Alprazolam Withdrawal

Alprazolam withdrawal can be difficult – even dangerous. Here, we outline what to expect. Read more in this guide on how to treat alprazolam withdrawal. Your questions are welcomed at the end.

minute read

Getting Ready to Quit

Do you feel sick and tired of being sick and tired?

Alprazolam (Xanax) can be extremely habit forming. If you are like many, you probably started taking alprazolam as a short-term solution for anxiety or a panic disorder…but short-term use quickly escalated into a long-term problem. In fact, it can be extremely difficult to quit taking alprazolam on your own.

When stopping alprazolam use is as dangerous and scary as continuing use – what can you do?

Here, we discuss alprazolam withdrawal in detail. We’ll explain how long it lasts and how you can manage withdrawal safely. Plus, we help you distinguish between drug dependence and drug addiction. Finally, we invite your questions and feedback in the comments section at the bottom of the page. We try to respond personally and promptly to all legitimate questions.

Many people continue to use alprazolam to prevent painful withdrawal.

Learn how you can avoid the cycle of use…and live a drug-free life. More here.


Want help to quit alprazolam RIGHT NOW?
Call us.
We’re here to give you a hand!


What is Alprazolam Withdrawal?

“Withdrawal” is a set of physical and psychological symptoms that occur shortly after you stop using a psychoactive drug at usual doses or frequencies. But, withdrawal is different for each person. It may be hard and severe for some, or moderate with only flu-like symptoms for others.

In all honesty, withdrawal can be challenging. You may already know this if you have attempted to quit alprazolam before. In fact, relapse is common; people are typically unable to succeed at their first, second,..or even fifth attempt to stop due to the severity of these symptoms.

Luckily, withdrawal can be made easier with the support and medical help of trained professionals. Detox centers have helped hundreds of thousands of people to go through withdrawal.

Why not you?


Withdrawal Is The First Step!
Help is reachable.
Call ANYTIME: Day or night!


Causes of Alprazolam Withdrawal

Withdrawal occurs when you become drug-dependent. What is the definition of drug dependence?

When you are dependent on a psychoactive drug, the body has adjusted and adapted to its presence by “slowing down” or “speeding up” specific functions. Central nervous system neurons adapt to the repeated drug exposure and only function normally in the presence of the drug. When the drug is removed, several physiologic “rebound” reactions occur. This set of symptoms is known as the withdrawal syndrome.

Dependence can be further understood as the manifestation of two (2) main changes:

1. BRAIN CHANGES – Using alprazolam chronically for a period of time changes the way the brain functions. Alprazolam produces its calming effect by binding to specific sites on the GABA receptors located in the brain. After a prolonged period of use, it can lead to changes in these receptors, making them less susceptible to stimulation.

2. PHYSICAL CHANGES – Over time, your body and brain adjust to the presence of alprazolam, and when sudden removal of the drug happens, they experience a shock. They struggle to regain normal functioning (normality at this time is the presence of alprazolam in the system), so they manifest their fight by displaying withdrawal symptoms.

It can be extremely difficult to overcome alprazolam dependence without proper professional treatment. Why? Potentially life threatening symptoms are associated with withdrawal. You risk severe complications if you try to withdraw from alprazolam on your own. This is why it’s important that you don’t attempt to cease use without proper medical supervision.

Get help TODAY to access proper detox . Go through withdrawal in a safe and managed environment to maximize your chances of a successful recovery.

Does Dependence = Addiction?

No, not necessarily…

Not all cases of dependence develop into addiction. And not all cases of addiction present with drug dependence. How do experts distinguish between the two? Addiction has psychological roots whereas dependence is more physically associated.

Dependence is based on a physiological need for a psychoactive drug. In fact, physical dependence is an expected and natural adaptation mechanism that occurs after regular, daily dosing of a few weeks or more; it occurs in most people who use medicines like alprazolam.

Addiction, on the other hand, is considered to be a primary, chronic, neurobiologic disease. It is characterized by a compulsive and uncontrollable need for alprazolam. It happens over time with habitual use… and may or may not be accompanied by physical dependence.

How can you know if you’re addicted, or not? – Addiction is characterized by behaviors that include one or more of the following:

  • Compulsive use of alprazolam.
  • Continued use of alprazolam despite harm.
  • Cravings for alprazolam.
  • Impaired control over alprazolam use.
  • Increase in alprazolam doses without consultation with doctor.
  • Using multiple sources (often illegal) to get alprazolam.

Fear of Alprazolam Withdrawal

Alprazolam withdrawal can be one of the scariest experiences in your life. It’s harsh and uncomfortable if you try to do it on your own. Fearing withdrawal is a very real and a very powerful feeling that can keep you stuck in one place…blocking you from the opportunity to live a drug-free life.

People going through withdrawal from alprazolam usually experience a set of uncomfortable and severe symptoms such as:

  • anxiety
  • body pain
  • flu-like symptoms
  • sleep troubles

… and other uncomfortable symptoms.

