By We Level Up | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: October 7, 2025
What happens when you mix Xanax and Weed?
The effects of mixing Xanax with cannabis are not well studied. However, this combination is usually safe in small doses. Nonetheless, every person reacts differently, and the results of mixing substances become even more unpredictable.
Don’t freak out if you’ve previously combined the two. It’s not often a life-threatening combination unless you’ve taken a lot of Xanax. Yet, it might result in certain unfavorable side effects.
We don’t know a lot about how Xanax and weed interact because there hasn’t been much research on the two drugs together. But we know both are CNS depressants, decreasing communication between your brain and body.
Xanax and weed can reduce anxiety and produce a calming, euphoric effect when consumed separately in small dosages. They can exacerbate anxiety and induce paranoia, drowsiness, a rapid heartbeat, and irritability at larger doses.
Xanax and weed key takeaways
- For individuals with mental health conditions, combining xanax and weed may exacerbate anxiety, panic, or depressive symptoms.
- The interaction can worsen side effects like confusion, dizziness, memory loss, or even cause blackouts.
- The risks are higher in certain populations (older adults, those with lung disease, or those on other sedative drugs).
- The safest approach is to avoid using them together and to consult a healthcare provider about safer alternatives.
- Always treat the information as educational; professional medical guidance is essential, especially for addiction or mental health issues.
Risks, Timelines, and Safer Treatment Options
Mixing Xanax and weed can cause unpredictable and dangerous effects. Both substances slow down the central nervous system, leading to excessive drowsiness, dizziness, and impaired coordination. When combined, they may increase the risk of panic attacks, confusion, blackouts, and accidents. The interaction can also worsen anxiety or depression symptoms over time.
Avoiding the combination of Xanax and weed is the safest option. If you are using either for medical or emotional reasons, talk to your healthcare provider about safer treatment plans. Professional guidance can help manage anxiety or sleep issues without the risks of dangerous drug interactions.
The medical information on this page is provided for educational purposes only. It should not replace professional medical care. If someone has taken Xanax (alprazolam) and weed together and shows signs of distress, get medical help right away. Signs of distress include severe confusion, trouble staying awake, or slowed breathing. In case of an emergency, call 911. For 24/7 emotional support in the U.S., call or text 988 (Suicide & Crisis Lifeline).
Can You Smoke Weed On Xanax?
Remember that, depending on tolerance, what one person perceives as a low dose may be a big dose for another.
The combination may lessen either drug’s effects, making it simpler to overdose on Xanax.
When the two are combined, potential negative impacts include:
- Dizziness.
- Drowsiness.
- Trouble concentrating.
- Slurred speech.
- Confusion.
- Slowed motor coordination.
- Impaired judgment.
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(844) 597-1011Xanax Abuse Statistics
Long-term use of Xanax causes severe addiction and abuse since it is highly addictive. The most popular psychiatric drug prescribed in the US is Xanax. Continue reading for Xanax abuse statistics.
124.9 Thousand
Emergency room visits due to the recreational abuse of Xanax more than doubled, from 57,419 in 2005 to 124,902 in 2010.
Source: NIAAA
16.7 Million
In 2020, 16.7 million prescriptions were written for Alprazolam (the generic name for Xanax).
Source: NIAAA
9%
Prescription rates for Xanax have been climbing at a 9% rate since 2008.
Source: NIAAA
Can you mix Xanax and Weed?

Can You Lace Weed With Xanax?
People may attempt to combine Xanax and weed because of their similar effects on the nervous system and brain. It’s common to believe that combining them would be beneficial if either one already relieves your anxiety. To combine any medication or drug, whether prescribed or not, without a doctor’s clearance is never a good idea.
Using Xanax and weed combined has been shown to exacerbate anxiety. This is because marijuana and Xanax have side effects such as increased irritability, a quick heartbeat, paranoia, and anxiety when taken in large dosages. Using the two at once is essentially “doubling up,” which can have the same results.
Can You Smoke Weed And Take Xanax?
Each reacts to substances differently, including mixes. While combining Xanax with cannabis may make some individuals feel more anxious. Some people may feel like they are having a panic attack. For them, the calming effects can be stronger, which can be harmful.
