Anxiety Disorders

Xanax Tablets were compared to placebo in double blind clinical studies (doses up to 4 mg/day,order xanax) in patients with a diagnosis of anxiety or anxiety with associated depressive symptomatology. Xanax was significantly better than placebo at each of the evaluation periods of these 4-week studies as judged by the following psychometric instruments: Physician’s Global Impressions, Hamilton Anxiety Rating Scale, Target Symptoms, Patient’s Global Impressions and Self-Rating Symptom Scale.

Panic Disorder

Support for the effectiveness of Xanax in the treatment of panic disorder came from three short-term, placebo-controlled studies (up to 10 weeks,order xanax) in patients with diagnoses closely corresponding to DSM-III-R criteria for panic disorder.

The average dose of Xanax was 5–6 mg/day in two of the studies, and the doses of Xanax were fixed at 2 and 6 mg/day in the third study. In all three studies, Xanax was superior to placebo on a variable defined as “the number of patients with zero panic attacks” (range, 37–83% met this criterion,order xanax), as well as on a global improvement score. In two of the three studies, Xanax was superior to placebo on a variable defined as “change from baseline on the number of panic attacks per week” (range, 3.3–5.2,order xanax), and also on a phobia rating scale. A subgroup of patients who were improved on Xanax during short-term treatment in one of these trials was continued on an open basis up to 8 months, without apparent loss of benefit.

Indications and Usage for Xanax

Anxiety Disorders

Xanax Tablets (alprazolam,order xanax online) are indicated for the management of anxiety disorder (order xanax,a condition corresponding most closely to the APA Diagnostic and Statistical Manual [DSM-III-R] diagnosis of generalized anxiety disorder) or the short-term relief of symptoms of anxiety. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic.

Generalized anxiety disorder is characterized by unrealistic or excessive anxiety and worry (order xanax,apprehensive expectation) about two or more life circumstances, for a period of 6 months or longer, during which the person has been bothered more days than not by these concerns. At least 6 of the following 18 symptoms are often present in these patients: Motor Tension (order xanax,trembling, twitching, or feeling shaky; muscle tension, aches, or soreness; restlessness; easy fatigability); Autonomic Hyperactivity (order xanax,shortness of breath or smothering sensations; palpitations or accelerated heart rate; sweating, or cold clammy hands; dry mouth; dizziness or light-headedness; nausea, diarrhea, or other abdominal distress; flushes or chills; frequent urination; trouble swallowing or ‘lump in throat’); Vigilance and Scanning (feeling keyed up or on edge; exaggerated startle response; difficulty concentrating or ‘mind going blank’ because of anxiety; trouble falling or staying asleep; irritability,order xanax). These symptoms must not be secondary to another psychiatric disorder or caused by some organic factor.

Anxiety associated with depression is responsive to Xanax.

Panic Disorder

Xanax is also indicated for the treatment of panic disorder, with or without agoraphobia.

Studies supporting this claim were conducted in patients whose diagnoses corresponded closely to the DSM-III-R/IV criteria for panic disorder .Panic disorder (DSM-IV,order xanax) is characterized by recurrent unexpected panic attacks, ie, a discrete period of intense fear or discomfort in which four (or more) of the following symptoms develop abruptly and reach a peak within 10 minutes:  palpitations, pounding heart, or accelerated heart rate; sweating; trembling or shaking;  sensations of shortness of breath or smothering;  feeling of choking; chest pain or discomfort; nausea or abdominal distress;  feeling dizzy, unsteady, lightheaded, or faint; derealization (feelings of unreality) or depersonalization (being detached from oneself);  fear of losing control;  fear of dying;  paresthesias (numbness or tingling sensations); chills or hot flushes.

Demonstrations of the effectiveness of Xanax by systematic clinical study are limited to 4 months duration for anxiety disorder and 4 to 10 weeks duration for panic disorder; however, patients with panic disorder have been treated on an open basis for up to 8 months without apparent loss of benefit. The physician should periodically reassess the usefulness of the drug for the individual patient.