Blue Xanax (031 Pill): Uses, Side Effects, and Addiction Risks

Naomi Carr
Dr. Jennie Stanford
Written by Naomi Carr on 13 December 2024
Medically reviewed by Dr. Jennie Stanford on 18 December 2024

Xanax is a brand-name medication that contains alprazolam, a common benzodiazepine. It is prescribed as a tablet in varying strengths, colors, and shapes, including blue tablets, some of which are scored with the number 031. Commonly known as “Blue Xanax,” it should be used exactly as prescribed, as it can cause adverse effects, abuse and addiction potential, and overdose.

Key takeaways:
  • Blue Xanax, also known as the 031 pill, is a 1mg alprazolam tablet prescribed for anxiety and panic disorders, with a high risk of addiction and dependence.
  • Common side effects of blue Xanax include drowsiness, confusion, and dizziness, while misuse or long-term use can lead to severe health risks such as withdrawal and overdose.
  • Professional treatment, including therapy and medically-assisted detox, may be necessary to address addiction to blue Xanax and ensure safe discontinuation.
Blue Xanax (031 Pill): Uses, Side Effects, and Addiction Risks

What is blue Xanax (031 pill)?

Xanax is a brand name for the medication alprazolam, a benzodiazepine that is used to treat anxiety disorders and panic disorders. Xanax is available in varying strengths, including 0.25mg, 0.5mg, 1mg, and 2mg tablets.

Alprazolam is a Schedule IV controlled substance, with a potential for abuse and dependence.

Blue Xanax is so-called because of the color of the tablet. Blue Xanax is typically 1mg or 2mg, which is considered a higher dose of alprazolam. Generally, Xanax is prescribed as a dose of 0.5mg, to be taken up to three times per day. The recommended maximum daily dose is 4mg, although some people may require a higher daily dosage.

Identifying blue Xanax bars

Blue tablets scored with 031 on one side are 1mg strength tablets produced by Actavis Pharmaceuticals. Other blue tablets are also available, including 1mg tablets produced by other companies, as well as a 2mg rectangular tablet produced by Breckenridge Pharmaceuticals, which is scored with B707.

Multiple companies produce Xanax, and it is available in several colors and shapes, including round, oval, and rectangular pills. The rectangular pills are referred to as bars and are usually 2mg doses, which are multi-scored and can be divided easily into four segments.

Xanax is also produced and sold illicitly, often appearing very similar to legal Xanax. Fake Xanax can be dangerous, as it may contain a higher dose than expected, as well as other substances such as fentanyl or harmful contaminants.

Risks and side effects of blue Xanax

Xanax is a fast-acting benzodiazepine with a higher potential for abuse than other slower-acting benzodiazepines, as its effects emerge and pass quickly. Benzodiazepines are highly addictive, and it is recommended that they are used only for short-term treatment. Regular Xanax use may lead to the development of physical dependence within days or weeks.

Common side effects

Side effects may occur when taking Xanax, particularly at the start of treatment or with dosage increases. Side effects that are concerning or persistent should be reported to the prescribing clinician. Common side effects of Xanax include:

  • Drowsiness
  • Headache
  • Confusion
  • Dizziness
  • Dry mouth
  • Stomach upset
  • Nausea
  • Changes in heart rate
  • Blurry vision
  • Unusual dreams or nightmares

Serious side effects

Sometimes serious side effects can occur. In the event of any of the following side effects, contact a doctor immediately, as urgent medical treatment may be required:

  • Trouble breathing
  • Severe confusion
  • Rash
  • Seizures
  • Yellowing of the eyes or skin
  • Issues with speech, coordination, or balance
  • Hallucinations

Long-term health impact

Using Xanax long-term increases the risk of abuse, dependence, and addiction. Additionally, long-term Xanax use might increase the risk of cognitive impairments and decline.

Withdrawal symptoms of blue Xanax

Stopping Xanax can result in withdrawal symptoms, especially if use is stopped abruptly. Because of this, a gradual dose reduction is recommended when stopping Xanax, particularly for those who have used high doses for a prolonged period. As Xanax is short-acting, withdrawal symptoms can emerge within hours of the last dose.

