Hey all: I happen to basically agree with
@JasonP.
You will find very different and strong opinions here on Tinnitus Talk as to the use of benzodiazapines (anti-anxiety drugs), of which Xanax (generic alprazolam) is one. Alprazolam is among the fastest-acting of these medications, which makes it the drug of choice for panic attacks; it enters but also leaves your body fairly quickly. The bad news is this also is one of the things that makes it among the most addictive of the benzos.
I had no real history of panic prior to developing tinnitus in June 2013. I took alprazolam, under the supervision of a psychiatrist, for a little more than a year. I have not taken the drug since early 2015. The below are just my opinions or experiences:
* While I think anyone using alprazolam (or any benzo) needs to use extreme caution, it can be a lifesaver. I was close to suicidal, due to extreme panic attacks, when I started taking it. Don't know how I would have made it otherwise.
* I think the keys to using benzos in the safest way possible: Take it under a doctor's care (preferably a mental health doctor, like a psychiatrist), use the lowest dose possible, and know that this is not a long-term solution and you should get off this drug as soon as possible. Have your doctor set minimum/maximum dosage levels and time frame for discontinuing use.
* While some people experience serious withdrawal issues with benzos, many people do not. I am one of them. Be aware you should not quit these drugs cold turkey. You must taper off usage. Also, if you have a prior history of abusing drugs or alcohol, benzos probably are not for you.
* Alprazolam is not designed to be used for tinnitus control (or for sleep disturbance, for that matter). While it may temporarily relieve tinnitus symptoms, it won't do it for the long-term, as you do build up a tolerance. Also it exits your body too quickly to effectively be used to get a full night's sleep.
* Finally, everyone's experience with any kind of medication (especially those that tinker with your brain chemistry) will vary. Get good medical advice and proceed with utmost caution. But don't be deterred by scare stories if you truly need these medications.