What is the Strongest and Weakest Benzodiazepine Available?

Whether Xanax is safe to take during pregnancy may depend on how far along the pregnancy is. For more information, see the “Xanax and pregnancy” section above. Also, you should not drive or perform other potentially dangerous activities, such as operating machines, until you know how the drug combination affects you. By boosting the effect of GABA, Xanax helps reduce nervous tension and feelings of anxiety.

Which benzos are best for anxiety?

Benzodiazepines most commonly used to treat anxiety disorders are clonazepam (Rivotril)*, alprazolam (Xanax) and lorazepam (Ativan). Also used are bromazepam (Lectopam), oxazepam (Serax), chlordiazepoxide (once marketed as Librium), clorazepate (Tranxene) and diazepam (Valium).

Benzodiazepines may interact with ethanol, other benzodiazepines, and sedatives such as barbiturates, resulting in increased respiratory depression via a synergistic effect. Therefore, concomitant administration of benzodiazepines with patients under the influence of the preceding drugs should be carefully performed, with respiratory monitoring in place. Alprazolam, along with other benzodiazepines, is often used with other recreational drugs. Alprazolam may also be used with other depressant drugs, such as ethanol, heroin, and other opioids, in an attempt to enhance their psychological effects.

Warnings for certain people

Buffett-Jerrott SE, Stewart SH. Cognitive and sedative effects of benzodiazepine use. Lenox RH, Modell JG, Weiner S. Acute treatment of manic agitation https://sober-home.org/ with lorazepam. Mattila-Evenden M, Bergman U, Franck J. A study of benzodiazepine users claiming drug-induced psychiatric morbidity.

In Germany, alprazolam can be prescribed normally in doses up to 1 mg. Higher doses are scheduled as Anlage III drugs and require a special prescription form. Those at a particularly high risk for misuse and dependence are people with a history of alcoholism or drug abuse and/or dependence and people with borderline personality disorder. Not all withdrawal effects are evidence of true dependence or withdrawal. Recurrence of symptoms such as anxiety may simply indicate that the drug was having its expected anti-anxiety effect and that, in the absence of the drug, the symptom has returned to pretreatment levels.

What conditions qualify for Xanax?

Xanax is FDA-approved for short relief of generalized anxiety disorder and panic disorder only. Signs of an anxiety disorder may include: Nervousness, restlessness, or tension. A sense of impending doom or danger.

Deirdre has extensive experience in mental health and treating substance use disorder related issues. In addition, Deirdre has experience in caring for young adults, women’s health issues and adolescents with HIV/AIDS. She served as a Wellness coordinator at Search for Change, Inc and currently serves as an Independent Practice Coach from 2011 to present. As the Family Nurse Practitioner, Deirdre performs history and physical exams, and works with clients to diagnose and treat dual diagnosis clients. He earned a Bachelor’s degree at Lincoln University of Pennsylvania while pursuing his CAC-AD.


However, if they become more severe or do not go away, talk with your doctor or pharmacist. There are special rules around prescribing and supplying of schedule IV controlled drugs. Benzodiazepines are often used to “bridge” patients who are starting an „antidepressant“ for anxiety, since the therapeutic effects may be delayed, and patients may experience stimulating side effects initially. Benzodiazepine and alcohol can have a synergistic interaction, leading to CNS depression and death.

benzo xanax

That means you may become dependent on these meds and that you have to keep increasing the dose to get the same effect. Actually benzos, especially Xanax, have street value because of the pleasant feeling they induce. In 2017, there were more than 11,000 deaths involving benzos alone or with other drugs, and in 2015, a fifth of those who died of opioid overdose also had benzos in their blood. But dependence is different than addiction — the distinction identified by the new term, CPBD. Most of these patients don’t have addictions that result in sacrificing jobs, relationships or personal stability.

These Are the Strongest Benzodiazepines

Everyday Health supports Group Black and its mission to increase greater diversity in media voices and media ownership. From essential oils to journals to meditation apps, you have plenty of options for tools to help ease anxiety symptoms. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

benzo xanax

Benzodiazepine actions mediated by specific gamma-aminobutyric acid receptor subtypes. Role of the histidine residue at position 105 in the human alpha 5 containing GABA receptor on the affinity eco sober house price and efficacy of benzodiazepine site ligands. They are widely distributed in the body and preferentially accumulate in lipid-rich areas such as the central nervous system and adipose tissue.

What is Xanax?

