
Understanding the Risks of Long-Term Xanax Use and the Importance of Tapering
A reader asks Dr. Keith Roach about the long-term risks of continued use of Xanax (alprazolam) for sleep. Dr. Roach highlights a recent study that suggests chronic use of benzodiazepines like Xanax can lead to neurological dysfunction, including low energy, difficulty concentrating, memory loss, and anxiety. He advises against suddenly discontinuing the medication and recommends a slow tapering process under medical supervision. Dr. Roach also suggests considering behavioral treatments, such as cognitive behavioral therapy, as a safer and more effective alternative for insomnia. In response to another question, he advises against fruit and vegetable supplements, emphasizing the importance of a balanced diet with fresh or frozen produce for optimal nutrition.