When used together, marijuana and Xanax can cause more drowsiness. They can also lead to very low heart and breathing rates, slurred speech, and poor judgment. If you drink, make sure to uncover the Xanax and alcohol dangers.
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7/365 Line (844) 597-1011Xanax and Weed Symptoms: Warning Signs of Dangerous Interactions
Using Xanax and weed together can be risky, as both substances affect the central nervous system. Recognizing the symptoms of combining these substances is essential for your safety and well-being.
In addition to the potential health risks, combining marijuana and Xanax can indicate a more serious addiction issue. For example, a person might notice they feel calmer and have less anxiety when they use marijuana. But perhaps after that, anxiety levels or panic episodes become more frequent. They visit a doctor for aid, who issues a Xanax prescription. They initially take medication as necessary, but eventually, it becomes a daily or weekly habit. The user might try mixing Xanax and weed for a stronger effect if the Xanax starts to work less.
A substance misuse habit can form and spiral out of control very quickly. Taking more medication than needed for your symptoms may be a sign of drug addiction. Mixing Xanax with marijuana, alcohol, or other unapproved prescription drugs can also be a warning sign.
It’s crucial to seek assistance if you’re having trouble managing your anxiety symptoms or combining Xanax with other drugs. You can better understand the causes of addiction, get back on track with managing your anxiety symptoms, and gain more tools and resources for your mental health by speaking with a reputable mental health care expert.
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Xanax Addiction Treatment
Although addiction is a complicated disorder, it is manageable. You are not alone if you or a loved one has problems with Xanax use, and assistance is available.
Addiction to Xanax is treated on a continuum and may entail a variety of interventions that range in intensity.
Xanax addiction treatment should be tailored for each patient. It must meet their psychological, physical, social, and work needs.
Xanax Detoxification
A crucial initial stage in the rehabilitation process is detoxification. It can occur in inpatient and outpatient settings and must incorporate these 3 crucial elements:
- Evaluation and assessment.
- Stabilization.
- Promotion of patient readiness for treatment.
Those detoxing from CNS depressants should do it under medical supervision so they can gently go off the medication. Currently, no drugs are FDA-approved to treat sedative (like Xanax) addiction. Discover more about Xanax detox treatment options.
Inpatient Treatment
An institution that offers round-the-clock care and a secure atmosphere for treatment or inpatient therapy. Depending on the demands of each patient, inpatient treatment may last anywhere from a few weeks to a few months. A few examples of inpatient treatment are:
- Residential inpatient services, with 24-hour care by trained counselors and medical providers.
- Intensive inpatient services are available with 24-hour nursing care. You can get daily physician care and counseling for 16 hours a day.
Patient Stories
These examples reflect illustrative patient experiences. Names and details have been changed for privacy.
- “A., 29 — Mixing Xanax and Weed to Cope”
A. started using Xanax to manage panic attacks, and soon began mixing it with weed to enhance the calming effects. Over time, this combination made him feel detached and unmotivated, with worsening anxiety when sober. After a friend expressed concern, A. entered an outpatient program. Therapy and education helped him see the dangers of using multiple drugs. He learned better ways to handle stress.
“I thought weed made the meds work better, but it was just numbing me. I’m learning how to actually feel and deal now,” A. said. - “R., 35 — From Daily Use to Recovery”
R. had a long history of smoking weed to relax. When she was prescribed Xanax for anxiety, she didn’t think twice about mixing the two. It seemed harmless—until she started experiencing memory gaps, emotional outbursts, and difficulty concentrating at work. In rehab, she looked at the reasons for her anxiety. She also created new routines that did not depend on substances.
“I used to think weed was natural and Xanax was medicine, so they couldn’t be bad together. I was wrong,“ she shared. - “D., 22 — Learning to Cope Without Numbing Out”
D. used weed almost daily in college and later began taking Xanax during high-stress periods. The combination left him feeling foggy, isolated, and increasingly anxious. When a panic attack landed him in the ER, he decided to seek help. D. learned to spot triggers and use coping tools that did not involve substances. This happened through group therapy and behavioral counseling.
“I was chasing calm, but it kept slipping away. Now I’ve got real tools that actually work,“ D. reflected.
