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Xanax and Suboxone: Risky Together?

  • anonymous Asks ...

    I take 2m Xanax everyday to help me with panic attacks (have them often) and have been on them for at least 4 years. Now, however, I am about to start taking Suboxone to help with my withdrawl symptoms from getting off of pain killers. My body is so dependent on the Xanax because I cannot sleep with out them. Is it safe to take the Suboxone and Xanax in one day? Your advice is greatly appreciated.

  • Dr. David Sack Says ...
    Dr. David Sack

    Your doctor must be made aware of the fact that you are taking Xanax on a daily basis.   Taking multiple drugs that suppress the central nervous system increases the risk of overdose. 

    Xanax is not a good long-term solution for anxiety and panic attacks and can actually increase the number of panic attacks over time.  As you become more dependent on the Xanax, panic attacks may become more frequent (every time the dosage goes down).  Eventually you simply can’t take enough Xanax to be able to function safely and live a productive life. Serotonin reuptake inhibitors and mixed Serotonin-Norepinephrine Reuptake Inhibitors may be very effective in treating your anxiety symptoms along with cognitive behavioral therapy.  If your attacks are due to an underlying mood disorder, proper assessment and diagnosis could help you find a better medication that is not addictive or mood altering.