Benzodiazepines

Xanax Side Effects

Last updated:
September 23, 2024

Xanax is a common trade name for Alprazolam – A short-acting benzodiazepine medically used in managing anxiety disorders.

You can obtain Xanax in the UK for this purpose, but it is not available from the NHS and has been the subject of concern as an illegal drug.

In the UK, the misuse of the drug has been the cause of at least 204 recorded deaths since 2015. One hundred twenty-six deaths occurred in Scotland between 2015 and 2017, and 43 in Northern Ireland. Indicating that Scotland is worst affected by abuse and addiction.

It is thought that most of the deaths recorded relate to counterfeit Xanax bars imported from abroad. More than £1million worth of counterfeit Xanax has been seized at airports throughout the UK since 2016, causing great concern.

Like all medications, Xanax can cause side effects. Due to the side effects of misusing Xanax, this anti-anxiety medication is only legally available on private prescription in the UK.

Xanax cannot be obtained on the NHS.

This is due to Alprazolam holding great potential for abuse and why there is such an active market for fake Xanax in the UK.

If you or a loved one are using counterfeit Xanax or abusing a private prescription, you must seek immediate addiction help. We cannot stress this enough: far too many lives have already been lost to the misuse of this potent sedative drug.

Various prescription pills and tablets used in drug and alcohol addiction treatment and detox programs

What is Xanax & how it works

Alprazolam, sold under the brand name Xanax, is a short-acting sedative that belongs to a group of medicines called benzodiazepines

Benzodiazepines are well known for causing addiction and dependence when misused. Therefore, tight regulations are in place for prescribing this class of medications in the UK. 

Xanax is widely prescribed in the US and is used for the short-term management of anxiety-related disorders, specifically panic disorder and generalised anxiety disorder (GAD).

In the US, it is classed as a Schedule IV controlled drug. 

Prescriptions for Xanax (UK)

You can get Xanax in the UK through a private prescription. You have to meet with and pay a private doctor for this medication.

This is most likely to be used by people who have taken it previously in their own country and wish to continue doing so.

These are usually not as strong but very similar in effect. Examples include Valium and Klonopin, available on prescription in the UK for acute anxiety and stress.

These UK alternatives are usually used to treat short-term anxiety, such as fear of flying or severe stress after trauma. 

Why is Xanax banned in the UK?

In the UK, Alprazolam/Xanax is a Class C controlled drug under the Misuse of Drugs Act 1971. Due to its abuse potential, it is not prescribed by the NHS for anxiety management. It can, however, be used to treat chemotherapy-induced nausea

Xanax works by increasing the amount of neurotransmitter GABA in the brain. This promotes a feeling of well-being, calmness and relaxation.

This is why it is the US’s most commonly prescribed psychiatric drug for mental health and anxiety-related disorders.

Xanax side effects

Infographic detailing Xanax use and abuse, including its definition, mechanism of action, addiction risks, withdrawal symptoms, and treatment options. Highlights side effects and dangers of Xanax misuse.

If you have obtained Xanax in the UK, chances are you will have either purchased it from a private doctor, from a street dealer or have been given it by a friend or family member. 

The drug has some very worrying side effects that you must be aware of before considering this drug.

Fake pills are notably unpredictable and have side effects that can cause death. Its effects cannot be predicted, as the counterfeit drug could contain anything.

Physical side effects of Xanax (Alprazolam) include:

[su_table]

Drug dependence Drowsiness
Dizziness Fatigue
Nausea Incontinence
Delayed reaction times Appetite and weight changes
Menstrual cycle irregularities Impaired cognitive ability
Muscle weakness Reduced sex drive
Seizures Coma 
Headache Constipation
Respiratory depression Nasal congestion
Slurred speech Blurred vision
Dry mouth Tachycardia
Tremor Diarrhoea
Water retention in hands and feet Lightheadedness

[/su_table]

Psychological side effects of Xanax (Alprazolam) include:

[su_table]

Impaired memory Anxiety
Impaired concentration False sense of wellbeing
Confusion Irritability
Drug Dependence Depression
Poor decisions Mania
Psychosis Panic
Lack of awareness Suicide ideation

[/su_table]

Warnings and precautions for Xanax

Anyone with a history of depression or drug or alcohol addiction should not take Xanax, even if prescribed by a private doctor.

