Cymbalta vs xanax

Xanax Vs. Cymbalta

March 6, 2009

Question

Asked by cindi

Xanax Vs. Cymbalta

hi, i have been taking an antianxiety drug since i was 18 , for background info my mom took valium for years and ggrandmother took librium most her life, i had serious panic attacks since i can remember, sometimes brought to the hospital, eveb in my adult years, because family thought i was having a heart attack or stroke, but i was tested and cofirmed it was anxiety attacks. a CNA is managing my meds right now, because i was afraid with the meds i was taking that all of them taken together might be more dangerous than not. she has been decreasing my xanax ( i have never had any problems taking them, they in fact help me). she has been upping the dosage on the cymbalta because she feels i am taking too high a dosage of xanax 6mg-8mg a day. i am afraid that going on a different medication and UPPING that dosage is just contraditionary to trying to decrease my dosage of xanax, i am now down to 5 mg. and just am starting to feel a bit anxious, i know you are to stick to the recommended dosage, but because of circumstances in my life, i have taken 6mg., so which means i will runout sooner than i should. in the summer i had 2 seizures because of the lowering of the dosage, now i can tell you my sob story about my mom and dad both passing in 2 years and the way they passed, but i was distrauaght, and took 1 mg. more than the recommended dosage, came up short 2 times and had seizures because i didn't have the xanax, i know this sounds like an addiction and it probably is, but this was the first time this has happened to me in all the years i have been taking xanax. i am just asking if it works, why mess with it? and i hear about all the side affects from cymbalta and wonder if this is the right thing to do? i really would appreciate an answer when you have time. could it be possible that the women in my family are just high strung, since my mom and grandmother both were taking anti anxiety meds? one doctor said maybe i need a high dosage, i know i have asked a few questios here but i really would like to know, thank you, cindi

Answer

Cindi

Thank you for your question and welcome to AnxietyConnection. com

First, I am so very sorry for the loss of both your mother and father. What a terrible ordeal to have gone through.

Anxiety often runs in families and in fact, 50% of people with panic disorder and 40% of people with Generalized Anxiety Disorder (GAD) have a close family member that also has anxiety. This could explain why your mother and your grandmother both were treated for anxiety.

Since I am not a medical professional, I would not be able to recommend or give advice on your questions regarding your medication. You should speak directly to the CNA overseeing your prescriptions about your concerns and ask her why she is choosing to decrease a medication that you feel comfortable with and have been using for a long time. By discussing the situation, you may be better able to understand and would be more apt to follow what she has prescribed.

It is important for you to talk with her about taking extra medication. In order for her to properly treat you she needs to know exactly what you are taking as well as situations in your life that are causing additional stress.

Eileen

You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified healthcare professional.

Xanax and cymbalta - The Gardens at Park Balboa

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Cymbalta and xanax

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Cymbalta vs xanax

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do they help, treat or relieve symptoms, are they addictive, do they make you gain weight

Daniil Davydov

medical journalist

Author profile

human.

At the same time, the cures for this disease are surrounded by many myths. Antidepressants are accused of ineffectiveness and severe side effects, but often the problem is not with the drugs themselves, but with their misuse.

We collected 8 myths about antidepressants and found out how close they are to the truth.

Go see a doctor

Our articles are written with love for evidence-based medicine. We refer to authoritative sources and go to doctors with a good reputation for comments. But remember: the responsibility for your health lies with you and your doctor. We don't write prescriptions, we make recommendations. Relying on our point of view or not is up to you.

Myth 1

Antidepressants almost never help

Most likely, this myth arose due to the fact that antidepressants do not work in all patients - so even some doctors and scientists doubt their effectiveness. However, antidepressants cannot be called ineffective, there are just important nuances in the use of these drugs.

Antidepressants are a class of drugs that normalize the level of neurotransmitters, that is, chemicals that help nerve cells in the brain exchange information.

What are Antidepressants - International Drug Database RxLis

What Medications Help Clinical Depression in Adults - International Primer for Physicians UpToDate

How Antidepressants Help Pain - Mayo Clinic Bulletin

All Antidepressants Used to Treat Depression in Adults , work - The Lancet

Who Antidepressants Help and Who Don't - Clinical Guidelines for British PhysiciansPDF, 141 KB

These medicines help people whose problems are due to a deficiency or excess of neurotransmitters. Antidepressants reduce symptoms of depression, obsessive-compulsive disorder, generalized anxiety disorder, post-traumatic stress disorder, and bipolar affective disorder.

