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Xanax Alternatives

Xanax Alternatives

Xanax is a common prescription for those who struggle with anxiety and panic disorders. As a fact-acting anti-anxiety medication, patients seek Xanax as a quick fix to their symptoms. However, what many don’t realize is that treatment with antidepressants and therapy can be a safer, more effective means of treatment. 

Let’s look at some alternative treatments for Xanax.

What is Xanax?

Xanax, or alprazolam, is a prescription medication that is part of a class of medications called benzodiazepines. Benzodiazepines all have a basic chemical structure that increases the activity for the neurotransmitter gamma-aminobutyric acid (GABA). This transmitter inhibits the activity of neurons, essentially slowing down the brain and the nervous system. 

While Xanax is known to offer fast relief in many patients who struggle with conditions like panic disorder, it is known for being highly habit-forming and for causing an unfavorable amount of negative side effects.

Side Effects of Xanax

The FDA now requires a boxed warning on all benzodiazepine drugs to improve safety outcomes. The most common side effect that comes with Xanax is daytime grogginess and fatigue because of the ways in which it slows your central nervous system. 

However, there is a long list of side effects associated with Xanax, some of which include:

  • Being forgetful
  • Trouble concentrating
  • Drowsiness
  • Feeling sad or empty
  • Clumsiness or unsteadiness
  • Shakiness and unsteady walk

Alcohol can also intensify the side effects of benzodiazepines, so it’s important to avoid drinking while using them. On top of that, alprazolam can increase the risk of life-threatening problems when used in conjunction with certain other medications.

Finally, since GABA neurons adapt to the presence of the drug and become underactive when withdrawn, it is common for people to develop a physical dependence to Xanax and other similar medications. 

Alternatives To Xanax

While Xanax can be an effective route for treating immediate symptoms of anxiety, there are safer alternatives to benzodiazepines that can be used to help with conditions  like anxiety or panic disorder. 

Generally, antidepressant medications are just as effective and can be more effective in the long term. These medications have the double benefits of helping with depression alongside anxiety, which is helpful since they are commonly co-occurring.

Antidepressants, such as SSRIs, which stands for Selective Serotonin Reuptake Inhibitor, work by blocking the absorption of serotonin into your neurons.

This means that more serotonin is readily available to pass messages between nerve cells. Serotonin is a neurotransmitter that helps regulate things like mood, sleep, and emotional response.

Antidepressants focus on the levels of serotonin (selective) by preventing its absorption by nerve cells in the brain. By stabilizing levels of serotonin, these medications may help decrease feelings of anxiety and regulate mood swings — making them effective in managing symptoms of depression. 

Commonly prescribed antidepressant medications used to help with anxiety include sertraline (Zoloft), fluoxetine (Prozac), or escitalopram (Lexapro). 

It’s worth noting that while antidepressants usually take a few weeks before noticeable results, they are much safer to take in the long-term compared to benzodiazepines. 

Xanax is sometimes used as a sedative to help with sleep problems. For insomnia, you may want to talk to your provider about Trazodone to help aid in sleep. It is a melatonin receptor agonist, which helps to balance chemicals in the brain. It has recently been approved for long-term use, so it is likely to come with less side effects when compared to Xanax.

Non-Medication Alternatives to Xanax

If Xanax is being used to treat anxiety-related disorders, a much safer and equally effective alternative is psychotherapy. The most effective, evidence-based therapeutic technique for anxiety disorders  is cognitive-behavioral therapy (CBT), in which patients record, examine, and analyze their own feelings, helping to find better responses to stressful and anxiety-inducing stimuli.

Using therapy in addition to medication for anxiety disorders is proven to give you a 60% better chance of recovery as opposed to just one treatment alone.

For short term relief from feelings of anxiety, opt for self-care habits such as following a healthy diet and exercise to reduce symptoms of anxiety. Exercise helps to release endorphins and increase the availability of neurotransmitters. It can also help support good sleep, which can simulate some of the sedative effects of Xanax. 

Additionally, mindfulness practices such as grounding and breathing exercises can help provide immediate relief to physical anxiety symptoms.

If you suffer from insomnia and want a treatment that may work as successfully as Xanax, the cognitive behavioral approach is often also used. 

Can You Stop Taking Xanax Safely?

Since Xanax and other benzodiazepines are habit-forming and can lead to physical dependence, you should take some precautions when deciding to stop using them. Be sure to talk with your provider about how you can decrease your dependence and withdrawal symptoms safely.

Withdrawal symptoms are different for everyone, but Xanax withdrawal may include headaches, blurred vision, tremors, sweating, anxiety, panic, loss of appetite, and insomnia. In severe cases, it may lead to seizures or heart palpitations.

To ease withdrawal, the dose is typically reduced gradually. If you’ve been using benzodiazepines for a long time, this process may take several months. In some instances, another type of medication is replaced with Xanax to help ease withdrawal. 

The bottom line is that if you’d like to ease off of Xanax in favor of a safer alternative, that is always an option. Just make sure you speak with a licensed professional to help in the process as it should not be stopped abruptly. This will help ensure you’re taking the necessary precautions. 

In Summary

Xanax is a benzodiazepine, meaning that it slows the brain and central nervous system. This has made it historically popular for treating anxiety and panic disorders, though it has also been used to help with insomnia. 

While Xanax may be effective for some, the FDA warns of serious side effects and potential for addiction when using it. Benzodiazepines often cause the user to become physically dependent, possibly leading to withdrawal symptoms. Luckily, there are safer alternatives out there.

Antidepressants like SSRIs and SNRIs are much safer options for long-term treatment. The most effective non-medical alternative is cognitive-behavioral therapy, as this helps individuals recognize negative thoughts and practice beneficial ones — pairing therapy with medication is one of the most successful routes for many people. Similarly, practicing self-care such as exercising may be able to reduce short-term feelings of stress and anxiety while also helping to regulate sleep.

If you’re looking for a safe anxiety treatment, Brightside can match you with a licensed provider to prescribe you medication that’s delivered right to your door. We’ll use your data to find the  right medication so you can get you back to being you. 



FDA expands Boxed Warning to improve safe use of benzodiazepine drug – FDA

Benzodiazepines (and the alternatives) – Harvard Health

Alprazolam – MedlinePlus

Alprazolam (Oral Route) Side Effects – Mayo Clinic

Benzodiazepine Addiction: Symptoms and Signs – American Addiction Centers

Overview – SSRI antidepressant – NHS UK

Ramelteon – MedlinePlus

Xanax Withdrawal – Symptoms, Dangers, Duration & Treatment – American Addiction Centers


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