Crushing and snorting Xanax (alprazolam) is common among people who misuse drugs. This method of misuse causes a more immediate high than swallowing Xanax, increases the risk of dependence, withdrawal and addiction, and causes many harmful effects, including sinusitis, nosebleeds and perforated nasal septum.
People may crush and snort Xanax in order to experience a more rapid onset of effects and a more intense high.
Crushing and snorting Xanax can release an entire dose’s power in seconds. Compared to taking Xanax orally, snorting it induces a more intense high with a more rapid onset of effects.
Some people misuse benzodiazepines alone. Others combine them with opioids for a stronger high.
While any type of Xanax misuse is dangerous, snorting the drug is especially hazardous. People who snort alprazolam start to feel the effects, on average, in two minutes (compared to 49 minutes for an oral dose).[1]
The effects wear off quickly when snorted too. Most people have peak experiences with snorted Xanax in 52 minutes (compared to 120 minutes after an oral dose).[1]
This immediate and short-lived rush of euphoria and pleasure can lead to a compulsive pattern of misuse as many people may repeat Xanax misuse once the effects wear off.
SwallowingSnortingSmokingChewingShooting Slow onset can lead to overdose. Some people take more pills before the first is working. Rapid highs and quick sobriety damage brain cells and can lead to repeated misuse.Inhaling pill coatings can damage the lungs, leading to chronic cough. Rapid highs can cause intense sedation, dizziness and potential for sexual assault. Injecting pill coatings can lead to blocked blood vessels and abscesses.
Most people who misuse Xanax swallow pills that friends and family members give them.[2] But some people get creative with their pills and take them in ways doctors never intended.
People who abuse Xanax may apply the following methods:
Xanax is one of the most misused benzodiazepines. In studies, people rank Xanax more likable than other drugs like Valium.[3] But some people will use any drug in this class that they can get from a dealer. They may switch from Xanax to Ativan to Klonopin and back again.
Snorting Xanax means triggering a fast response. You’ll feel inebriated faster than you will if you take the dose orally.
It’s not smart to do this even once. But it’s even more dangerous to use Xanax repeatedly. Long-term use is associated with dependence.
These other side effects are common in people who snort Xanax:
Benzodiazepines like Xanax are powerful, and they can change how you think and feel. Your body can change too. These side effects are common in people who snort Xanax:[5]
Misusing Xanax by snorting it can also increase the risk of overdose. Although the chance of overdosing on Xanax alone is relatively low, many people mix Xanax with other drugs like opioids, which greatly increases the risk of a fatal overdose.
A Xanax overdose is life-threatening.[4] Common symptoms include severe sedation, confusion , lack of coordination, and unconsciousness. Call 911 immediately if you think someone is overdosing.
Doctors don’t prescribe Xanax for long periods. But people who misuse the drug may keep taking it longer than anyone recommends. These long-term effects are common in chronic Xanax snorters:[5]
Snorting Xanax can increase the risk of overdose, especially if someone mixes this drug with other depressants like alcohol or opioids. Signs of a Xanax overdose may include:[6],[7]
Most benzodiazepine overdose fatalities involve opioids. In fact, between 2019 and 2020, nearly 93% of benzodiazepine overdose fatalities included an opioid too.[8]
Treatment can help you stop misusing Xanax and build a healthy life. Your treatment plan typically follows several steps.
Your doctor may use alternatives to Xanax to help you detox. Allowing you to achieve sobriety slowly (rather than quitting cold turkey) reduces your seizure risks.
When you’ve gone through withdrawal and are medically stable, your doctor can start therapy programs to help you build relapse skills. There are no long-term medications to help you stay sober (as there are for people with opioid use disorders). However, professional treatment in an inpatient or outpatient program—as well as ongoing therapy—can help you learn how to gain control of your Xanax misuse and avoid relapse.
We’ve compiled some of the most frequently asked questions about crushing and snorting Xanax.
Why do people crush and snort Xanax? People crush and snort Xanax to get high. This method puts all the power of the pills into effect in seconds.
How do I know if someone is misusing Xanax? People who abuse Xanax are often sedated for no explainable reason. They may also shop for doctors to write prescriptions or visit dealers to buy drugs.
What should I do if someone is misusing Xanax? If you think someone is misusing drugs, ask them. Tell them the signs and symptoms you’ve seen. Explain why you’re worried. Offer to help them explore treatment options. Your kindness could be key to helping stop the cycle of drug misuse.
Peter Manza, PhD received his BA in Psychology and Biology from the University of Rochester and his PhD in Integrative Neuroscience at Stony Brook University. He is currently working as a research scientist in Washington, DC. His research focuses on the role of the brain dopamine system in substance use disorders and in aging. He also studies brain function in obesity and eating disorders.
