The Dangers of Drinking Alcohol and Taking Xanax Together
It is the reality of our times: millions of prescriptions are written for Xanax annually, making it one of the most commonly used drugs for anxiety and panic attacks, and one of the most prescribed drugs in the US in general.
The problem is that many people taking Xanax regularly keep on going with life as usual, and it may mean that they start drinking alcohol while taking their prescription medication.
Are there dangers to mixing Xanax and alcohol? How about the risks of Xanax and alcohol abuse?
Both Xanax and alcohol impact the neurotransmitter GABA, which can lead to increased effects of both substances.
Even at low doses, you can experience more side effects like increased drowsiness and a lack of judgment. Increased doses of both can act as a central nervous system depressant and lead to respiratory depression, coma, and death.
Ingrained Recovery is here to support you when you want to kick the habit of mixing both your anxiety medication and alcohol. We offer the help you need in a comfortable, luxurious setting. Keep reading to learn more about the dangers of mixing drugs and how you can seek help.
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What are the Real Dangers of Mixing Xanax and Alcohol?
Because Xanax is a drug that is frequently prescribed to treat anxiety and panic disorders, many people take it and go about their lives as usual. The problem is that a casual drink might not register when you have already taken one of these benzodiazepines. Is it a dangerous combination to have both?
Here is what you need to know about combining Xanax and alcohol, even in small quantities.
How Xanax and Alcohol Interact with the Brain
Even if you don’t struggle with Xanax addiction, you are making changes to your brain chemistry when you take the drug. Both Xanax and alcohol have a similar effect on the chemistry of the brain. Notably, they both increase the activity of the neurotransmitter GABA. The result is a marked difference in your central nervous system.
GABA is an inhibitory neurotransmitter, which means that it can prevent your brain from creating your usual reaction to stress. The result is that Xanax and alcohol both can pump the brakes on anxiety in your brain and give you that peaceful, relaxed feeling that you want.
Of course, this is also a problem when combining Xanax and alcohol together. Because both of them work on the GABA neurotransmitter, you are likely to see increased effects of both substances. The Xanax and alcohol interactions are quite dangerous.
Combining Alcohol and Xanax at Prescribed Levels
Most people who take Xanax according to their doctor’s orders are on relatively low doses of the drug. While it lends itself to frequent abuse and increased doses beyond what you should take, it may only produce mild effects when taken with alcohol at its lowest dosages.
For example, having a single alcoholic beverage while taking a therapeutic dosage range of Xanax may result in increased risk of lethargy and fatigue. As you increase the intake of both Xanax and alcohol, it is quite possible for you to see increased effects of both substances. It’s uncommon for side effects to stop here.
You’ll experience that cloudiness of judgment that frequently comes with several drinks, even if you only have one or two. Plus, you’ll become intoxicated that much faster, which can lead to alcohol overdose.
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The Immediate Effects of Mixing Benzodiazepine Drugs and Alcohol
Long before a fatal overdose takes place, you’ll see immediate changes in your behavior and impairment in your thinking, judgment, and mental clarity. The risk of respiratory depression is real, but there are a few concerns right away if you take Xanax at prescribed levels and drink in moderation.
Some of the immediate side effects of Xanax and alcohol abuse include:
- Extreme drowsiness and increased sedative effects
- Slurred speech
- Impaired coordination, leading to increased fall risk
- Memory problems
- Dizziness or the sensation of feeling lightheaded
- Impaired judgment
While you may be used to these symptoms when drinking alcohol at higher doses, you may be surprised at how quickly these symptoms come on when combining Xanax with alcohol. Take caution and protect yourself from some of these side effects by battling alcohol addiction while taking Xanax.
More Serious Effects of Combining Xanax and Alcohol Overdose
Because both drugs are central nervous system depressants, you will quickly find that mixing alcohol and Xanax is risky. Especially if you are taking more Xanax than is prescribed or drinking more than a single beverage, you could see serious and even fatal overdoses.
When you take Xanax with alcohol, you increase the effects of Xanax. This can lead to serious side effects like respiratory depression, decreased heart rate, and lower neural activity. Alcohol abuse will only compound these symptoms and lead to drug overdose deaths.
It’s common among people who abuse benzodiazepines and alcohol together, such as with Klonopin and alcohol intake, that their breathing will stop, and they will slip into a coma.
Death is also possible when you’re taking both at higher quantities.
At first, mixing Xanax and alcohol might feel great because it relaxes you and decreases ever-present anxiety. But the risks of taking them together are simply too much to bear.
What to Expect from Addiction Treatment for Xanax and Alcohol Abuse
At a certain point, you may find that mixing alcohol and Xanax simply is not worth the risk it poses to your health and longevity. Your healthcare provider may refer you to an addiction treatment center to detox from both substances and receive help for your substance abuse.
Unfortunately, both Xanax and alcohol can lead to physical dependence and withdrawal when you do finally decide to call it quits on your substance use disorder. Battling two substances is difficult to do on your own. Here’s what you can expect when you decide to kick the habit.