There is evidence that antidepressants are effective for chronic pain. Antidepressants increase the amount of neurotransmitters in the spinal cord, which reduces pain signals.

Most specialists have no doubts that antidepressants work. For example, according to the British Royal College of Psychiatry, 50-65% of people with depression who take antidepressants feel better - compared with 25-30% of those who take a placebo.

However, there are situations where the benefit of antidepressants is questionable. For example, antidepressants are good for treating moderate to severe depression, but do not work well for people with mild depression - psychotherapy is more suitable for them.

And there are situations when these medicines were prescribed by mistake. Then antidepressants really won't help.

When antidepressants don't help

Sergey Divisenko

psychotherapist

There are three cases when antidepressants most often cause problems.

The antidepressant didn't work because the doctor prescribed the wrong dose. Minimum doses of these drugs do not help in half of the cases. Then competent doctors increase the doses to those recommended in clinical guidelines, while illiterate ones refuse them.

Sometimes, in order for antidepressants to work, they need to be augmented—i.e., enhanced—with other classes of drugs. For example, second-generation antipsychotics, or normothymics, that is, drugs that stabilize mood. If this is not done, the person taking antidepressants will not feel relief.

The antidepressant didn't work because the doctor misdiagnosed and was trying to treat a condition that these drugs don't work for. To help a person, one had to either use other drugs or use non-drug methods of treatment: for example, psychotherapy, transcranial stimulation, or electroconvulsive therapy.

For example, in bipolar disorder, symptoms can be very similar to depression or anxiety. But with bipolar disorder, antidepressants help only if they are used together with other drugs - mood stabilizers. By themselves, they will either work for a short time, or they will not work, or they can cause a phase inversion - that is, a person will switch from a depressive phase to a manic one.

The patient was not helped by a particular antidepressant, but another might. Antidepressants differ in the principle of action - on this basis they are divided into classes. It happens that one antidepressant does not work, but another from the same or another class helps. If the treatment does not work, you should not stop drug therapy, but continue to look for a drug that will help this particular patient.

Myth 2

Antidepressants only relieve symptoms, but do not eliminate the cause of the disorder

In most cases, this is not a myth. However, in some situations, antidepressants act on the cause of the disorder.

Depression is a heterogeneous disease. Experts identify a different number of subtypes of depression - from 4 to 12. But for our purposes, depression can be divided into two large subtypes.

American Criteria for Depressive Disorders - A Handbook for Psychiatrists DSM-5PDF, 32 MB

Understanding Depression - An International Primer for Physicians UpToDate

associated with depression. Disorders that can be attributed to this group are more common.

If these causes affect a person long enough and he does not understand how to deal with them, depression may develop. In this situation, antidepressants act as drugs that alleviate the symptoms of the disease. To influence the cause of the problem, psychotherapy is needed.

Depression provoked by internal causes. Approximately 7% of people with depression have the right way of thinking, no internal conflicts and injuries, and no serious illnesses. In this situation, the cause of depression is the lack of neurotransmitters: serotonin, norepinephrine and dopamine in the synapses of brain nerve cells. In such people, the antidepressant acts precisely on the cause of the disease, that is, it corrects the production of serotonin in neuronal synapses.

Myth 3

As soon as it gets better, you can stop taking the antidepressant

This is also not entirely a myth - it would be more correct to call it a belief that is true only for some, but not for all patients with depression.

It is generally advised to continue taking antidepressants for at least six months after remission. If the duration of the disease is short, that is, the person was ill for about two weeks, then for the onset of remission, one or two months usually need to take medication. If the duration of the disease is long, from several months or years, then more time is required for the onset of remission. It’s impossible to say exactly how much: different people with depression have different recovery times.

Some people have recurrent depression. In this case, the period during which you need to take the medicine depends on how many bouts of depression have already been during your life. If more than three, it is recommended to take antidepressants for several years or for life.

Myth 4

Antidepressants cause addiction

Perhaps the roots of this myth are that some people need to take depression medication for life. And at the beginning of treatment, some patients have to increase the dose. But in fact, antidepressants do not cause either true physical or drug dependence.

True physical dependence on a drug is a situation where a person becomes so addicted to a drug that when it is withdrawn, the symptoms of the disease sharply increase. People who are dependent on the drug have to increase the dosage, otherwise the drug stops helping.

