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Xanax making anxiety worse

Im 28, 5'8, 132lbs. Taking 0.5mg Xanax either 1/2 or full tab daily for gad. Anxiety immediately feels worse and never gets better after taking it. Seems to work until I have to leave the house and be in public. I find myself running back to my car. Xanax makes health anxiety even worse. ER trip said heart is fine(blood work, ekg, chest x-ray. Feels like heart is pingpong ballCan Xanax cause heart issue or worsening anxiety? I had Lexapro but scared to take it after horrible reaction to Celexa.
Poster
  • Complaint duration: 17 days
  • Medications: XANAX
  • Conditions: Health anxiety, agoraphobia, generalized anxiety disorder, panic disorder, insomnia, tension headache

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Featured Answer

6 UpVoted this answer Amanda Itzkoff, MD Psychiatrist, New York
Xanax is a controlled medication and should be taken exactly as prescribed. It can also cause rebound anxiety due to its short half life ... Meaning it wears off quickly and anxiety is worse! It's also habit forming and most importantly not working for you! It sounds like your doc also prescribed lexapro which *is* indicated for longer term treatment of anxiety and does not cause rebound. For anxiety and agoraphobia talk therapy, perhaps with home visits or a telepsychiatric component can also be very helpful. Ring your doctor to discuss your symptoms and the risks, benefits, and potential side effects of alternative treatments ASAP so you can start feeling better!!
Amanda Itzkoff
5 UpVoted this answer
It seems clear that Xanax is not the right medication for you. I recommend you see a psychiatrist who does genetic testing to determine which medications are most likely to help and which to avoid. You may not be a good candidate for benzodiazepines, including Xanax, or SSRIs (like Celexa). However, 50% of patients who fail Celexa do respond to Lexapro. There are many medications that can treat GAD and CBT is equally effective.
Robert Hoffman
4 UpVoted this answer
Prescription medication does not cure anxiety. Drugs are prescribed to help manage the symptoms of your anxiety. Seeking the help of a psychotherapist and exploring the "root cause" or the "heart" of the issue is what will work toward the cure. In the interim, you may need to consult with the doctor that prescribed the Xanax in order to prescribe a drug that does not create these adverse reactions.
Dr. Phyllis E. Davis
3 UpVoted this answer
Please follow your Doctor's directions on taking the medication. Going to a licensed Psychologist or Psychiatrist who does Brain Mapping (QEEG) and Neurofeedback can improve your brain's regulation to decrease anxiety where ever you go. This "brain training" will enable you to change the way you think.Take care and think about what you really want to do.
Grant T. Bright
3 UpVoted this answer
evaluate for bipolar 2 disorder before taking any new meds
Lewis Winkler
2 UpVoted this answer
Anything is possible but Xanax unlikely to worsen anxiety. You say that after taking it you immediately feel worse. Medications like Xanax do not work immediately since it does take some time for it to get digested, absorbed and distributed to your brain receptors. You describe multiple symptoms all related to anxiety. Likely you may have medication anxiety as well although that is not a medical diagnosis. You need to go back to your doctor to discuss this. You may also benefit from seeking out a cognitive behavioral psychologist who specializes in anxiety disorders. Biofeedback therapy can also be very effective without any risk of side effects
George Peters
1 UpVoted this answer
Xanax is very short-acting, so you may need a longer acting medication like ativan or klonopin. Also at times anxiety may be so great that you need a higher dose and a low dose is not doing enough. Always consult your doctor and don't drink alcohol with xanax. Lexapro is similar to celexa, so be careful. Maybe start with half a pill. Talk to your doctor about it.
1 UpVoted this answer
Xanax (alprazolam) is a controlled medication, meaning it can be habit forming and produces withdrawal symptoms. It may be making your anxiety worse. Most importantly, it's not working for YOU. Call your doc ASAP so you can get on a treatment plan that does work for you! Options may include an ssri and talk therapy, including home visits given your agoraphobia. Talk to your doc about the right treatment for you ASAP
Amanda Itzkoff
1 UpVoted this answer
Dear Anonymous,

You may call the office number provided or email me to schedule an appointment to start working one on one so that you can get your issues addressed.
Mark Smikle
Your anxiety is real (ping-ponging heart), and, as others have pointed out, Xanax clearly isn't working for you.

Medications for anxiety (anxiolytics) are designed for temporary relief, not long term use. It seems to me that you really need an SSRI, and if celexa didn't work, you need to give another one a try. Please try to trust your doctor! And don't give up.

As others have also mentioned, you would also benefit from psychotherapy. Together with a prescribing Doctor, a team of two experts will help you find relief faster than you might think.