Withdrawal Symptoms for Physical Dependence
Abusing both alcohol and Xanax increases the risk of experiencing withdrawal symptoms when you do decide to put a stop to substance abuse. Both will take several days to clear your system and can result in physical discomfort. A detoxification program may be the best fit for you to find safety and relief.
Physical dependence leads to a physical manifestation of withdrawal symptoms, including headaches, tremors, digestive upset, heart palpitations, and sweating. More extreme symptoms like seizures are also a possibility, which is why a medical professional should be consulted.
However, the real issue for many people is the mental health symptoms they will experience. Xanax and alcohol mask anxiety. As both of them clear your system, you’re likely to experience increased anxiety. It may also seem like you’re more sensitive to lights, sounds, and other sensory input.
Withdrawal Timeline: How Long Does Detox Last?
Unfortunately, your withdrawal symptoms are going to peak within the first few days of going without both drugs and alcohol. This is why enrolling in a detox center like Ingrained Recovery is essential from the moment you make the decision to get sober and stop abusing substances.
Xanax withdrawal will start about twelve hours after the last dose. Symptoms will peak during the first couple of days without another dose and will slowly taper off over the first week of sobriety.
Alcohol abuse is a bit slower to manifest, with withdrawal coming on about two to three days after your last drink. This can be shorter or longer depending on how much you usually drink and how frequently. Like Xanax, withdrawal usually lasts seven to ten days before the hardest part of detox is over.
That doesn’t necessarily mean you are out of the woods after the first week. Residential care is still a great option because it teaches you how to function without drugs and alcohol and keeps you in a safe space where you know you won’t turn back to your addiction.
Avoiding a Fatal Overdose and Life-Threatening Conditions with Treatment
Once you move out of the dangerous window of detoxification, you still aren’t done with your treatment. It takes a concerted effort and targeted treatments to stop mixing Xanax with alcohol. Attending a long-term treatment program like that offered at Ingrained Recovery is paramount to success.
Inpatient treatment is often the first step after detox to monitor physical health issues and decrease your risk of Xanax and alcohol misuse. You have already done the heavy lifting of getting sober, and staying that way requires assistance for most people.
Our luxurious treatment center offers everything you need to heal and maintain sobriety. You’ll have 24/7 access to doctors and counselors, individual counseling, group therapy, and access to holistic therapies like equine, art, music, and yoga therapy.
But the most important part of seeking help is that you can rest easily knowing you’re safe from a fatal overdose, respiratory failure, and all of the other risks that come with Xanax and alcohol use. We can even help you explore an alternative medication that has a lower propensity for addiction and abuse.
Using Insurance Coverage for Polysubstance Abuse
The good news is that you may not have to pay for your treatment out of pocket. Whether you’re seeking help for Xanax and alcohol use or broader issues like polysubstance abuse, insurance policies that meet the requirements of the Affordable Care Act include substance use and mental health issues as a part of their essential health benefits. This means that they must be covered just like a medical issue.
Many policies will cover up to 100 percent of your treatment costs, making it an easy decision to enroll in a treatment center tailored to your needs. Even luxurious options like Ingrained Recovery might be covered under the umbrella of your plan. It never hurts to see what might be covered so you can get the help required.
Our admissions team can verify your insurance benefits in a quick and confidential call today. There is no obligation to enroll, but you’ll have the information you need to make an educated decision either way.
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Get Help for Xanax and Alcohol with Ingrained Recovery
Even if you have a current Xanax prescription, it doesn’t necessarily mean you’re taking it as prescribed. If you find yourself mixing alcohol and Xanax for its calming and sedative effects, then you may need to enlist the help of residential treatment centers. Ingrained Recovery is here to help.
We offer luxurious accommodations where you can be comfortable while battling your Xanax and alcohol use issues. Our sprawling fifty-acre campus is complete with an equine treatment program, yoga and art therapies, and more.
You’ll find the personalized attention and care you need to thrive in your new sober lifestyle. Our evidence-based treatments are designed with you in mind.
From detox to residential treatment, we offer the help you need to get sober. Give us a call today to talk about our same-day admissions and verify your insurance benefits. Our admissions team will answer all of your questions and help you make the choice about whether Ingrained Recovery is the right fit for you.
References
- George TT, Tripp J. Alprazolam. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from:
- University of Arizona. (n.d.). How dangerous is the combination of alcohol and Xanax?
- U.S. Department of Health and Human Services. (n.d.). Alcohol-medication interactions: Potentially dangerous mixes. National Institute on Alcohol Abuse and Alcoholism.
- U.S. Department of Health and Human Services. (2024, May 17). Benzodiazepines and opioids. National Institutes of Health.
- Sachdeva, A., Choudhary, M., & Chandra, M. (2015). Alcohol Withdrawal Syndrome: Benzodiazepines and Beyond. Journal of clinical and diagnostic research: JCDR, 9(9), VE01–VE07.