The drug is highly addictive; its side effects can cause enormous emotional and psychological problems. This is why it is not available on the NHS in the UK.

The counterfeit version of this drug and unprescribed pills are responsible for most poisonings and deaths in the UK.

Xanax should not be taken for a prolonged period or by pregnant or nursing mothers. It could lead to drug dependence; in an expectant mother, this can lead their baby to be born dependent and suffer from benzodiazepine withdrawal.

Warning – Do not abuse Xanax

Xanax becomes exceptionally dangerous when it is abused.

Forms of abuse include:

  • Diverting medication administration
  • Taking more than is prescribed or for longer
  • Using multiple doctors for additional private prescriptions
  • Taking the drug when it is not prescribed for you
  • Mixing the drug with alcohol, drugs or other medications to increase their effects.

Abuse can ultimately result in addiction, dependence, overdose and death. 

Comparison image showing a real Xanax pill on the left (gray background) and a fake Xanax pill on the right (red background). The real pill has clear, defined edges and markings, while the fake pill appears smoother and less defined

Spotting fake Xanax

Spotting fake Xanax in the possession of a loved one or family member is essential.

If an individual uses a non-prescribed medication, they have a problem that needs to be professionally addressed.

Counterfeit Xanax can be present in different colours. Red Xanax bars hit media headlines for being responsible for many deaths.

Authentic Xanax should come in a white bar or blue pill with a CLEAR imprint. It should be accompanied by a prescription, instructions & precautions leaflet, and a medication box with the individuals, details, and dosage clearly stated.

Suppose you find fake pills in a family member’s or loved one’s possession. In that case, speaking to them about it and encouraging them to seek professional addiction treatment and help without delay is essential. And This could save their life.

How long Xanax stays in your system

On average, Xanax has a half-life elimination for the human body of approximately 11 hours (though this range varies greatly, and it can remain for up to 28 hours—sometimes higher in obese patients).

In an individual using a large amount or using it for a prolonged period, the drug can stay in their system for much longer.

[su_note note_color=”#d2f0d8″ text_color=”#333333″]

As a guide, Xanax can be detected in a person’s system using urine, hair, saliva, and blood tests for:

  • In urine, it is detected for up to 4 days.
  • In hair, the drug can be detected for up to 90 days.
  • In saliva, it can be detected for up to 2.5 days
  • In blood, it can be detected for up to 24 hours.

[/su_note]

The time it takes for Xanax to exit your body depends on multiple personal factors. 

Xanax withdrawal symptoms

Developing a dependence will result in benzodiazepine-type withdrawal symptoms if you try to reduce or stop the medication.

It is vital that if you do have a physical Xanax dependence, you do not stop taking the medication suddenly. This could potentially cause life-threatening complications and withdrawal symptoms to develop. 

Not undergoing a medical detox when physically dependent can also develop severe withdrawal symptoms and PAWS (post-acute withdrawal syndrome). PAWS symptoms can last for months and even years with a heavy reliance.

[su_note note_color=”#d2f0d8″ text_color=”#333333″]

Physical Xanax withdrawal symptoms include:

  • Headaches
  • Muscle aches
  • Blurred vision
  • Diarrhoea
  • Strong cravings
  • Tremors
  • Restless legs
  • Increase in body temperature
  • Sweating
  • Increase in blood pressure
  • Racing heart and palpitations
  • Insomnia
  • Muscle cramps and spasms
  • Muscle weakness
  • Nausea
  • Loss of appetite
  • Weight loss
  • Malnutrition
  • Tension in jaw and teeth
  • Altered sense of smell
  • Sensitivity to light and sound
  • Jitteriness
  • Jerky involuntary movements
  • Tingling in arms and legs
  • Seizures

[/su_note]

Xanax works by slowing the brain and body down.

The brain and body rebound when withdrawn, sending it into overdrive. These withdrawal symptoms must be managed appropriately through medical detox or tapering off regime.

