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mindhealer, Therapist
Category: Mental Health
Satisfied Customers: 693
Experience:  Licensed in MD and am also a Board Certified Diplomate (Advanced Practioner) I have over 10 years experience
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I have been on low dose zanex for several years for mild

Resolved Question:

I have been on low dose zanex for several years for mild anxiety and occasional panic attacks. Something changed rapidly over a week ago and I feel very anxious and have not been sleeping. I ended up in ER and was told to take more zanex and ambien to help me sleep. I have taken the oval shaped pill but new insurance has changed to a round pill. My body is sensitive to medications so I am careful what I take. I also saw a psych dr who didn't chose to change meds at this point, but said to take 3 (.25) daily. I don't feel any better as far as anxiety goes. I am sleeping better with ambien after almost a week of sleeping about 2 hrs. I know I can't stay on ambien for very long. My question is, could the change in manufactuers be any kind of factor? I was looking up on line and ran across this site. Searching for a reason for this scary situation.
Submitted: 6 years ago.
Category: Mental Health
Expert:  mindhealer replied 6 years ago.

Good evening and welcome to Just Answer. First allow me to say that I am sincerely ***** ***** hear of the difficulty you are experiencing. Based on what you have identified, the change in pill shape is actually a significant change as you were taking (oval pill) Brand Name Xanax and then changed to generic Alprazolam (round pill). The dosage is likely the same but for some individuals if they respond well to and have been on the brand name of the medication for years and switched to generic abruptly then there could be a reaction.

The principle chemicals are included in both but the generic manufacturers sometimes alter the pills in some form which changes the biochemistry of the medication thereby making it less effective. The other explanation could be psychological when you were presented with the different medication you could have had a psychological reaction which contributed to your increased level of anxiety. It's considered a placebo effect.

Having said that and your mention of being overly sensitive to medications it's likely the former. My suggestion at this point would be to speak to your psychiatrist to write "BRAND NAME" on the prescription he writes to denote that no generic alternative should be given. If your insurance won't pay for it your doctor can speak with them and explain your hypersensitivity to the generic medication and if they are reasonable they will pay for the brand name.

I sincerely ***** ***** this helps in answering your question as I want to be certain that your question is completely and thoroughly answered and that you are satisfied with the answer. Please feel free to ask any further questions should you have any. I'm happy to answer anything further that you may have questions about or need clarification on. Thank you very much for the chance to help in answering your question and I look forward to hearing from you and hope this finds you well.

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