Withdrawal symptoms of Xanax can include:

  • Sleep disturbances
  • Anxiety
  • Irritability
  • Agitation
  • Shaking
  • Panic attacks
  • Headache
  • Weight loss
  • Heart palpitations
  • Concentration difficulties
  • Nausea
  • Sweating
  • Aches and pains
  • Seizures
  • Hallucinations
  • Stomach pain
  • Sensitivity to light and noise
  • Loss of libido
  • Paranoia
  • Severe confusion
  • Rapid heartbeat

Safe use guidelines for blue Xanax

People who are prescribed Xanax should take it exactly as directed by the prescribing clinician. Never take more than prescribed in a single dose or more frequent doses than prescribed. If you miss a dose, skip it and take the next one as directed.

Xanax should not be used as a long-term treatment, as this can increase the risk of dependence, particularly with blue Xanax, as it is a high dose. If the prescribing doctor recommends stopping Xanax treatment, they will likely reduce the dose slowly, in efforts to prevent or lessen withdrawal symptoms.

Blue Xanax misuse and addiction

Benzodiazepines are highly addictive; signs of dependence can emerge after just days or weeks of use. Xanax is a fast-acting benzodiazepine, which can increase its abuse potential, as the effects emerge and wear off very quickly, leading to repeated and regular use.

Statistics that highlight the misuse or abuse of alprazolam include:

Signs of blue Xanax addiction

Signs that someone is experiencing an addiction to Xanax can include:

  • Neglecting responsibilities and commitments to use Xanax
  • Increasing impairments in cognition and professional or social functioning
  • Financial issues due to purchasing illicit Xanax
  • Seeking multiple Xanax prescriptions from different doctors
  • Extreme changes in mood or behavior
  • Changes in appearance, such as appearing unkempt or extremely tired

Blue Xanax overdose potential

Intentional or accidental Xanax overdose can be dangerous or even life-threatening. If a blue Xanax overdose is suspected, particularly if the individual has lost consciousness or is experiencing a seizure, call 911 immediately. Emergency treatment may be required.

Signs of a blue Xanax overdose can include:

  • Extreme sedation
  • Unresponsiveness
  • Severe confusion
  • Loss of consciousness
  • Impaired coordination

Overdose can occur with a single dose of blue Xanax. Symptoms may be exacerbated by additional substances, particularly other central nervous system depressants, such as opioids or alcohol.

Treatment options for blue Xanax addiction

People who are addicted to benzodiazepines (such as Xanax) may require professional help in reducing and stopping use. In some cases, benzodiazepine withdrawal can be dangerous or life-threatening, so medical supervision may be required. Treatment options for blue Xanax addiction include:

FAQs

Common FAQs about blue Xanax

What is the 031 blue Xanax pill used for?

The 031 blue Xanax pill is a 1mg tablet that is prescribed to treat anxiety disorders or panic disorder.

Is blue Xanax stronger than other Xanax pills?

Blue Xanax pills are usually 1mg tablets or 2mg bars, which is a strong dose of Xanax, as it also comes in 0.25mg and 0.5mg pills.

Is blue Xanax addictive?

Xanax is an addictive substance and, as blue Xanax is a high dose, there is a high potential for abuse, addiction, and dependence.

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Resources:

  1. National Library of Medicine. (2023). Alprazolam Tablet. DailyMed. Retrieved from
  2. Drug Enforcement Administration. (2020). Benzodiazepines. DEA. Retrieved from
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  4. Drug Enforcement Administration. (2021). Counterfeit Pills. DEA. Retrieved from
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  8. Reid Finlayson, A. J., Macoubrie, J., Huff, C., Foster, D. E., & Martin, P. R. (2022). Experiences with benzodiazepine use, tapering, and discontinuation: an Internet survey. Therapeutic advances in psychopharmacology, 12, 20451253221082386.
  9. Crane, E.H. (2013). Highlights of the 2011 Drug Abuse Warning Network (DAWN) Findings on Drug-Related Emergency Department Visits. In The CBHSQ Report. (pp. 1–9). Substance Abuse and Mental Health Services Administration (US). Retrieved from
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Activity History - Last updated: 18 December 2024, Published date:


Reviewer

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Jennie Stanford, MD, FAAFP, DipABOM is a dual board-certified physician in both family medicine and obesity medicine. She has a wide range of clinical experiences, ranging from years of traditional clinic practice to hospitalist care to performing peer quality review to ensure optimal patient care.

Activity History - Medically Reviewed on 26 November 2024 and last checked on 18 December 2024

Medically reviewed by
Dr. Jennie Stanford

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Reviewer

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