What is True Drug Addiction—Bulletin of the National Institute for the Study of Drug AbusePDF, 7 MB

What is Drug Addiction—Bulletin of the American Psychiatric Association

Drug dependence may include physical dependence on a drug. But this addiction has a unique feature. Dependence can also develop in a healthy person who used the drug not to recover, but to enjoy it. But when he tries to quit the drug, he still experiences physical suffering, which is called the withdrawal syndrome. As a result, a person is forced to look for a new dose of a drug.

Although a person who takes antidepressants to treat depression gets better, the drugs themselves are neither pleasurable nor addictive. Taking them as drugs is useless.

Of all the drugs that are used in psychiatry, true physical dependence can only be caused by psychostimulants that activate mental activity and anti-anxiety, that is, benzodiazepine tranquilizers. Antidepressants are not included in this list, because there is no need to increase the dosage of correctly selected drugs from this group.

However, some people who stop taking antidepressants early sometimes experience withdrawal symptoms such as nausea, hand tremors, and some feel “shocks” in the head, similar to the sensations of an electric shock. Depressive symptoms return to patients who need to take the medicine for a very long time.

Antidepressants are sometimes abused, but they cannot cause addiction - Journal of Modern Psychiatry

To avoid unpleasant consequences, stop taking antidepressants only if the attending physician says that they are no longer needed. But even in this situation, it is necessary to cancel antidepressants slowly, that is, gradually reducing the dose. This will help avoid unpleasant side effects.

Myth 5

A person on antidepressants becomes lethargic and loses interest in life

This popular myth is based on real but outdated data.

These mental changes are seen in patients taking first-generation tricyclic antidepressants such as amitriptyline. It has a sedative, that is, a sedative effect. A person who takes high doses of amitriptyline can indeed become sleepy and indifferent to the outside world.

Amitriptyline - Sedative - Drugs.com International Drug Database

SSRIs do not sedate - Drugs.com International Drug Database

Current second-generation antidepressants that are recommended to start treatment with, such as selective serotonin reuptake inhibitors, or SSRIs almost never cause drowsiness and apathy.

On the contrary, in most people with depression they return interest in life.

Sometimes SSRIs do cause drowsiness, but this has not yet been proven

Sergey Divisenko

psychotherapist

It is believed that in rare cases, modern antidepressants can provoke SSRI-induced apathy. But this condition is extremely rare.

And even then psychiatrists still doubt that the cause is precisely in the drugs, and not in the patient's condition. After all, some people during the time of taking antidepressants may develop other adverse mental states in which apathy occurs: for example, schizotypal disorder, which was not noticed before.

Myth 6

Antidepressants have many side effects

This is partly true: both SSRIs and antidepressants from other groups have side effects. But it is quite possible to deal with them.

At the beginning of treatment, when people first start taking antidepressants, many complain of increased anxiety, dry mouth, nausea, and trouble sleeping. But after a few days or weeks after the start of the course of treatment, these symptoms usually disappear. If the side effects do not stop, it makes sense to consult a doctor - he will replace the antidepressant.

Dealing with antidepressant side effects - advice from the Mayo Clinic staff

Here's what to do before the side effects go away:

take your antidepressant with meals, unless the instructions say otherwise, so the antidepressant will be less annoying stomach;
put a bottle of clean water on the desktop - if your mouth is dry, you can take a sip. Unsweetened lollipops and chewing gum also help with dry mouth;
take a walk for at least half an hour before going to bed to make it easier to fall asleep. If you can’t sleep at all, you can ask your doctor to pick up sleeping pills.

The second most common side effect is an increase in anxiety at the beginning of antidepressant use. To avoid this problem, psychiatrists resort to two effective methods:

titrate the dose - that is, start with the minimum dose of the antidepressant and then gradually increase it;
at the beginning of the reception, sedatives - tranquilizers are prescribed together with the antidepressant.

The third common side effect of SSRIs, especially sertraline, known as Zoloft, and escitalopram, better known as Cipralex, is decreased libido. Approximately 20-30% of people taking antidepressants from this group experience a decrease in sexual desire to one degree or another. At the same time, it is difficult to say how much the drugs are to blame, because approximately 35-50% of people with depression have already experienced sexual dysfunction.

Many people with depression experience sexual dysfunction before starting antidepressants - Harvard Medical School Bulletin

Switching to another antidepressant usually helps, but many people prefer to wait until the medication can be stopped. In some cases, psychiatrists prescribe antidepressants from other groups in addition to the libido-lowering antidepressant. Sometimes it helps to regain interest in sex.

