Compare Prozac vs. Xanax

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

Prozac (Fluoxetine)

Prescription only

Xanax (alprazolam)

Prescription only
Improves mood and helps you relax.

Prozac (Fluoxetine) is good for treating depression and anxiety. It's more energizing than other antidepressants, but may not be the best choice for people who have trouble sleeping.

4.7/ 7 average rating with 1319 reviewsforProzac
Helps you relax.

Xanax (alprazolam) effectively treats occasional or short-term anxiety and panic attacks. Compared to similar drugs, it is more likely to cause withdrawal symptoms and can have more interactions with some medicines.

5.3/ 7 average rating with 1287 reviewsforXanax
Upsides
  • Effective at relieving depression and anxiety symptoms.
  • Lowers relapse rates of depression and bulimia nervosa.
  • Causes less sleepiness than other antidepressants.
  • It's more energizing than other antidepressants, so it's good for people who have low energy.
  • It has been used to treat depression for a long time, so there's a lot of information available about how it works and how safe it is.
  • Six out of ten people who use an antidepressant for the first time find that it works for them.
  • Xanax (alprazolam) can be used to manage anxiety associated with depression.
  • Works very quickly - in hours.
  • Available in generic.
Downsides
  • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
  • Can increase feelings of anxiety or cause headaches during the first few weeks of taking it. These effects should go away over time.
  • More likely than other antidepressants to interact with other medications you're taking.
  • Like most antidepressants, it can cause a higher risk of suicidal thoughts and behavior for people younger than 24.
  • The first antidepressant you try doesn't always work or it can cause side effects you really don't like. You might need to try a few different medications until you find one that works for you.
  • Use of Xanax (alprazolam) can cause memory problems, drowsiness, dizziness, and confusion.
  • Xanax (alprazolam) can be habit-forming, so it's not typically used for long-term treatment.
  • Compared to other similar drugs, Xanax (alprazolam) is more likely to cause withdrawal symptoms if you take it for a long time and then stop suddenly.
  • If you have liver problems, Xanax (alprazolam) may not be the best choice since it is processed by the liver. Several drugs can also interfere with how Xanax (alprazolam) works. Talk to your doctor to see if Xanax (alprazolam) is right for you.
Used for
Dosage forms
  • Pill
  • Delayed release capsule
  • Liquid
  • Pill
  • Extended release
  • Dissolving tablet
  • Liquid
Price
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$4
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$7.24
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Reviews
1319 
62%
think this treatment is worth it
40%
think this treatment works well
16%
think this treatment is a hassle

Have you used Prozac (Fluoxetine)?

Leave a review
1287 
74%
think this treatment is worth it
55%
think this treatment works well
13%
think this treatment is a hassle

Have you used Xanax (alprazolam)?

Leave a review
Side effects
1possible side effects
  • Decreased libido
    4%
See more detailed side effects
10possible side effects
  • Drowsiness
    41%
  • Lightheadedness
    21%
  • Dry mouth
    15%
  • Depression
    14%
  • Headache
    13%
  • Confusion
    10%
  • Constipation
    10%
  • Diarrhea
    10%
  • Nausea/vomiting
    10%
  • Difficulty sleeping
    9%
See more detailed side effects
Risks and warnings
  • Suicidal thoughts or behavior

    Age 24 years or younger

  • Serotonin syndrome

    Using other medications that affect serotonin

  • Withdrawal

    Stopping Prozac (Fluoxetine) suddenly

  • Heart problems

    History of heart problems

    ...and 2 more risk factors

  • Increased bleeding

    Taking other blood-thinning drugs

  • Mania

    History of bipolar disorder

    ...and 1 more risk factors

See more detailed risks and warnings
  • Decreased breathing from use with opioids

    Taking Xanax (alprazolam) with opioids, drugs or alcohol

    ...and 1 more risk factors

  • Dependence and withdrawal

    History of substance abuse

    ...and 3 more risk factors

  • Suicidal thoughts or behavior

    Severe depression

  • Driving impairment

    Taking with alcohol or drugs

  • Drug interactions

    Current liver problems

    ...and 1 more risk factors

See more detailed risks and warnings