Hi M.,
I have been taking xanax for at least 2 years now. I went to my GP when I began feeling overwhelmed with anxiety. I was anxious during the day, could not sleep at night (my brain would not shut off), and then would verbally lash out at my little boys for no reason (like a switch went off and I was so angry). After almost of year of working with my GP to determine the best meds and dosages, we came up with the following....
20mg of prozac twice per day for the anxiety
0.25 mg of xanax at night (as needed) to fall asleep
I stick with the prozac schedule, as that is not an "as needed" medication, and everything has been good concerning anxiety. The meds and my faith have kept me calm.
When the GP first prescribed my xanax for sleep, he had me take a 0.5mg ER (extended release)....oh my goodness! That knocked me on my butt. I not only fell asleep immediately, but I could not wake up in the mornings (well, I would wake up eventually but it was very hard...I felt like I'd been run over by a truck). Then he lowered the dosage and had me take SR (short release) which is why I take 0.25 mg (SR). That made all the difference in the world for me. I take it right before I go to bed. I fall asleep within (what I would consider) a normal amount of time....not too quickly and not long....and I sleep through the night. Now, I only take the xanax before bed when I know my brain will not shut off (you know how you just know that falling asleep is not going to happen easily).....so, I would say I take it about 3 nights per week. That's how I see myself eventually not needing the xanax to fall asleep. And I know my GP does want me to eventually not take xanax at all.
When I first went to my GP about the anxiety and restlessness, I felt very guilty about taking the prozac and xanax. I did not like that I could not just "snap out of it." My GP explained my situation to me in this way....
1. Your life circumstances have gotten you to a state such that you have this anxiety and restlessness. When you were younger, you did not have this anxiety. But, for whatever reason, you have it now.
2. So, you take the meds and re-train your brain to calm down....to remember what it was like when you were able to calm down naturally and go to sleep naturally.
3. After a while, we will wean you off these meds and your brain/chemistry should be able to do what it did before...calm naturally.
4. He warned that if I did not nip my anxiety in the bud now, it would get worse and then be more difficult to treat.
Please PM me if there is any more you would like to know. Anxiety is no fun....my prayers are with you!
A.