Myth 7

Weight gain due to antidepressants

This is not a myth, but a half-truth. There are both antidepressants that contribute to weight gain, and those that do not have a similar effect.

The most common complaint about weight gain during treatment is people taking the tetracyclic antidepressant mirtazapine, which actually increases appetite. Another weight gaining antidepressant is paroxetine, better known by the trade name Paxil. But "Zoloft" and "Cipralex" do not contribute to weight gain.

If a patient feels that an antidepressant is causing them to overeat, it is wise to consult a doctor and discuss a change of drug.

Myth 8

Antidepressants are expensive

True, but not for all patients. Most people can cure depression and not go broke.

Antidepressants from different groups vary greatly in price. There are both very expensive drugs and relatively low-cost drugs among them. At the same time, both of them work equally well. However, there are situations when a cheap antidepressant cannot be dispensed with.

On the left - inexpensive "Zoloft" for 327 R, a drug based on sertraline, on the right - the most expensive antidepressant "Ixel" based on milnacipran for 2453 R

For example, there is a good antidepressant venlafaxine. The maximum dose of venlafaxine can reach up to 375 mg per day. If these are inexpensive tablets of a domestic manufacturer, then a course of treatment for a month costs about 2000 R. But sometimes inexpensive tablets are not very well tolerated: they cause headache, nausea, sweating, tachycardia, that is, rapid heartbeat. In such cases, you need to switch to a prolonged form of venlafaxine - "Venlafaxine Retard", or "Velaxin XR". But this drug is more expensive: a course of treatment will cost about 5000 R per month.

The cost of a course of treatment with another good drug, Ixel, based on milnacipran, which is tolerated with minimal side effects, can reach up to 12,500 R. But, unfortunately, there is nothing to replace it, because this medicine does not yet have generics.

For comparison: on the left is a drug based on venlafaxine with immediate release for 443 R, on the right - with a delayed release in the same dosage for 1756 R. The price varies very much

Ate and died Pills give Americans happiness. And then they turn into zombies: Society: World: Lenta.ru

Stories about the opioid drug epidemic in the United States have long become commonplace: in the country more than a hundred people die every day from an overdose of heroin, fentanyl and similar substances. A public health emergency has already been declared to combat them, but another scourge rarely makes it to the front pages of the local media. We are talking about the mass passion for the drug "Xanax" (Xanax, in English pronunciation - "Zanax"). Today, millions of Americans are forced to live in a frantic rhythm, and for many of them it is the Xanax pill that helps to gather strength, calm down and feel like a person. "Lenta.ru" figured out how the daily "duty" pill for anxiety drives its victims into the graves.

“He pulls me out of the dark bubble of anxiety and lifts me up into a cloud! From there, I can look down on everything and not worry. I am calm and collected. It also helps to sleep, and I am grateful to him, ”this is how the effect of taking Xanax is described by Reddit user wizardswrath00.

“Anxiety is a real bitch. Euphoria comes when you understand: you are no longer in her power. Xanax drives her away and you can feel like you're in charge again. He will soothe you so much that you can fall asleep exactly when you want! Is it cool? No more staring at the ceiling until 3:30 in the morning, when the mind cannot calm down and you feel sick from your own thoughts. If you are afraid to come into contact with other people, Xanax will help too. It's a great feeling when this weight is finally lifted from your shoulders, ”says another user.

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Medical encyclopedias explain: "Xanax" thanks to the active ingredient alprazolam allows you to almost instantly relax, relieve tension, suppress feelings of fear, anxiety and anxiety. A small pill can be quickly thrown under the tongue at the end of the working day and you can instantly forget about a strict boss and endless reports.

Invented in the 1960s, alprazolam's seemingly miraculous properties have exploded in popularity: more than five percent of US adults now take relaxation pills; it is included in the list of the most frequently prescribed drugs in the country.

Tablets do work, but they have a number of unpleasant features. Firstly, tolerance to Xanax develops very quickly - to achieve the same relaxing effect, the body needs more and more alprazolam. Secondly, with uncontrolled intake, addiction develops over time. Thirdly, it reduces the frequency of breathing and heart rate - and if taken along with opioid drugs (for example, heroin or the equally popular fentanyl), the likelihood of death increases dramatically. Up to a third of all Xanax-related deaths were due to co-administration with opioids.

