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Where to begin... I've been taking prescribed Xanax off and on for the past 13 years. I've never taken it for longer than a six-month period and I've never been prescribed more than .5mg three times a day. I'm currently taking .25mg three times a day, but I've been taking .125 in the morning, another .125 around 1pm, .125 around 5pm and .25 at bedtime (.6125mg daily). I'll preface by saying I don't recall ever having Xanax withdrawals in the past, but at this point I can't be certain. My question/concern is this: if I miss my 5pm dose, I start to feel anxious. My symptoms include: hot flashes, palpitations, increased heart rate, clammy hands and fear (mostly health anxiety). Could a low dose, such as mine, produce withdrawal symptoms in between doses? I've been on taking Xanax this time around for about 4 months. I haven't had a chance to talk to my psychiatrist about this, but I'm worried that my emotional state and physical sensations are caused by Xanax dependence. I went to the E.R. last weekend and my EKG and CBC both were fine, but I was told I had subclinical hyperthyroidism. I suppose I'm just a bit confused as to what's causing me to feel the way I do: panic disorder, Xanax between-dose withdrawals or subclinical hyperthyroidism? I wonder if anyone else has experienced this? It really does seem unreal and quite confusing, to be sure. Postscript: I don't proof read anything I ever write, so I hope my semi-trembling hands didn't produce any spelling or grammar mistakes.
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