Xanax Withdrawal Symptoms: What to Expect and When to Get Help
- Yasmin Maghsoudloo
- Aug 3
- 3 min read
Updated: Aug 18
Table of Contents
Xanax (alprazolam) is one of the most commonly prescribed medications for anxiety and panic disorders. While it can offer short-term relief, it also carries a high risk of dependence, especially when used regularly or for longer than prescribed.
If you or a loved one is considering stopping Xanax, it’s crucial to understand the potential for withdrawal symptoms and the importance of tapering off safely. Quitting abruptly or without medical guidance can be dangerous and, in some cases, even life-threatening.
This blog outlines what to expect during Xanax withdrawal, including common symptoms, timelines, and when it’s time to seek professional help.
What Is Xanax?
Xanax belongs to a class of drugs known as benzodiazepines, or “benzos” for short. These medications slow down activity in the brain and nervous system, producing calming effects.
Doctors often prescribe Xanax for:
Generalized anxiety disorder (GAD)
Panic attacks
Insomnia
Short-term relief of acute stress
While effective in the short term, long-term use or misuse of Xanax can lead to physical dependence, meaning your body becomes used to the drug and struggles to function normally without it.
Why Does Xanax Cause Withdrawal?
Xanax works by enhancing the effects of GABA, a neurotransmitter that calms the brain. Over time, your brain adapts to the constant presence of Xanax by reducing its own GABA production.
When you stop taking the drug—especially suddenly—your brain may struggle to rebalance, leading to withdrawal symptoms that can range from uncomfortable to dangerous.
Common Xanax Withdrawal Symptoms
Withdrawal from Xanax typically happens in three stages: early, acute, and protracted. Symptoms can vary based on how long you’ve used the drug, your dosage, and your overall health.
Early Withdrawal (6–12 hours after last dose):
Rebound anxiety or panic attacks
Insomnia or restlessness
Headaches
Sweating
Irritability
Mild nausea
Acute Withdrawal (1–2 weeks):
Severe anxiety and agitation
Muscle pain or stiffness
Blurred vision
Trouble concentrating
Tremors or shakiness
Heart palpitations
Nausea and vomiting
Sensitivity to light and sound
Severe Symptoms:
Some individuals—especially those taking high doses or long-term users—may experience life-threatening withdrawal effects, including:
Seizures
Hallucinations
Delirium (confusion and disorientation)
Suicidal thoughts or behaviors
These symptoms are medical emergencies and require immediate attention.
Post-Acute Withdrawal Syndrome (PAWS)
Some people experience lingering symptoms even after the acute withdrawal period ends. This is known as Post-Acute Withdrawal Syndrome (PAWS) and can last for several weeks or even months.
Symptoms may include:
Ongoing anxiety
Depression
Low energy or motivation
Mood swings
Sleep disturbances
PAWS can make early recovery challenging, which is why professional treatment and long-term support are so valuable.
How Long Does Xanax Withdrawal Last?
The timeline for withdrawal can vary depending on the person and the dosage. However, here’s a general guide:
Stage | Timeline | Common Symptoms |
Early | 6–12 hours | Anxiety, insomnia, irritability |
Acute | 1–2 weeks | Nausea, tremors, panic attacks, and muscle aches |
PAWS | Weeks–months | Mood swings, low motivation, and sleep problems |
Can You Quit Xanax Cold Turkey?
No—quitting Xanax “cold turkey” can be dangerous and even deadly. Unlike some substances, benzodiazepines can cause seizures and severe neurological symptoms when stopped suddenly.
If you're thinking about quitting, it's vital to taper off slowly under medical supervision. Tapering allows your brain to gradually adjust to lower doses, minimizing withdrawal risks and improving safety.
Medical Detox: The Safest Way to Quit Xanax
If you’ve been using Xanax regularly, the safest and most effective way to stop is through a medically supervised detox program.
Benefits of medical detox include:
24/7 monitoring to manage withdrawal symptoms
Medications to ease discomfort and reduce seizure risk
Mental health support for anxiety, depression, or trauma
A personalized tapering plan designed for your needs
Medical detox is often the first step in a comprehensive treatment program that also includes therapy, counseling, and long-term recovery support.
When to Get Help for Xanax Withdrawal
You should seek professional help if:
You’ve been using Xanax daily for more than a few weeks
You experience withdrawal symptoms when missing a dose
You’ve tried to quit before but couldn’t
You feel anxious, depressed, or suicidal
You’re mixing Xanax with alcohol or other substances
Don’t wait until it becomes a crisis. Early intervention can prevent serious complications and increase your chances of a full recovery.
Final Thoughts: You’re Not Alone
Xanax withdrawal can be intense—but it’s temporary, and it’s treatable. With the right support, you can safely stop using the drug, regain emotional stability, and build a healthier, more balanced life.
Recovery doesn’t mean doing it alone. A professional detox and treatment program can give you the medical care, therapy, and support you need every step of the way.
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