Q: How does the fear of withdrawal keep you circling back to alprazolam use again and again?
A: When you take alprazolam to cope with withdrawal symptoms. Taking the medication prevents those symptoms from occurring.

The sad thing is, this continued circle of trying to quit and failing seems endless. Going back to alprazolam can make you believe that you cannot feel normal ever again, or even live normally without the medication. Alprazolam dependence blended with fear of withdrawal can destroy a person’s life.

BUT, there’s a chance to turn your life around.

Simply CALL US to speak with a trained and compassionate professional about getting help for withdrawal and addiction. Helpline is available 24 hours a day, 7 days a week.

Alprazolam Withdrawal Symptoms

The symptoms of withdrawal are different for each person. Although you may not experience all of the possible symptoms, you need to be prepared for a range of experiences when it comes to quitting alprazolam. The symptoms that are most commonly reported during withdrawal from alprazolam include:

  • anxiety
  • aggressiveness
  • blurred vision
  • depression
  • intense sweating
  • nervousness
  • tingling in hands and feet
  • trouble sleeping
  • seizures
  • suicidal thoughts
  • weight loss

NOTE HERE: Death due to complications or suicidal thinking is possible when coming off alprazolam. Do not underestimate the power of withdrawal. Instead, always seek medical supervision and help during the period of acute withdrawal from alprazolam.

It’s a fact that alprazolam withdrawal can be severe and unpleasant. But, there are quality detox facilities that employ medically trained staff who can make your withdrawal process as smooth and comfortable as possible.

Call us a to put an end on to the circle of suffering.

You can safely and effectively come off alprazolam…for good!

How Long Does Alprazolam Withdrawal Last?

The duration and intensity of withdrawal depend on several individual factors, such as:

  • Age and metabolism
  • Amount of alprazolam you take
  • Frequency and length of use
  • Level of tolerance
  • Occurrence of other mental illnesses

Although withdrawal from alprazolam is often more intense than the withdrawal from other benzodiazepines, it doesn’t last as long. Alprazolam is a short-acting benzo, so its effects set in sooner and subside quicker than most benzos.

The most intense withdraw symptoms are usually over within 5-7 days, but may persist for up to 3-4 weeks. This is the crucial period that can make the difference between going back to alprazolam or continuing onto the recovery path. Your chances for detox success are increased if you trust your condition to the hands of professionals.

Finding a detox program can be easy.
Simply Call US.
Get help NOW!

Alprazolam Withdrawal Timeline

ONSET OF WITHDRAWAL: 6 – 8 hours after last dose intake.

The onset of alprazolam withdrawal symptoms may occur anywhere from 6 to 12 hours after the last dose of alprazolam has worn off. Some of the first symptoms to appear include anxiety and irritability; these often worsen throughout the withdrawal period.

PEAK OF WITHDRAWAL: 72 hours after last dose intake.

Alprazolam withdrawal symptoms usually peak over the first 72 hours. This is the period during which rebound anxiety and insomnia are at their peak. Other symptoms, such as shaking, muscle pain and sweating, are also common.

LESSENING OF WITHDRAWAL: 1 – 2 weeks after last dose intake.

Although feelings of anxiety and insomnia may still persist, the worst of the acute withdrawal period is usually over 10-14 days after your last dose. From this point on, symptoms of withdrawal tend to get less severe.

PAWS: 3 – 6 months after last dose intake.

Post acute withdrawal syndrome (PAWS) may begin suddenly, even if the initial withdrawal symptoms seem completely resolved. Common PAWS include chronic anxiety, depression, and sleep difficulties, which can linger for several months. Some people report PAWS to have lasted from 3 to 6 months.

Withdrawal can feel like a yo-yo. At first, you feel like you have withstood the worst of it only to find symptoms shown up once again. It can take weeks to months to before you are totally free of alprazolam withdrawal symptoms. However, treating alprazolam addiction does not only involve detox…instead, programs and therapies are applied to treat the underlying addiction.

Let’s verify your coverage for treatment at an American Addiction Centers location. Your information is kept 100% confidential.


How To Withdraw From Alprazolam Safely

The “best” way for you to withdraw depends on your doses and frequency of alprazolam use as well as your individual health state. However, there are protocols for both tapering off alprazolam and medical detox. Combining the two can be incredible safe and effective.

1. TAPERING: When you want to come off of alprazolam, it’s best to go see your physician before you begin your withdrawal process. First, you should be physically examined by your doctor, and then possibly switched to another longer-acting benzodiazepine such as chlordiazepoxide (Librium) or diazepam (Valium).

Then, if your doctor deems it safe for you to go through withdrawal at home, you will need to follow a tapering schedule and reduce doses gradually. In fact, the slower your dose titration, the greater your likelihood of maintained abstinence. Doctors can also prescribe medications or suggest over-the-counter meds for short-term management of symptoms. Your physician should stay available to you throughout the tapering process should any need arise.

