Xanax or Alprazolam is rarely prescribed at our office in Philadelphia. It can work incredibly well short-term, but can actually increase someone's anxiety between doses, or increase their risk of panic attacks. Patients will sometimes refer to it as a "ball and chain," feeling that they always need to carry it with them, or know where it is to feel secure. It works very quickly (but wears off quickly), which can lead to a roller coster of decreased anxiety (with a dose), increased anxiety (As it wears off), decreased anxiety (with the next dose) etc, with patients often taking it 2 or 3 times a day. As mentioned, it can be helpful for some, but it's incredibly important to discuss risks and benefits with a provider, before starting, stopping or changing dose of this medication (tapering or stopping too quickly can actually cause very dangerous withdrawal). There are plenty of options for treating anxiety, including psychotherapy, meditation, yoga, exercise, diet changes, supplements, SSRIs, SNRIs, hydroxyzine and other medications. It's important to discuss options with your provider, before starting a medication.
Dr. Pagnani is the Medical Director of Rittenhouse Psychiatric Associates in Philadelphia, PA and surrounding areas. Their practice has 25 Academically oriented provides and is now scheduling in-office and telemedicine visits.
Do not start or make changes with a medication, without directly speaking with your provider.
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www.RittenhousePA.com
www.ChrisPagnaniMD.com
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