Effective Alternatives to Xanax

Note: It’s essential to talk to your doctor before stopping Xanax or starting any over-the-counter or natural supplements. They will review your symptoms, comorbid conditions, and any other medication or supplements you’re taking to ensure there are no negative drug interactions.

Xanax (alprazolam) is a popular prescription drug used to treat symptoms of anxiety disorders and panic disorders. While it’s generally effective and safe, Xanax use is not suitable for everyone. Some people seek Xanax alternatives because they don’t like the common side effects they experience, or they’re concerned about Xanax dependence and substance abuse.

Fortunately, there are a variety of other options if you don’t want to or can’t take Xanax. Read on to learn about other prescription medications, over-the-counter (OTC) options, or natural alternatives to Xanax that might be a better fit for treating your anxiety. 

Prescription Medication Alternatives to Xanax

Xanax is in the class of drugs known as benzodiazepines, a type of anti-anxiety medication. This prescription medication works by binding to the GABA-A receptor to raise neurotransmitter levels in the brain, creating a calm, relaxed state. Several alternative medications for Xanax work well to alleviate anxiety, both in the same and different classes of drugs. 

Other benzodiazepines that treat anxiety

Klonopin (clonazepam): Reduces excitement in the brain and has a longer half-life

Ativan (lorazepam): Has a rapid onset of action for fast relief

Valium (diazepam): Has muscle-relaxing properties that offer a calming effect

Selective serotonin reuptake inhibitors (antidepressants) that treat anxiety

Zoloft (sertraline): Increases levels of the neurotransmitter serotonin in the brain to improve mood and relieve anxious feelings

Prozac (fluoxetine): Balances serotonin levels, alleviating symptoms of anxiety

Lexapro (escitalopram): Enhances serotonin activity, regulating mood and decreasing anxiety

Serotonin and norepinephrine reuptake inhibitors (antidepressants) that treat anxiety

Effexor (venlafaxine): Raises serotonin and norepinephrine levels to improve mood and reduce symptoms of anxiety

Cymbalta (duloxetine): Boosts serotonin and norepinephrine in the brain

Beta-blockers that treat anxiety:

Propranolol: Blocks the effects of adrenaline, like rapid heart rate or tremors; often used for situational anxiety like public speaking

Natural Alternatives to Xanax

People with generalized anxiety disorder seeking natural alternatives to Xanax have multiple options. Relief can come from natural alternative medication, herbal remedies, or therapeutic practices without needing a prescription anti-anxiety medication or having to worry about the risk of dependency or drug abuse. Many of the following remedies and holistic coping techniques may help with anxiety. 

Opportunity for Clinician’s Note: Insight on why natural alternatives may be preferred due to lower risk of dependency and side effects

“Taking care of anxiety with natural remedies is the best option as it reduces the chances of addiction, as is the case with benzodiazepines. The regular long-term use of Xanax can also cause depression further complicating the treatment.”

– Talkspace psychiatrist, Dr. Muhammad Munir

Chamomile

Chamomile, a commonly used natural remedy for anxiety, is known for its calming properties. It can be consumed as a tea or a supplement, and studies suggest it can effectively reduce symptoms of anxiety and improve overall psychological well-being. 

Lavender

Loved for its soothing, pleasant scent, lavender is commonly used in essential oils for anxiety, sachets, diffusers, and candles. Research shows that inhaling lavender for just 3 minutes can decrease anxiety and enhance mood. 

Valerian root

Some people use valerian root for anxiety because it may promote sleep and relaxation and can significantly reduce anxiety in some people. Its sedative effects make it a popular choice for people looking for a natural way to manage both anxiety and insomnia. However, like prescription medications, valerian can have side effects and can negatively interfere with other natural supplements or prescription meds. Make sure to talk to your doctor before trying it.

Passionflower

Passionflower can have positive effects on symptoms of anxiety, and several studies suggest it may be a promising alternative to prescription drugs. One study found that people who took an herbal extract containing passionflower saw significantly reduced symptoms of generalized anxiety disorder (GAD). 

