Skip to main content

Compare
Tizanidine vs. Xanax

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Tizanidine (Zanaflex) and alprazolam (Xanax) are both prescription oral medications, but they have some important differences. Tizanidine is an alpha-2 adrenergic receptor agonist used primarily as a muscle relaxer to treat muscle stiffness and rigidity, while alprazolam is a benzodiazepine approved for treating generalized anxiety disorder (GAD) and panic disorder. Tizanidine is available in both brand and generic forms and is typically taken three times a day, whereas alprazolam is also taken three times a day but is a controlled substance due to its potential for misuse dependence. Common side effects of tizanidine include dry mouth, sleepiness, and dizziness, while alprazolam can cause drowsiness, memory problems, and lightheadedness. Tizanidine can interact with medications like ciprofloxacin, leading to low blood pressure, while alprazolam should not be taken with opioids or alcohol due to the risk of severe sedation and breathing problems. Both medications require careful monitoring and should not be stopped suddenly to avoid withdrawal symptoms.

Tizanidine

(Zanaflex)

Get free coupons

Alprazolam

(Xanax)

Get free coupons

Summary for Tizanidine

Prescription only

Tizanidine, also known by its brand name Zanaflex, is a muscle relaxer. It's FDA approved to treat stiff, rigid muscles in adults. This medication comes as tablets and capsules that you take by mouth. The usual dosage is taken as needed, up to 3 times a day. It has side effects like dry mouth, sleepiness, dizziness, and constipation. Tizanidine (Zanaflex) is available as a generic and brand-name medication.

Indications for Tizanidine

Pros and Cons for Tizanidine

Pros

  • Taken as needed (up to 3 times a day) to help relax stiff or rigid muscles
  • Works within 1 to 2 hours
  • Also available as capsules that can be opened and sprinkled on applesauce
  • Not a controlled substance

Cons

  • Can cause dizziness, sleepiness, dry mouth, and low blood pressure
  • Interacts with many other medications, like birth control pills, ciprofloxacin, and opioids
  • Can cause withdrawal symptoms if you lower the dose or stop suddenly
  • Higher risk of side effects in older adults and people with kidney problems

Common Side Effects for Tizanidine

Warnings for Tizanidine

  • Low blood pressure
  • Sleepiness
  • Liver damage
  • Possible hallucinations
  • Withdrawal symptoms if stopped suddenly
  • Allergic reactions

Summary for Xanax

Prescription only

Alprazolam (Xanax) is a benzodiazepine. It's approved to treat generalized anxiety disorder (GAD) and panic attacks in adults. It's taken by mouth, typically 3 times a day or as directed by your healthcare team. To avoid the risk of dependence, alprazolam (Xanax) is meant for short-term treatment only. Some of the more common side effects of this medication include drowsiness and memory problems. You should avoid drinking alcohol while taking alprazolam (Xanax) because this can lead to serious interactions.

Indications for Xanax

Pros and Cons for Xanax

Pros

  • Taken by mouth
  • Can start to work in 30 minutes
  • Available as quick-dissolving tablets or liquid for people who have trouble swallowing pills

Cons

Common Side Effects for Xanax

Generalized anxiety disorder:

  • Drowsiness (41%)
  • Lightheadedness (21%)
  • Dry mouth (15%)

Panic disorder:

  • Drowsiness (77%)
  • Fatigue (49%)
  • Poor coordination (40%)
  • Memory issues (33%)
  • Irritability (33%)
  • Appetite changes (28-33%)
  • Thinking problems (29%)
  • Constipation (26%)

Side effects listed are for the immediate-release forms. Side effects for extended-release form might differ.

Warnings for Xanax

  • Sedation and difficulty breathing
  • Potential for misuse, addiction, dependence, and withdrawal
  • Effect on driving and concentration
  • Harm to babies
  • Interactions with other medications
  • Use with caution in people with depression

Prices with our coupons for Tizanidine vs. Xanax

Price Card Drug Icon
Tizanidine30 tablets / 4mg
--
Get free coupons
More Information
Price Card Drug Icon
Alprazolam30 tablets / 0.5mg
--
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.