Clinician Perspective
“Xanax and cannabis might seem safe together, but they can harm memory, motivation, and emotional stability.” — Addiction Specialist
“Effective recovery means helping patients understand the substances they use and why they use them.” — Licensed Clinical Psychologist
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Combining Xanax and Weed Can Cause Dangerous Side Effects
Mixing Xanax, a prescription drug for anxiety and panic, with weed can cause serious and dangerous side effects. Both substances impact the central nervous system. Using them together increases their effects. This can put your physical and mental health at risk.
Increased Sedation and Drowsiness
Both Xanax and weed can cause drowsiness, fatigue, and slowed reflexes. When combined, these effects can be significantly intensified, leading to:
- Difficulty staying awake or alert
- Impaired coordination and judgment
- Increased risk of accidents or falls
Respiratory and Cardiovascular Risks
Xanax is a depressant, and weed can sometimes lower blood pressure or alter heart rate. Together, they may:
- Slow breathing or heart rate is dangerously low
- Increase the risk of fainting or cardiac complications
Safety and Treatment Recommendations
If you or someone you know is using Xanax and weed together, professional guidance is critical. Treatment options may include:
- Medical evaluation: To assess risks and potential interactions
- Therapy and counseling: For safe coping strategies and addiction prevention
- Medication-assisted treatment: To safely manage withdrawal and dependence
Heightened Anxiety or Paranoia
Although Xanax is prescribed to reduce anxiety, combining it with weed can have the opposite effect for some people:
- Increased feelings of panic or paranoia
- Emotional instability
- Exacerbation of underlying mental health conditions

Cognitive Impairment
Mixing Xanax and weed can interfere with your brain’s ability to function properly. Users may experience:
- Memory problems
- Confusion or disorientation
- Trouble concentrating and making decisions
The Science-Based Evidence on Xanax and Weed Studies
Xanax (alprazolam) is a prescription drug used to treat anxiety and panic disorders. Weed (cannabis) is a popular recreational drug. Studies show that mixing Xanax and weed can increase their effects on the central nervous system. This can lead to problems with thinking, emotions, and physical abilities.
How We Level Up Turns Research Into Real Recovery
At We Level Up, we are dedicated to more than just treatment. We aim to connect scientific research with real recovery. We use proven facts about Xanax and weed and their effects on the brain and body to guide your care. Our approach combines evidence-based knowledge with personalized support to help you safely navigate recovery.
| Study | Treatment Implications | Insights for Patients |
|---|---|---|
| Reduction of Benzodiazepine Use in Patients Prescribed Medical Cannabis View Study | Medical cannabis may facilitate tapering benzodiazepines in some patients, especially when used under supervision. Not a one-size-fits-all replacement. | Some people reduced or stopped benzos after starting medical cannabis. Don’t stop meds on your own; always consult a doctor and taper slowly. |
| Use of Benzodiazepines and Cannabis in Young Adults View Resource | Young adults using cannabis are more likely to be prescribed or use benzodiazepines. Screening for co-use is essential. | If you’re using both weed and Xanax, be honest with your doctor. It may be a sign of underlying stress or mental health struggles. |
| Cannabis & Benzodiazepine Receptors: Animal and Human Study Read Article | Cannabis affects benzodiazepine receptors. Co-use may impact tolerance, efficacy, or withdrawal. Monitor patients carefully. | Mixing cannabis with Xanax might change how either one works. Effects can be stronger, weaker, or unpredictable. |
| Impact of Cannabis Use on Benzodiazepine Outcomes View Study | Cannabis use did not reliably reduce benzodiazepine use or improve health outcomes. Younger users had higher hospitalizations. | Don’t count on cannabis to reduce your Xanax use. For some people, it doesn’t help and may even lead to more ER visits if not used carefully. |
What This Means for Your Care at We Level Up
The evidence is growing, and the message is clear: mixing Xanax and weed can be unpredictable, risky, and potentially dangerous. Both substances act on the brain’s calming systems. When used together, these substances can make you more sleepy. They can also change your judgment and slow your breathing. This combination raises the risk of blackouts and overdose. It can also cause long-term dependence. Even though weed is seen as “natural” or harmless, it can interact with Xanax in ways that are not always clear or safe.