2. MEDICAL DETOX: When the levels of discomfort in the first days or weeks of recovery are extremely challenging, then medical detox is necessary. For many the safest way to quit alprazolam is to enroll into a detox facility. There are many treatment programs that can help you manage withdrawal and addiction, and they all differ in cost, environment, and duration. When you are looking for a rehab program, make sure to carefully explore your options and get prepared for what you can expect during medical detox.

What happens during medical detox?

Here is what the withdrawal process in medical settings generally looks like:

FIRST STAGE: Intake and evaluation – The withdrawal process usually begins with an intake assessment of your physical and mental health state. Staff interview you (and potentially close family members) to reveal clues about your drug use history. In addition, evaluations for potential brain trauma, co-occurring mental health disorders, learning disabilities, and/or behavioral disorders may also be done. Expect to undergo an interview, a physical exam, and to submit urine and blood samples during initial evaluation.

SECOND STAGE: Monitoring and support – During the process of stabilization, you will be monitored by a professional medical staff of nurses and doctors that can offer assistance, support, and ease your withdrawal discomfort. Medications that may be used in managing severe alprazolam withdrawal, include:

  • Phenobarbital (barbiturate)
  • Carbamazepine and valproate (anticonvulsants)
  • Trazodone (or other sedating antidepressants)
  • Clonidine or propranolol (antihypertensives)

You can also use over-the-counter-medications from your local pharmacy to treat flu-like symptoms and address body discomfort…in fact, your local pharmacist can assist you with selecting products to help address withdrawal symptoms.

FINAL STAGE: Continuing to rehab – After detox from alprazolam is complete, the ultimate goal is to stay quit and avoid relapse. If doctors assess that you have a case of alprazolam addiction, you will be referred to further treatment and monitoring. Your treatment options feature inpatient or outpatient treatment facilities; 30, 60, 90 day rehab programs (or longer if needed), plus therapies such as psychotherpy and behavioral therapy.

If you have any questions, it’s always easy to call us learn everything you need to know about alprazolam withdrawal, addiction, and available treatment options. Treatment centers have helped millions get through withdrawal, and they can help you too.

Can I Cold Turkey Off Of Alprazolam?


Quitting alprazolam cold turkey is never recommended due to possibly fatal outcomes. In many cases, it is actually dangerous to stop taking alprazolam suddenly and abruptly. This is why you should never attempt a quick alprazolam detox without medical supervision. A tapered alprazolam dose, supervised by a medical detox team, is a safer alternative to cold turkey withdrawal.

The Importance of Alprazolam Withdrawal Rehab

Alprazolam treatment programs work! They can help you overcome the fear of withdrawal, and lead you through the whole process of detox and sobriety with constant care. Rehabs don’t only help you go through  alprazolam withdrawal. The most important thing is that these programs encourage you to discover who you are without alprazolam.

Don’t you deserve to live a drug-free life?

Of course you do!

You’re worth it!


Is withdrawal getting in your way of living the life you envision for yourself?
CALL US to get withdrawal treatment and support.
Don’t let fear control you!


First Step: Don’t Be Afraid Of Alprazolam Withdrawal

You can win your inner battle by not going through the process of withdrawal alone. So, do yourself a favor by reading and following these simple steps that can help you overcome fear of withdrawal, and take the first step towards recovery:

Break out of denial. First, it’s time to face the consequences. Admit that you need help and that alprazolam is stronger than you. Also, honestly look at the harm that alprazolam use has brought to you, your health, and possibly to your loved ones. When you admit to yourself that you have a problem that you cannot resolve on your own…the path to healing begins.

Educate yourself. Read, research, ask, watch testimonials. Make sure you check out everything you need to know about alprazolam withdrawal. This way you’ll will know what to expect from the withdrawal process, and you’ll know how to prepare yourself for the next phase.

Find the best rehab for you. The process of withdrawal may be hard and uncomfortable, so the safest way to quit is by enrolling into addiction treatment. For a start, you can reach out to our trusted treatment consultants to get help right NOW. Calls are Free and confidential. Our advisors are here for you 24 -7 to answer any questions that you might have about withdrawal and treatment programs.

What happens next?

After you ask for help, you will need to:

  1. Enroll into rehab.
  2. Go through intake assessment.
  3. Engage in a treatment program that combines pharmacological and psychological interventions.
  4. Continue walking the road of recovery with the help of aftercare program.

Recovery is possible! Once you decide to get help, you can finally achieve your goal of long term sobriety. So, don’t let the fear of experiencing withdrawal stop you. Keep in mind that 23 million people walk tall in addiction recovery. If they can beat withdrawal and addiction, so can YOU!

Reference Sources: NCBI: The benzodiazepine withdrawal syndrome and its management
U.S. Department of Veterans Affairs: Helping Patients Taper from Benzodiazepines
NCBI: Detoxification from benzodiazepines – schedules and strategies
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.
I am ready to call
i Who Answers?