To help make sure that you do not miss a dose, try using a medication reminder. It’s called Xanax XR, and it’s approved to treat only panic disorder. Xanax is a type of drug called a benzodiazepine, and it contains the active drug alprazolam. It helped that the conditions imposed by the eco sober house cost pandemic were ideal for withdrawal. There were no temptations such as dinners or parties to miss out on and, for non-essential workers, no harried commute or busy office. Maybe there is also a natural desire to control what little can be controlled in the midst of so much disorder.

  • For more information about side effects of Xanax, see the “Xanax side effects” section above.
  • To see how Xanax is similar to and different from clonazepam, you can refer to this article.
  • Chronic administration of diazepam, another benzodiazepine, to nursing mothers has been reported to cause their infants to become lethargic and to lose weight.
  • RxList does not provide medical advice, diagnosis or treatment.

As the Medical Director, Mark works with the staff to coordinate the appropriate level of care for each individual client. He works directly with the clients on management of medical issues both related to and separate from their addiction, ensuring comprehensive health care plans that ensure our clients’ chances at recovery. What he has found to be most rewarding about working in the addictions treatment field is being able to help suffering addicts and alcoholics to realize their fullest potential. Still, Xanax can effectively treat panic attacks, anxiety, and depression. Xanax has been listed as one of the top 10 drugs responsible for more overdose deaths in the United States.

Importantly, the skills earned during therapy can always be used, allowing better long-term outcome compared to medications. Benzos are also used for other medical conditions, such as treatment of seizures or alcohol withdrawal in the hospital. There is no good evidence for use of benzos in post-traumatic stress disorder. As an academic psychiatrist who treats people with anxiety and trauma, I often hear questions about a specific class of medications called benzodiazepines. I also often receive referrals for patients who are on these medications and reluctant to discontinue them. “This is really a dangerous situation,” said Christopher K. Blazes, M.D., assistant professor of psychiatry in the OHSU School of medicine and the director of OHSU’s addiction psychiatry fellowship.

With heightened public awareness of the nation’s opioid epidemic, some state and local officials are insisting that these anti-anxiety medications start sharing some of the scrutiny. Mark joined the medical team at The Freedom Center in September 2018 as the Medical Director. He received his medical degree in Mexico with further certification from Rutgers Medical School in New Jersey. He then attended New York Medical College for his residency training. Prior to being hired at The Freedom Center, he spent over twenty years working in the field of addictions treatment, and has been involved in nearly every treatment setting, from outpatient to residential to maintenance management. Judy is a Licensed Clinical Professional Counselor in the State of Maryland, and a National Certified Counselor.

The pharmacokinetic properties of a drug determine its onset of action and the duration of its effect. Specifically, pharmacokinetics describes the absorption, distribution, metabolism, and excretion of a drug . Pharmacodynamics describes the responsiveness of receptors to a drug and the mechanism by which these effects occur . Individuals respond differently to the same drug, and often these different responses reflect the pharmacokinetics and/or pharmacodynamics among different patients. BZDs are also used intraoperatively because of their amnesic and anxiolytic properties.

In some parts of the country, the prevalence of Xanax in drug overdose autopsy reports was even higher. But the number of people taking the sedatives and the average length of time they’re taking them have shot up since the 1990s, when doctors also started liberally prescribing opioid painkillers. Deirdre graduated in 2012 from Pace University and completed her bachelor’s at Columbia University in New York and has her Master of Science in Family Nurse Practitioner.

benzo xanax

Prolonged benzodiazepine abuse can cause some of the very problems the drugs are designed to treat. When a physically-dependent person quits benzodiazepines, withdrawal can set in. Alprazolam is one of the strongest short-acting benzodiazepines and is often prescribed by doctors because its half-life is shorter than 26 hours. Clonazepam, the most potent benzodiazepine, is used to treat seizures and anxiety disorders. Xanax can be considered the most potent benzodiazepine to treat anxiety.


Oftentimes, the language used to describe Xanax will vary depending on what it looks like. Xanax pills can vary in size, shape, and color, which can make identifying Xanax difficult. For example, some Xanax pills are white while others are yellow, orange, blue, or green, which gives them names like “Hulk” or “Yellow boys,” for green and yellow colored Xanax respectively. Other Xanax pills may be referred to as “footballs,” which are a type of blue, oval-football-shaped Xanax pills.

What does alprazolam 0.5 mg do to you?

Alprazolam is used to treat anxiety disorders and panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks). Alprazolam is in a class of medications called benzodiazepines. It works by decreasing abnormal excitement in the brain.

Bunmi is dedicated to helping her clients reach their full potential and build their toolkit of resources to support their long-term recovery. Some drugs prescribed for anxiety can help patients sleep better if they are mandated to take them at night. When taken in smaller or lower doses, sleeping pills can help patients feel calm during the day.

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