Xanax vs. Prozac

Reviewed on 10/30/2019

Are Xanax and Prozac the Same Thing?

Xanax (alprazolam) and Prozac (fluoxetine) are used to treat anxiety and panic disorders.

Prozac is used off-label for anxiety. Prozac is primarily used to treat depression, bulimia, obsessive-compulsive disorder (OCD), and premenstrual dysphoric disorder (PMDD).

Xanax and Prozac belong to different drug classes. Xanax is a benzodiazepine and Prozac is a selective serotonin reuptake inhibitor (SSRI) antidepressant.

Side effects of Xanax and Prozac that are similar include drowsiness, dizziness, sleep problems (insomnia), constipation, headache, nausea, upset stomach, appetite or weight changes, dry mouth, stuffy nose, and loss of interest in sex.

Side effects of Xanax that are different from Prozac include tiredness, memory problems, poor balance or coordination, slurred speech, trouble concentrating, irritability, diarrhea, increased sweating, vomiting, blurred vision, swelling in your hands or feet, and muscle weakness.

Side effects of Prozac that are different from Xanax include anxiety, nervousness, heart palpitations, cold symptoms (sneezing, sore throat), impotence, and difficulty having an orgasm.

Both Xanax and Prozac may interact with alcohol, other medicines that make you sleepy (such as cold or allergy medicines, other sedatives, narcotics, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety), and St. John's wort.

Xanax may also interact with birth control pills, cimetidine, cyclosporine, dexamethasone, ergotamine, imatinib, isoniazid, antibiotics, antifungals, barbiturates, heart or blood pressure medications, and HIV/AIDS medicines.

Prozac may also interact with nonsteroidal anti-inflammatory drugs (NSAIDs), L-tryptophan, blood thinners, medicines to treat mental illness, medicines to treat ADHD or narcolepsy, and migraine headache medicines.

Do not stop using Xanax or Prozac suddenly, or you could have unpleasant withdrawal symptoms.

What Are Possible Side Effects of Xanax?

Common side effects of Xanax include:

  • Drowsiness
  • Tiredness
  • Dizziness
  • Sleep problems (insomnia)
  • Memory problems
  • Poor balance or coordination
  • Slurred speech
  • Trouble concentrating
  • Irritability
  • Diarrhea
  • Constipation
  • Increased sweating
  • Headache
  • Nausea
  • Vomiting
  • Upset stomach
  • Blurred vision
  • Appetite or weight changes
  • Swelling in your hands or feet
  • Muscle weakness
  • Dry mouth
  • Stuffy nose
  • Loss of interest in sex

What Are Possible Side Effects of Prozac?

Common side effects of Prozac include:

  • nausea,
  • upset stomach,
  • constipation,
  • headaches,
  • anxiety,
  • sleep problems (insomnia),
  • drowsiness,
  • dizziness,
  • nervousness,
  • heart palpitations,
  • loss of appetite or increase in appetite,
  • weight changes,
  • cold symptoms (stuffy nose, sneezing, sore throat),
  • dry mouth,
  • decreased sex drive,
  • impotence, or
  • difficulty having an orgasm.

What Is Xanax?

Xanax (alprazolam) is indicated for the management of anxiety disorders and the short-term relief of symptoms of anxiety in adults. Xanax is also indicated for the treatment of panic disorder in adults with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).

What Is Prozac?

Prozac is a prescription medicine used to treat depression. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider.

Prozac is used to treat:

  • Major Depressive Disorder (MDD)
  • Obsessive Compulsive Disorder (OCD)
  • Bulimia Nervosa*
  • Panic Disorder*
  • Depressive episodes associated with Bipolar I Disorder, taken with olanzapine (Zyprexa)
  • Treatment Resistant Depression (depression that has not gotten better with atleast 2 other treatments), taken with olanzapine (Zyprexa)*

*Not approved for use in children

Talk to your healthcare provider if you do not think that your condition is getting betterwith Prozac treatment.

SLIDESHOW

Anxiety Disorder Pictures: Symptoms, Panic Attacks, and More with Pictures See Slideshow

What Drugs Interact With Xanax?

Xanax may interact with cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, medicine for depression or anxiety, antibiotics, antifungal medicines, antidepressants, and barbiturates. Xanax may also interact with birth control pills, cimetidine, cyclosporine, dexamethasone, ergotamine, imatinib, isoniazid, St. John's wort, heart or blood pressure medications, HIV/AIDS medicines, and seizure medications.

Do not take Xanax if you are allergic to alprazolam, other benzodiazepines, or any of the ingredients in Xanax. See the end of this Medication Guide for a complete list of ingredients in Xanax. you are taking antifungal medicines including ketoconazole and itraconazole.

Do not stop using Xanax without first talking to your doctor, even if you feel fine. You may have increased seizures or unpleasant withdrawal symptoms if you stop using Xanax suddenly.

What Drugs Interact With Prozac?

Prozac may interact with cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, medicine for seizures or anxiety, monoamine oxidase inhibitors (MAOIs), nonsteroidal anti-inflammatory drugs (NSAIDs), other antidepressants, blood thinners, or migraine headache medicines.

Prozac may also interact with alprazolam, clopidogrel, clozapine, flecainide, haloperidol, nebivolol, vinblastine, or seizure medications.

Withdrawal symptoms may occur if you suddenly stop taking Prozac.

How Should Xanax Be Taken?

Take Xanax exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much Xanax to take and when to take it. If you take too much Xanax, call your healthcare provider or go to the nearest hospital emergency room right away.

Xanax is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma and death.

Xanax can make you sleepy or dizzy, and can slow your thinking and motor skills.

Do not drive, operate heavy machinery, or do other dangerous activities until you know how Xanax affects you.

Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking Xanax without first talking to your healthcare provider. When taken with alcohol or drugs that cause sleepiness or dizziness, Xanax may make your sleepiness or dizziness much worse.

Do not take more Xanax than prescribed.

How Should Prozac Be Taken?

Take Prozac exactly as prescribed. Your healthcare provider may need to change the dose of Prozac until it is the right dose for you.

Prozac may be taken with or without food.

If you miss a dose of Prozac, take the missed dose as soon as you remember.If it is almost time for the next dose, skip the missed dose and take your nextdose at the regular time. Do not take two doses of Prozac at the same time.

If you take too much Prozac, call your healthcare provider or poison controlcenter right away, or get emergency treatment.

QUESTION

Panic attacks are repeated attacks of fear that can last for several minutes. See Answer
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References
Pfizer. Xanax Product Information.

http://labeling.pfizer.com/showlabeling.aspx?id=547

Lilly. Prozac Product Information.

http://pi.lilly.com/us/prozac.pdf

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