Does Alprazolam Help with Alcohol Withdrawals

Today we are going to talk about a very important question in a very simple way:

Can alprazolam (Xanax) help when someone is going through alcohol withdrawal?

Short answer: Yes — very often it helps A LOT But it must be used only under a doctor’s control Let’s understand why step by step

What happens when someone stops drinking suddenly?

When a person drinks a lot of alcohol for many weeks or months and then stops quickly, the brain can get very upset.

This is called alcohol withdrawal.

The most common symptoms are:

  • Feeling very anxious and nervous
  • Shaking hands (tremors)
  • Sweating a lot
  • Trouble sleeping
  • Fast heartbeat
  • Feeling sick to the stomach → In very serious cases → seizures or delirium tremens (very dangerous!)

Why do doctors sometimes give alprazolam?

Alprazolam belongs to a family of medicines called benzodiazepines (Other examples: diazepam, lorazepam, clonazepam, chlordiazepoxide…)

These medicines work in almost the same place in the brain that alcohol was working.

When alcohol suddenly goes away → the brain becomes too excited → Benzodiazepines calm the brain down again

So alprazolam can help very much with the worst feelings of alcohol withdrawal:

  • Very strong anxiety
  • Trembling / shaking
  • Trouble sleeping
  • Feeling like you will have a seizure

Quick comparison – What doctors usually choose

MedicineHow long it worksVery often used for alcohol withdrawal?Notes
Diazepam (Valium)Very long★★★★★Classic choice
Lorazepam (Ativan)Medium★★★★Good when liver is sick
Alprazolam (Xanax)Short★★★Used sometimes — but not first choice
ChlordiazepoxideLong★★★★★Very classic choice

Important — Very Important Things to Know

  1. Never take alprazolam by yourself for alcohol withdrawal
  2. Never buy it from friends or online for this reason
  3. The dose must be controlled by a doctor
  4. You usually need to lower the dose slowly after a few days
  5. Using it wrong can be dangerous → You can get new addiction → Or very bad withdrawal when you stop the alprazolam

Pictures that help explain it

Here are some simple pictures to help you understand better:

(First picture – brain that is too excited because alcohol left suddenly)

(Second picture – alprazolam calming the brain down)

(Third picture – person feeling much better after correct medical treatment)

The most important sentence of this whole post

If you or someone you know is going through alcohol withdrawal:

Go to the doctor or to the emergency room right away → The doctor will decide which medicine is best (maybe alprazolam, maybe another benzodiazepine) → They will watch you and keep you safe

You are not weak if you need medicine to stop drinking safely. You are being smart and brave.

Questions? You can always write them in the comments

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