[su_note note_color=”#d2f0d8″ text_color=”#333333″]

Psychological withdrawal symptoms of Xanax include:

  • Anxiety
  • Panic
  • Agitation
  • Inability to concentrate
  • Brain fog
  • cravings
  • Confusion
  • Memory impairment
  • Severe mood swings
  • Aggression
  • Hallucinations (seeing or hearing things that are not there)
  • Paranoia
  • Psychosis
  • Urges to self-harm
  • Suicidal ideation

[/su_note]

Very few dependent individuals can complete detox or tapering off without medical and professional support. The vast majority relapse due to the severity and unpleasantness of withdrawal symptoms

Medical experts recommend tapering off Xanax over a period (to be supervised by your medical practitioner) or undergoing a full medical detox within a drug detox clinic. 

Please note that withdrawal symptoms from fake pills can vary greatly depending on what the drug consists of. Whilst many signs will be A-typical of withdrawal, additional complications may present.

Xanax addiction & dependence

Xanax has a rapid onset and is a short-acting medication. It has high-affinity binding and is high in potency, which increases its potential to be abused.

The drug can rapidly cause physical and psychological drug dependence. This, combined with its dangerous withdrawal effects and abuse potential, makes it a high-risk drug for leading to addiction.

Once physical dependence has occurred, withdrawal is often a complex matter, with many side effects of withdrawal presenting. 

Where an addiction or dependence is identified, it is recommended that you DO NOT suddenly stop taking the medication. This can result in acute alprazolam withdrawal syndrome and ultimately death. 

Abuse, addiction and dependence on any drug require appropriate medical and therapeutic treatment. Addiction to this medication is a life-threatening illness that requires professional addiction treatment to recover. 

Xanax addiction help

Xanax has a substantial risk for addiction and drug dependence when abused or taken for a prolonged period. 

Stopping suddenly can prove challenging as severe withdrawal symptoms can become life-threatening if unmanaged medically.

If you or a loved one are abusing the drug, whether fake or prescribed or have developed a dependence or addiction, we urge you to seek urgent addiction help.

Medical professionals should always supervise Xanax detox.

Detox Plus UK can facilitate a medical detox within one of our UK CQC-registered detox centres. You will be cared for there by a team of addiction counsellors and medical professionals 24/7 to ensure your safety. This can be followed by a thoroughly recommended rehabilitation programme for anyone who has completed a detox.

On this page
Related topics

Addiction Assessment

Book a FREE Confidential Assessment at Your Nearest Rehab Centre

Hands holding a prescription pill bottle and several white tablets, illustrating medication management for Bromazepam addiction treatment|Elderly hands holding an orange prescription bottle and several white pills, illustrating potential medication misuse among older adults|Glass of whiskey with ice cubes next to an open pill bottle with scattered white pills on a wooden surface, illustrating the hazardous combination of alcohol and medication|Diverse group of people sitting in a circle on folding chairs in a lush garden setting, engaged in an outdoor therapy session led by a professional in a white coat|Infographic on Bromazepam addiction showing 40% of regular users become addicted, 2 weeks to become dependent, 509 benzodiazepine deaths in UK 2022, and worse withdrawal than most benzodiazepines, with Detox Plus contact information|Infographic showing Bromazepam addiction facts: 40% of regular users become addicted, 2 weeks to become dependent, 509 benzodiazepine deaths in UK 2022, and worse withdrawal than most benzodiazepines|Glass of whiskey on ice next to an open pill bottle with scattered white tablets, illustrating the hazardous combination of benzodiazepines and alcohol|Medication box of Lexotanil, containing 3mg Bromazepam tablets, a prescription benzodiazepine associated with addiction risk|Outdoor group therapy session with diverse participants sitting in a circle, led by a therapist in a white coat, illustrating a supportive environment for addiction treatment
Bromazepam Addiction

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more
Close-up of various colorful prescription pills and capsules including blue, white, yellow, and green medications scattered together
Benzodiazepines

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more
Temazepam (Restoril) text displayed over a starry night sky background with star trails
What happens if you mix temazepam with other drugs?

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more
Illustration of a woman in bed holding a pill bottle, surrounded by various pills and chemical structures, depicting prescription drug addiction
Halcion (Triazolam)

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more

Ready to start?
We're here for you