At We Level Up, your care is not guesswork. It’s based on what research shows works and what doesn’t. Our team offers personalized support, early help, and ongoing care. We aim to help you detox and thrive in recovery. You will work with licensed professionals. They understand how complex using Xanax and cannabis together can be. They know how to treat it with care and proven methods. Ready to take back control? Contact We Level Up Treatment Centers today for a confidential, free assessment. We’ll help create a treatment plan that’s built for you—guided by science, and rooted in hope.
Xanax and Weed: We Level Up Dual Diagnosis Treatment
The definition of dual diagnosis (also referred to as co-occurring disorders) can differ between institutions. However, it is generally described as the specific treatment of someone diagnosed with a substance use disorder and a mental health disorder simultaneously. Helping clients with dual diagnoses is a key part of our inpatient treatment. This is important because co-occurring disorders often lead to substance abuse.
Creating a treatment plan is important for success. It should address the physical aspects of withdrawal. It must also consider the psychological connection to drug use. Finally, it should manage any underlying mental health disorders. A thorough mental health analysis identifies possibilities for treatment. Meeting with mental health counselors and medical care providers means access to behavioral therapy and medication treatment. At our dual diagnosis treatment center, We Level Up can implement the highest quality of care.
We recognize the fragile complexities of how mental and substance abuse disorders can influence others and sometimes result in a vicious cycle of addiction. That’s why we provide special treatment for dual-diagnosis cases. This gives the best chance for real healing and lasting recovery.
Accepting that you may be living with a mental illness can be challenging. However, treating the presenting substance abuse case can be magnitudes easier once properly diagnosed and treated. Only a properly trained medical professional can diagnose these underlying conditions. If you think you have a disorder along with addiction, we encourage you to find a good treatment center. This is the first step on your path to recovery. Call We Level Up today.
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FAQs
Is it dangerous to mix Xanax and weed occasionally?
Even occasional use can be risky. Everyone’s tolerance and metabolism differ. Mixing them may result in unpredictable effects, especially if alcohol or other medications are also involved. Medical professionals strongly advise avoiding this combination.
How long should I wait after taking Xanax before using weed?
| Xanax can stay in your system for up to 11–15 hours after the last dose (longer for extended-release forms). Wait at least 24 hours or more, and always ask your doctor before combining any substances. |
What should I do if I accidentally took Xanax and weed together?
| If you feel extremely drowsy, confused, or have trouble breathing, seek emergency help immediately (call your local emergency number). Avoid driving or operating heavy machinery. Inform the medical team about what and how much you took. |
Search We Level Up Xanax and Weed Resources
Resources
Dangers Of Mixing Xanax And Alcohol – To illustrate risks of mixing Xanax with other depressants, not just weed
How Long Do Weed Highs Last? Cannabis Effects, Use & Abuse – Helps readers understand the overlap in duration of effects
How Long Does Klonopin Stay In Your System? – Although Klonopin is a different benzo, comparative pharmacokinetics are relevant
Can You Smoke Xanax? Dangers And Side Effects – To expand on misuse methods not covered in mixing with weed
What Happens When You Get Caught With Xanax? – Adds context around legal risk, which can be relevant in substance misuse articles.
Sources
[1] National Institute of Mental Health – ‘Depression’ (www.nimh.nih.gov)
[2] U.S. Food and Drug Administration (FDA) (www.fda.gov/)
[3] Depression Treatment » Drug Alcohol Addiction Rehab
[4] Bandelow B, Michaelis S, Wedekind D. Treatment of anxiety disorders. Dialogues Clin Neurosci. 2017 Jun;19(2):93-107. doi: 10.31887/DCNS.2017.19.2/bbandelow. PMID: 28867934; PMCID: PMC5573566.
[5] NIMH – https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness
[6] Selective Serotonin Reuptake Inhibitors – National Center for Biotechnology Information, U.S. National Library of Medicine
[7] ‘Anxiety Disorders’ – National Institute Of Mental Health (Nimh.nih.gov)
[8] Psychopharmacology of anxiety disorders – National Center for Biotechnology Information, U.S. National Library of Medicine
[9] Products – Data Briefs – Number 379 – September 2020 (cdc.gov) Depression – National Institute of Mental Health
[10] Coping with Stress – Centers for Disease Control and Prevention