In addition, unlike many other substances that simply “knock out” the body when overdosed, benzodiazepines work differently: they erase memory, leaving the opportunity to act. Xanax addicts can wander the streets for hours, attack people, rob and steal, drive and cause accidents. Someone in such a helpless state himself becomes a victim of scammers and rapists.

Benzodiazepines help people cope with the relentless pace of life

Photo: Spencer Platt / Getty Images

Xanax is also notorious for its monstrous withdrawal after long-term overdose. Reddit users share: “I had visual hallucinations, I felt crazy, this is a constant bad trip It was as if there were blows in my head, twice I almost had an attack. I heard a loud bang in my head, saw a bright flash, my body jerked sharply, but nothing happened. It was like a stun grenade went off in my head. Damn, how scary."

“Dude, that sounds tough. I sometimes have flashes in my head in my sleep, my body jerks so hard that I either bite my tongue or kick the cat so that it flies out of bed ... And this is four years later. This is not a joke, ”another user answered him, admitting that now, due to the addiction of the past, he cannot sleep without sleeping pills.

In a drug user forum thread discussing substance withdrawal, benzodiazepines (general name for drugs like Xanax) won by a huge margin: 244 votes for them to 91 for methadone and 88 for heroin. Then, nevertheless, there is a “cancellation” of similar severity: the refusal of alcohol in those suffering from long-term severe alcoholism.

Xanax is trendy

“Running because I don't care about life; I hear voices in my head, they say stop it, but I found some Xanax in bed, drank this shit and went back to sleep, ”rapper Lil Peep wrote openly about his addiction to the drug. When he dies in November 2017, traces of Xanax and fentanyl will be found in his blood. Substances similar to alprazolam in structure - benzodiazepines - were found in the bodies of Elvis Presley, Michael Jackson, Heath Ledger and Whitney Houston.

Even the image of the Xanax pill has entered popular culture - a quartered pill with the letters X-A-N-A-X. The pill-shaped cake was slashed by rapper Lil Pump after he got a million followers on Instagram.

The seemingly “pure” rapper Drake also spoke about his love for benzodiazepines: visiting iLoveMakonnen, he boasted that he “throws zanami”. Then, however, he made excuses that he only embellished the truth: “I don’t drink this shit, but you do.”

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Xanax gave rise to a whole trend of "Soundcloud rap", so named because of the love of "relaxed" musicians to upload their creations to the SoundCloud resource. Authors writing in this style discuss depression and painkillers to the accompaniment of musical din.

Jewelry in the form of Xanax pills is also on the popular site Etsy, with a choice of earrings, pendants, rings and bracelets.

Depression and patriotism

The history of benzodiazepines, if desired, can be traced back to Nazi times: at 19In 1941, the Germans threatened to occupy Switzerland, and the pharmaceutical company Hoffman-LaRoche (now Roche), based in Basel, sent several Jewish employees to the United States. Among them was the chemist Leo Sternbach, who headed the company's American headquarters and laboratory in New Jersey.

Xanax has firmly entered the world culture through films, books and music

“I have a stomach full of Xanax. I drank everything in the bottle. I'm afraid it could be too much "- Marla, the heroine of the movie "Fight Club" .. Frame: the movie "Fight Club"

In 1955, in the same place in New Jersey, Dr. Frank Milan Berger, in the course of laboratory studies of a muscle relaxant, accidentally synthesized a drug called Miltown, which can be considered the precursor of Xanax. “He allowed you to work well and earn money, while also playing a social role: make decisions, be confident in yourself and maintain control,” wrote Andrea Ton in The Age of Anxiety: The Story of America’s Stormy Romance with Tranquilizers.

Then the Cold War was raging with might and main: while the children were learning to hide under their desks from the Soviet atomic bombs, their fathers took milltown and, gritting their teeth, went to work. Pills have also become popular with women: Tiffany & Co even released a diamond-encrusted pill box.

In 1963, Roche developed its own answer to the well-known drug, Valium, and began an active advertising campaign aimed primarily at women. They were asked to forget about stress, mood swings and romantic anguish with one convenient tablet. In 1970, a commercial was released in which the heroine, teacher Miss Raymond, suffered greatly from menopause, but Valium helped her recover.

