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n Emily, who lives in Indiana. She
was prescribed generic Xanax at age 25, a few months after she'd
had a baby. She was filled with anxiety, often irrational."I worried that
someone would feed her something she might choke on," she recalled.When
the drug didn't help and she became desperate, she admitted herself to
a psychiatric ward; during the week she was there, relatives cared for
her little girl.Emily was taken off alprazolam and put on the generic
form of Klonopin, which is slower-acting. After being released, she followed
up with her doctor, who continued her on that drug, but Emily
didn't feel much better on it. Her anxiety attacks persisted."Every day
was a struggle," she said.After several months, she started looking for
other doctors to get her off the pills. One wanted her to
go cold turkey, but she'd been reading up online and knew the
dangers of benzo withdrawal."Once you've been on Xanax or similar drugs
for a month or more, you may need to taper off them
gradually," Birndorf explained.Tapering is a stepladder approach that involves
slowly decreasing your dose by tiny increments. It may also include switching
from a faster-acting benzo like Xanax to a slower one, such as
Klonopin, as the hospital had Emily do."If you've been on a high
dose for years, tapering from benzos can possibly take much longer than
with other drugs, like SSRIsmaybe even a full year," Birndorf said.Sometimes,
she points out, patients don't comply
without prescriptions."An estimated 14.7 percent of Americans ages
21 to 34 have taken tranquilizers without a prescription or even recreationally,
according to 2012 data from the Substance Abuse and Mental Health Services
Administration. Meanwhile, the number of ER visits from people misusing
or abusing alprazolam skyrocketed 172 percent from 2004 to 2011, the most
recent federal statistics available.Related: Secrets To Firing Up Your MetabolismThe
drug can be particularly dangerous when taken in combination with other
substances."If you mix a benzo with another drug that subdues your nervous
systempainkillers, alcohol, antihistaminesthe effects can be dangerous or
deadly," Reinhold said. "Remember Heath Ledger?"Even when used as prescribed,
Xanax can become habit-forming, Birndorf said."As your body acclimates to
it, you could end up needing more of it, and sooner, to
get the same response."If that happens and you abruptly stop taking the
drug, you might go into withdrawal. This can lead to muscle twitches,
depression, anxiety and, in its severest form, seizures. Says Dr. Stuart
Gitlow, an addiction psychiatrist and president of the American Society
of Addiction Medicine, "Withdrawal from benzos can be more dangerous than
withdrawal from heroin."Those risks are very real for women; an estimated
32.5 million alprazolam prescriptions were written for women in 2012 versus
15.3 million for men, according to IMS Health."Women now are more a
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