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Xanax is an antianxiety medication in the benzodiazepine family. This is the same family that includes diazepam (Valium), clonazepam (Klonopin), lorazepam (Ativan), flurazepam (Dalmane), and others.
Xanax works by decreasing abnormal excitement in the brain. The Food and Drug Administration (FDA) approved it in October 1981.
Benzodiazepines act on the brain and central nervous system (CNS) to produce a calming effect.
Xanax slows down the movement of brain chemicals that may have become unbalanced, resulting in a reduction in nervous tension and anxiety. Xanax works by boosting the effects of a natural chemical called gamma-aminobutyric acid, which is made in the brain.
Many people use Xanax to manage anxiety disorder or to provide some short-term relief from the symptoms of anxiety. Anxiety or tension associated with the stress of everyday life usually does not require treatment.
Generalized anxiety disorder is characterized by unrealistic or excessive anxiety and worry about two or more life circumstances for a period of 6 months or longer. During this period, the person has been bothered more days than not by these concerns.
At least six of the following symptoms are often present in these people:
- motor tension, such as:
- feeling shaky
- muscle tension
- aches or soreness
- feeling easily tired
- autonomic hyperactivity, such as:
- shortness of breath or smothering sensations
- heart palpitations or an accelerated heart rate
- sweating or cold, clammy hands
- a dry mouth
- dizziness or lightheadedness
- diarrhea or other abdominal symptoms
- hot flashes or chills
- frequent urination
- difficulty swallowing or a “lump in the throat”
- vigilance and scanning, such as:
- feeling keyed up or on edge
- exaggerated startle response
- difficulty concentrating or “the mind going blank” because of anxiety
- difficulty falling or staying asleep
Xanax is also indicated for the treatment of panic disorder, with or without agoraphobia, and it may reduce the number of panic attacks a person has.
Panic disorder is characterized by regular panic attacks. Panic attacks are relatively short periods of intense fear or discomfort where four or more of the following symptoms develop all of a sudden and reach a peak within 10 minutes:
- heart palpitations, a pounding heart, or an accelerated heart rate
- trembling or shaking
- sensations of shortness of breath or smothering
- a feeling of choking
- chest pain or discomfort
- nausea or abdominal distress
- feeling dizzy, unsteady, lightheaded, or faint
- derealization (feelings of unreality) or depersonalization (being detached from oneself)
- a fear of losing control
- a fear of dying
- numbness or tingling sensations
- chills or hot flashes
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