Aprazolam and Stopped Taking for a Year but Needed It Again

Xanax, originally calledalprazolam, is a popular benzodiazepine (benzo) ordinarily used to treat anxiety disorders and panic disorder. This medication binds to the GABA-A receptors in the brain, causing allaying, hypnotic, and anticonvulsant furnishings. Alprazolam was first released in 1981, and inside a few years, Xanax became a "blockbuster drug." In 2006, information technology was declared the most misused benzodiazepine on the market.

The high potency and fast-acting nature of Xanax requite it a pregnant potential for dependence and addiction. With plenty utilize, in that location is a high potential for an private building up a tolerance to the drug as the encephalon adjusts to the constant presence of the substance. In one case this has occurred, stopping intake of Xanax results in withdrawal symptoms as the body goes through the detoxification process.

How long these symptoms and their peak terminal depend on a number of factors, including:

  • How long the medication was used
  • How heavily information technology was driveling
  • Individual body type and chemistry
  • Genetic factors
  • Anxiety issues before the person started taking it
  • Whether medications are used to help in detox

No thing what the state of affairs, detox is not pleasant, especially during the pinnacle of symptoms; however, in that location are treatments available to make the process easier. With medical detox, withdrawal symptoms can be kept to a minimum and support is continually available. Due to the potential of life-threatening symptoms during withdrawal, medical detox is necessary for those suffering from benzodiazepine dependence.

Withdrawal and Symptoms Peak

There are 2 factors to withdrawal when it comes to benzos. The starting time is the initial fix of symptoms, referred to asacute withdrawal, which tin can be severe and final for 10-14 days, though some sources list the time period as anywhere from 5 to 28 days, with symptoms peaking at two weeks. This is more than likely for long-lasting benzos, withal. Considering Xanax is a fast-acting drug, the 10-14 24-hour interval timeline is much more than likely.

This oft includes what's referred to asrebound anxiety, which tin can announced in as little as 6-viii hours after the concluding dose and tends to meridian after a couple of days. When an individual takes Xanax for anxiety and then stops intake, intense anxiety is ofttimes experienced that is worse than it was before treatment with the medication started. This can last for weeks or even months, and often needs to be treated with another type of medication. Symptoms that concluding for weeks or more than are classified aspost-acute withdrawal syndrome.

The initial withdrawal procedure is referred to asbenzodiazepine withdrawal syndrome. Some of the symptoms can exist quite serious and require medical attention, merely the majority are simply unpleasant. These elevation subsequently a couple days and typically final through day ten-14. Symptoms can include:

  • Anxiety
  • Panic attacks
  • Irritability
  • Insomnia
  • Sweating
  • Hand tremors
  • Headache
  • Muscle stiffness or pain
  • Confusion
  • Difficulty concentrating
  • Memory bug
  • Nausea or vomiting
  • Weight loss
  • Palpitations
  • Hallucinations
  • Psychosis

The most severe symptoms ordinarily occur when an individual is on a high dose of the medication and abruptly stops all intake. Information technology's much safer to gradually wean a patient off a drug like Xanax – doctors will rarely recommend stopping the apply of a benzo all at in one case. Withdrawal from benzos is also unique in the fact that symptoms tend to come and go during the detoxification menstruation, rather than clearly peaking and tapering off like with other drugs.

Withdrawal symptoms from Xanax can even announced if the individual has been prescribed the medication and followed the directions for intake carefully. They can also be more than severe if the private has an underlying or co-occurring disorder that'southward more than severe than a simple anxiety disorder, such every bit schizophrenia or bipolar disorder. Individuals with seizure disorders are also at risk for life-threatening symptoms.

In some cases, a person may develop mail service-acute withdrawal syndrome, also known every bitprotractedwithdrawal syndrome. Effectually 10 percent of those who quit benzos abruptly will develop this condition. This refers to fix of unpleasant symptoms that persist far across the initial detoxification catamenia. Benzos are considered to accept the highest adventure of producing this condition, sometimes causing symptoms to concluding for years later all use of the drug has stopped. Individuals have reported the following disturbing symptoms:

  • Psychotic low
  • Decreased appetite
  • Insomnia
  • Poor concentration
  • Anhedonia (inability to feel pleasure)
  • Psychomotor impairment
  • Anergia (abnormal lack of energy)
  • Paranoia
  • Hallucinations
  • Electrical shock sensations
  • Depersonalization
  • Dizziness

Many of these were experienced in patients with no prior psychiatric history and took 14 months to resolve.

The near common protracted withdrawal symptoms are merely anxiety and insomnia. These can occur even for those who are weaned off Xanax, especially if goose egg else is done to treat their anxiety disorder.

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Medication Treatment

doctor speaking to patient about medication used to help treat the symptoms of withdrawal from xanaxThere are enough of medications available to treat the symptoms of astute withdrawal from drugs similar Xanax, fifty-fifty during elevation withdrawal. Postal service-acute withdrawal is more than difficult to treat and oft requires an individualized arroyo.

To combat anxiety and depression in individuals going through Xanax withdrawal, many medical professionals prescribe nonaddictive antidepressants, such as selective serotonin reuptake inhibitors (SSRIs). These antidepressants are considered to be safer than benzos and are not habit-forming, nor tin users develop a tolerance to them. The merely problem is that SSRIs can frequently have up to six weeks to go into full effect and therefore may non be suitable for astute symptoms. They also produce their own withdrawal symptoms, including possible suicidal urges, if intake is stopped suddenly.

Another drug commonly used to care for anxiety patients with substance abuse issues is buspirone, an anxiolytic psychotropic drug that is non related to either benzos or barbiturates (another addictive anti-feet drug grade) and does non comport the same risks of dependence and withdrawal. It's been canonical for the short-term handling of anxiety, taking simply ii-3 weeks to reach full consequence, making it fifty-fifty more ideal for treating rebound anxiety in those detoxing from Xanax.

When it comes to postal service-acute withdrawal syndrome, it tin can take a long fourth dimension to effigy out what kind of medication will be effective in controlling feet and depression. Some medical professionals believe that the brain simply needs a lot of time to adjust, particularly after heavy apply of drugs like benzos.

These drugs change the chemistry of the brain and can fifty-fifty change its very structure. Sometimes, information technology takes a lot longer than a couple weeks for the organ to heal itself. Long-term users are at the greatest take chances for serious damage. I report of 4,425 long-term users of benzos establish that 75 percent of them were markedly ill to extremely ill.

close up of patient and doctor taking notes

At that place is 1 medication that's currently beingness tested for its usefulness in treating symptoms of irritability and aggression in those with post-acute benzodiazepine withdrawal. A recent written report published inPharmacology Biochemistry and Behavior found that in patients with this syndrome who were treated with flumazenil, a drug frequently used to treat benzo overdose, aggression and hostility were reduced. It'south idea that this drug works by attaching to the same pleasance heart receptors in the brain as benzos like Xanax, producing a similar effect. Even so, this also blocks the actual benzodiazepine from working, which tin can cause rapid detoxification in those experiencing acute symptoms, and it should be avoided by anyone who has recently taken a benzo.

After detox is complete and the astute withdrawal symptoms have faded, information technology's highly recommended for individuals to seek boosted treatments beyond medication. Comprehensive handling that includes therapy and addiction support groups greatly reduces the chance of relapse and can help those who practice relapse go dorsum on track. Overcoming addiction is about much more than detox and getting through withdrawal. Information technology'south a lifelong process of healing and cocky-discovery.

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