Therapy

Several forms of therapy are used to successfully manage anxiety — often without the use of medication. Cognitive behavioral therapy (CBT) and mindfulness-based therapy are 2 types of therapy for anxiety known for their efficacy in reducing symptoms. 

Self-help techniques

There are several self-help techniques that can be incorporated into daily routines to drastically reduce symptoms and help manage anxiety over time. Many work as an effective stand-alone treatment, and others have enhanced effectiveness when combined with additional forms of treatment like medication or natural alternatives. 

Some helpful coping skills for anxiety include:

Mindful meditation teaches you to focus on the present so you can gain a calm, clear perspective on your thoughts instead of worrying about the past or future.

Exercise: Regular activity improves physical health and releases endorphins to naturally boost mood.

Get enough sleep: Quality sleep is crucial for managing anxiety. Develop a bedtime routine that promotes relaxation and consistent sleep and wake times—even on the weekend. Limiting screen time before bed is also a good way to improve sleep health.

Journal: Journaling for anxiety can help you find patterns or triggers that are contributing to your anxiety. Then you can either avoid them or find coping skills to manage them. 

Eat healthy: Minor dietary adjustments—for example, limiting anxiety-inducing foods like caffeine and sugar—can have a positive effect on symptoms. Eating more brain-boosting foods that contain omega-3 fatty acids can also reduce stress.

Find social support: Build and maintain a strong network of friends and family who can offer emotional support when you need it. Support systems also help reduce feelings of isolation that are common with anxiety.

Relaxation techniques: Yoga, Tai Chi, and guided imagery are all positive ways to reduce anxiety.

Opportunity for Clinician’s Note: Insight on how therapy can be a long-term solution for managing anxiety and promoting mental health

“Research has proven medications and therapy are the best way to treat anxiety. Therapy builds skills and strategies to address anxiety long-term. Meds are the bridge to get through the situations and learning cognitive ways to handle the daily challenges is the goal.”

– Talkspace psychiatrist, Dr. Muhammad Munir

Over-the-Counter (OTC) Alternatives to Xanax

There are several over-the-counter (OTC) options that can help alleviate anxiety symptoms. Supplements and herbal remedies can be appealing to those seeking fast relief without the need for a prescription. OTCs are easily accessible and readily available in most areas or by ordering online. 

Nootropic supplements

Nootropic supplements — commonly referred to as “smart drugs” — can improve cognitive function and reduce anxiety. Some studies say they work by enhancing brain health and neurotransmitter function.

Magnesium supplements

For those looking for nonprescription alternatives, you can look into using magnesium for anxiety. It’s crucial for neurotransmitter regulation and it impacts the nervous system for improved mental health. Studies suggest that magnesium supplements can be beneficial in managing mild anxiety.   

Herbal supplements

Herbal supplements like ashwagandha, Rhodiola, and kava are increasingly popular holistic options for treating anxiety. These natural remedies work by interacting with the body’s stress-response system or impacting neurotransmitters to offer a calming effect and reduce anxiety symptoms.

Vitamin B complex

B vitamins are essential for maintaining good mental health. Research has shown that high doses of vitamin B can reduce anxiety, stress, and depression. 

Find Effective Treatments with Talkspace

If you’re seeking Xanax alternatives to help manage your symptoms of anxiety, Talkspace can help. 

Get comprehensive, convenient guidance and solutions through an online platform that connects you with qualified, licensed therapists and psychiatrists who can introduce you to a variety of effective options. From other anxiety medications and holistic treatments to therapeutic approaches, Talkspace makes accessing complete mental health support easy. 

Getting therapy and a practical, personalized treatment plan that fits your needs from the comfort of your home is possible. Talkspace offers an accessible, affordable way to enhance your mental well-being and take control of your anxiety. 

Get online psychiatry and medication prescriptions and management from Talkspace by reaching out today.