However, it is not a first line treatment since the development of selective serotonin reuptake inhibitors. Alprazolam is no longer recommended in Australia for the treatment of panic disorder due to concerns regarding tolerance, dependence, and abuse. Most evidence shows that the benefits of alprazolam in treating panic disorder last only 4 to 10 weeks. However, people with panic disorder have been treated on an open basis for up to 8 months without apparent loss of benefit. In the US, alprazolam is FDA-approved for the management of anxiety disorders (a condition corresponding most closely to the APA Diagnostic and Statistical Manual DSM-IV-TR diagnosis of generalized anxiety disorder) or the short-term relief of symptoms of anxiety. In the UK, alprazolam is recommended for the short-term treatment (2–4 weeks) of severe acute anxiety. Benzodiazepines require special precaution if used in children and in alcohol- or drug-dependent individuals. I just recently started having anxiety/panic attacks again and they are severe. My doctor put me on Xanax thinking this would be short lived anxiety. I have only been taking it as needed but it only helps for a short period of time. I don't want to get dependent on Xanax but I also want to stop having the attacks. I was on Klonopin for years and stopped taking it about 2 years ago. Thinking of going back to that instead of the Xanax. I go back to work tomorrow (off three weeks for surgery)and am afraid the Xanax won't last long enough to get me through the day. Hello there, The usual starting Xanax dosage is 0.25 mg to 0.5 mg taken three times a day or as needed. I tried to go back a week ago but had severe panic attack! If you take more than 4 mg per day, you are at risk of extreme physical or mental dependence. You may also experience more severe withdrawal symptoms (including seizures) if you stop taking Xanax or if you lower the dose.
Alprazolam, sold as the trade name Xanax among others. high-dosage users of alprazolam developed reversible depression. In the US. Sep 15, 2016. James Nichols gave an excellent answer but I would like to add just a few comments. Xanax comes in 0.25, 0.5, 1 and 2 mg tablets and is generally dosed to be.