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Reason for xanax using: Now, let's say we have a 26 year old woman, Monica, who has been on 6 mg of Xanax for panic disorder for 3 years. She's doing great. She can drive anywhere she wants and no panic attacks have occurred for 2 years. She even flew from Cincinnati to Cancun Mexico without a problem. She asked her psychiatrist if it would OK if she went off the Xanax now to see if she still needed it. The psychiatrist said yes, 'but you must not do it faster than I order'. The patient was relieved to hear her psychiatrist was urging a gradual decline. You see, the patient's roommate, Suzy, had taken herself off Xanax from 6 mg per day to 3mg a day suddenly. And after only a week she stopped it completely. She thought she would die, she felt so bad; and, she blamed it on 'the addictive nature of Xanax'. Fortunately, Monica was told by her psychiatrist to cut her daily dose from 6.0 mg per day to 5.75 mg per day and to stay on that dose for two weeks. Then she was told to cut to 5.5 mg a day for another 2 weeks, and so on by 0.25 mg off her daily dose every 2 weeks. Monica's psychaitrist explained that there was no way to tell if she still had panic disorder or not and by going down that slowly, if Monica should experience any anxiety symptoms, it would be due to the reappearance of panic disorder symptoms that were inadequately treated by her lower dose of medicine. This would mean that Monica still was afflicted with panic disorder and needed continued treatment, at least for the time being. If, on the other hand, she gradually tapered the Xanax down to zero and had no panic attacks, she would officially be either well or in remission.
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