as well as being cautious about concurrent use of multiple benzodiazepines, individuals can better understand the potential risks and tailor their withdrawal process accordingly. It is crucial to consult a healthcare professional for personalized guidance and support when considering discontinuation of Xanax or any benzodiazepine medication.

Managing Xanax Withdrawal

When it comes to managing Xanax withdrawal, it is essential to prioritize the well-being and safety of the individual going through this process. Withdrawing from Xanax can lead to a range of symptoms, including potentially dangerous ones. Here, we will explore the importance of medical supervision and the tapering down of dosage as key strategies to effectively manage Xanax withdrawal.

Importance of Medical Supervision

Seeking medical supervision during Xanax withdrawal is crucial. Approximately 40% of individuals may experience severe withdrawal symptoms, while around 60% experience milder symptoms. The guidance and expertise of a healthcare professional can help monitor the individual's condition and ensure appropriate interventions if necessary.

Medical professionals can provide personalized support based on the individual's specific circumstances. They can assess the severity of withdrawal symptoms, provide guidance on managing discomfort, and address any potential complications that may arise during the withdrawal process.

Tapering Down the Dosage

Tapering down the dosage of Xanax under medical supervision is a widely recommended approach to manage withdrawal symptoms. Abruptly stopping the use of Xanax can lead to severe withdrawal symptoms, including life-threatening emergencies such as seizures [1]. Tapering involves gradually reducing the dose over a period of time, allowing the body to adjust to progressively lower amounts of the medication.

By slowly tapering the dosage, the risk of severe withdrawal symptoms can be minimized. This approach gives the individual's body time to adapt to the decreasing levels of Xanax in their system. The specific tapering schedule will depend on factors such as the individual's dose, duration of use, and overall health. It is crucial to follow the guidance of a healthcare professional who can tailor the tapering plan to the individual's needs.

Tapering off Xanax should always be done under medical supervision to ensure safety and effectiveness. Healthcare professionals can closely monitor the individual's progress, make necessary adjustments to the tapering schedule, and provide support throughout the process.

By emphasizing the importance of medical supervision and the gradual reduction of Xanax dosage, individuals can navigate the withdrawal process with increased safety and support. It is essential to consult a healthcare professional who can guide and monitor the individual's progress, ensuring a smoother transition and minimizing the risk of dangerous withdrawal symptoms.

Treatment Options for Withdrawal

When it comes to managing Xanax withdrawal, there are several treatment options available to help individuals navigate this challenging process. Two commonly utilized approaches include the use of flumazenil and other medications, as well as switching to long-acting benzodiazepines.

Flumazenil and Other Medications

Flumazenil, a medication that blocks the activity of benzodiazepines at specific receptor sites, has shown promise in alleviating acute and protracted withdrawal symptoms of benzodiazepines, including Xanax. According to studies, individuals who took flumazenil experienced fewer withdrawal symptoms, had reduced cravings, completed withdrawal at better rates, and experienced lower rates of relapse [2].

In addition to flumazenil, other medications may be prescribed to manage specific symptoms associated with Xanax withdrawal. These medications can help alleviate anxiety, insomnia, and other discomforts that may arise during the withdrawal process. It's important to consult with a healthcare professional who specializes in addiction medicine to determine the most appropriate medication options based on individual needs.

Switching to Long-acting Benzodiazepines

Another strategy for managing Xanax withdrawal is to switch from Xanax to long-acting benzodiazepines, such as Valium (diazepam). Long-acting benzodiazepines have a slower onset and longer duration of action compared to Xanax. This can help ease withdrawal symptoms and provide a smoother transition during the tapering process [1].

The switch to a long-acting benzodiazepine should be done under the guidance and supervision of a healthcare professional. Once stabilized and free of withdrawal symptoms, the doctor can proceed to gradually taper the dose of the long-acting benzodiazepine. This tapering process allows the body to adjust to progressively lower doses, minimizing the risk of withdrawal symptoms.

It's important to note that the treatment plan for Xanax withdrawal should be tailored to the individual's specific needs and circumstances. The severity of withdrawal symptoms, duration of Xanax use, and other factors will influence the choice of treatment options. Seeking medical supervision and guidance throughout the withdrawal process is essential for ensuring safety and minimizing potential risks.

Remember, abruptly stopping the use of Xanax without proper medical guidance can lead to severe withdrawal symptoms and complications. If you or someone you know is considering discontinuing Xanax, it's crucial to consult with a healthcare professional who can provide personalized care and develop a comprehensive plan to manage withdrawal effectively.

Risks and Precautions

When it comes to Xanax withdrawal, there are several risks and precautions that individuals should be aware of. It's important to understand these potential dangers and take appropriate measures to ensure a safe withdrawal process.

Neonatal Withdrawal Syndrome

For individuals who are pregnant or planning to become pregnant, it's crucial to exercise caution when using Xanax. Alprazolam, the active ingredient in Xanax, is classified as pregnancy category D, indicating prior evidence of human fetal risk. While benzodiazepines are sometimes prescribed during pregnancy to manage anxiety symptoms, they can lead to neonatal withdrawal syndrome and other congenital malformations.

Neonatal withdrawal syndrome occurs when a baby experiences symptoms of withdrawal after being exposed to drugs in the womb. Symptoms may include irritability, poor feeding, tremors, and difficulty sleeping. It's important to consult with a healthcare provider to discuss the potential risks and benefits of using Xanax during pregnancy and explore alternative treatment options.

Misuse Liability and Emergency Visits

Xanax, including its generic form alprazolam, has been found to have a high misuse liability, especially among individuals with a history of substance use disorders. It is associated with a higher rate of emergency department visits related to drug misuse per prescription compared to other commonly prescribed benzodiazepines. Moreover, the death rate due to alprazolam overdose has seen a significant increase over the years.

The misuse of Xanax can lead to various health risks, including dependence, addiction, respiratory depression, and even fatal overdose. It is essential to use Xanax strictly as prescribed by a healthcare professional and to be mindful of the potential for misuse. If you or someone you know is struggling with Xanax misuse or addiction, seek help from a healthcare provider or addiction specialist.

To mitigate the risks associated with Xanax, healthcare providers should carefully evaluate the risks and benefits of treatment, regularly discuss the treatment plan with patients, and consider the use of a formalized written treatment agreement. Discontinuation of Xanax should be done gradually, following a tapering schedule, and may require substitution with a longer-acting benzodiazepine, such as clonazepam. Other medications, such as clonidine, carbamazepine, valproate, or gabapentin, may also be employed to alleviate withdrawal symptoms.

The widespread use of Xanax highlights the importance of understanding its risks and taking necessary precautions. By being informed and seeking professional guidance, individuals can navigate the withdrawal process safely and effectively.

References


[2]:

[3]:

[4]:

[5]:

About the Author
Dr. Deyhimy MD

Dr. David Deyhimy, with over 20 years of experience, is a board-certified physician in addiction medicine and anesthesiology based in Orange County.

FIND OUT IF YOUR HEALTH INSURANCE WILL PAY FOR TREATMENT
Verify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery CenterVerify Insurance | Coachella Valley Recovery Center
VERIFY BENEFITS
GET IMMEDIATE HELP DAY OR NIGHT

TREATMENT DESIGNED FOR YOU.

Don’t hesitate to contact us today with any questions you may have about our program or if someone you know is struggling with addiction.