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How to withdraw alprazolam in 6 month with hypertension.
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Sleep-Related Disorders
Question #16697
6 days ago
50

How to withdraw alprazolam in 6 month with hypertension. - #16697

Mohammad Shifat

I am a high blood pressure patient. I have been taking alprazolam for a long time, almost two years now, I want to stop it.I am 18 y only and taking like propranolol HCL and losartan potassium taking that's much medicine make me think and iam also over wight iam 5 fit 11 inch and wight about 100 kg now i is a crying need for me to leave this medicine

Age: 15
Hypertension
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
5 days ago
5

Hello dear See medication are not stopped immediately They are gradually decreased to avoid withdrawal symptoms High blood carries high chances of haemorrhage and paralysis so please consult the concerned physician for withdrawal Regards

1037 answered questions
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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
5 days ago
5

Without knowing your dose, it is unsafe and medically incorrect to write a taper withdrawal can be dangerous. Better visit your doctor to tapper it.

921 answered questions
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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
5 days ago
5

Hello Shifat,

Do NOT stop alprazolam suddenly, stopping fast can cause seizures, very high blood pressure, panic, and danger. You must see your doctor to make a safe taper plan

Good that you asked for help.

Please consult your doctor and ask him if he can taper the dose.

I hope you understood the seriousness

Feel free to talk Thank you

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
5 days ago
5

Hello Shifat It’s understandable to feel concerned about your medication, especially when you’re managing multiple health conditions. Stopping or reducing medication like alprazolam should always be done under the guidance of a healthcare provider, as it can lead to withdrawal symptoms or increased anxiety if not managed properly.

Steps to Consider: 1. Consult Your Doctor: Talk to your healthcare provider about your desire to stop alprazolam. They can help create a tapering plan to gradually reduce your dosage safely. 2. Explore Alternatives: Your doctor may suggest alternative treatments for anxiety or stress management, such as therapy (like cognitive-behavioral therapy) or lifestyle changes. 3. Lifestyle Changes:Focus on healthy habits that can help manage both anxiety and high blood pressure: - Diet: Consider a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing salt intake can also help with blood pressure. - Exercise: Aim for regular physical activity, which can help with weight management and reduce anxiety. - Stress Management: Techniques like mindfulness, meditation, or yoga can be beneficial. 4. Monitor Your Health:Keep track of your blood pressure and any symptoms as you make changes. Regular check-ups with your doctor are important. 5. Support System: Reach out to friends, family, or support groups for encouragement as you work through this process.

Thank you

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Tapering off alprazolam requires a careful approach, especially with your existing high blood pressure and medications like propranolol and losartan potassium. Firstly, it’s crucial to discuss with your healthcare provider before making any changes—quitting alprazolam abruptly can lead to withdrawal symptoms, including anxiety, insomnia, and in some cases, more severe reactions like seizures. A typically evaluated strategy might involve gradually reducing your dosage over time. Your doctor will help create a tailored plan; this might involve lowering your daily intake by a small increment every week or two, monitoring your symptoms closely at each step. Concurrently, given your concerns about weight and its impact on blood pressure, incorporating lifestyle changes could also be beneficial. This might include increasing physical activity—aim for at least 150 minutes of moderate-intensity exercise per week. Even just starting with a brisk walk daily can have a positive effect on your cardiovascular health. Dietary changes, like reducing sodium intake and following a heart-healthy diet, could also aid in managing your weight and blood pressure. You might find consulting a nutritionist helpful to create a meal plan that aligns with your health goals. All these steps can be part of a coordinated plan monitored by your healthcare provider to ensure safety and efficacy in both coming off alprazolam and managing your hypertension. Avoid making changes to your medications without professional advice.

7083 answered questions
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