Valium was a hit: it was the first drug in history to sell for $100 million. Nevertheless, over time, they started talking about its harmful properties. At 19In 1975, Vogue magazine published an article “Danger! Valium - your favorite pill can become your enemy! It said that addiction to a newfangled drug could be worse than heroin addiction. In the same year, the US authorities restricted its circulation and introduced penalties for illegal trade. It has become twice as rare as before.

American medical advertisement for Valium

Valium did have dangerous side effects. It was slowly excreted from the body, its traces were found even a few days after ingestion. Those who took Valium often became like zombies. “You don’t feel warmth, love, you can’t cry, you can’t feel tastes, smells,” Barbara Gordon wrote in her book on getting rid of addiction “Dancing as fast as possible”.

Xanax changed everything: chemists were able to develop a formula for a drug that had a similar effect, but was eliminated from the body in a matter of hours. The new drug was supposed to help fight panic attacks, but users quickly found that it was also suitable for everyday tasks: to survive a family holiday, dinner with the boss, or an important meeting. A pill was often replaced by a visit to a psychotherapist.

Valium was touted as effective and convenient

Photo: Daily Herald Archive / NMeM / Globallookpress.com

Sometimes there was nothing wrong with this - Harvard epidemiologist Ronald Kessler believed that if a person faced a big problem (for example, went bankrupt or sent his child to the war), you can take an alprazolam pill: “This is no longer the field of science, but sometimes a pharmacological solution is exactly what is needed.”

However, modern life provides dozens of reasons to worry: sensationalized media and couch scientists predict a deadly threat from wireless Internet, mobile phones, genetically modified products - no one is embarrassed, for example, that the safety of GMO products is recognized by the entire scientific community. But what if? Most often, a five-letter tablet helps to cope with all this heap of problems.

Stephen Hayes, a psychologist at the University of Nevada, believes that benzodiazepines perform an interesting function - they compensate for the shortcomings of the evolution of the species homo sapiens. The world is developing too fast, and a person is simply not adapted to cope with all its challenges. This is where the achievements of modern pharmaceuticals come to the rescue.

The culture of stress

However, the main victims of anti-anxiety drugs are not Hollywood stars at all, but ordinary Americans. “Anxiety helps me do my job better. A little anxiety makes me a good worker, if a little less happy person. I’m afraid I would be lazy if I wasn’t in constant fear that I would become a loser or that I would be fired,” an employee of a prestigious PR company told NYMag.

The use of recognizable pills has become a completely innocent habit for many people in the country: like drinking a glass of wine with dinner or a glass of beer with friends. If full-fledged antidepressants need to be taken in a course, and the effect can be felt only after two or three weeks, everything is easier with Xanax: I got worried - I ate a pill - I calmed down. Xanax has become comparable to a cup of coffee, and costs about the same.

Interestingly, Xanax and Valium craze often arises among Americans who eat organic food, run in the mornings, try vegetarianism and, in a fit of madness, even refuse to vaccinate their children.

Doctors are also happy to try: seeing the suffering of patients, they willingly prescribe higher doses of alprazolam. More than five percent of the adult population in the United States, more than 12 million people, are reported to be taking benzodiazepines today.

Illicit trafficking in benzodiazepines is usually severely punished

Photo: Mohammad Ismail / Reuters

However, between 10 and 25 percent of this number are addicted to the drug and cannot stop taking it: abrupt refusal causes terrible panic attacks. The statistics also do not inspire optimism: in the period from 19From 2013 to 2013, the number of prescriptions written increased by 30 percent and the amount of drugs prescribed doubled.

According to US authorities, more than 9,000 people died from benzodiazepine overdose in 2015, that is, 24 people a day.

Anxiety specialists such as University of Nevada psychologist Steven Hayes are increasingly turning to a new method of "acceptance therapy." They believe that instead of suppressing anxiety, you need to take it for granted, prevent it from taking control of emotions, demonstrate Buddhist calmness and move on with life.

In the end, stress motivates not to sit still, but to do, go, strive and achieve. Suppressing even the rudiments of anxiety with endless Xanax pills, a person risks joining the ranks of those who are unlucky - who will enter the daily mournful list of 24 interrupted lives.

Meanwhile, Xanax and Alprazolam should not be feared - these affordable and highly effective pills are the gold standard for the treatment of panic attacks, which in no case should be left unattended by physicians. The misuse of benzodiazepines creates the image of Xanax as just another semi-legal drug to get high, but first and foremost it is an indispensable drug that can help tens of thousands of patients and is absolutely safe when used in a controlled manner.

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