Is Benztropine similar to Xanax? (3+ differences)

This article will cover a number of topics, including whether or not Benztropine is comparable to Xanax, how they differ from one another, their therapeutic dosages, side effects, and whether or not they can be taken together.

Is Benztropine similar to Xanax?

Benztropine (benzatropine) is not similar to Xanax (alprazolam).

The drug benzatropine is marketed under the brand name Benztropine. This belongs to a class of drugs known as anticholinergics, which prevent the action of acetylcholine ( a natural chemical at the neuromuscular junctions).

Benztropine is used to treat Parkinson’s disease, it aids in enhancing walking ability and reduces perspiration (sweating), salivation, and stiffness in the muscles. (1)

Xanax is the brand name of the medication alprazolam. It is a member of a class of drugs known as benzodiazepines, which have a calming effect by acting on the brain and nervous system (CNS). It functions by amplifying the effects of GABA (inhibitory neurotransmitter) in the brain. (2)

What are the differences between Benztropine and Xanax?

Benztropine and Xanax are two different medications. We shall talk about their various therapeutic applications and side effects below.

Therapeutic uses

Benztropine treats a variety of movement disorders, including: 

  • Parkinson’s disease (a neurological condition that results in unintentional or uncontrollable movements, including stiffness, trouble balancing and coordinating, and shaking).
  • Dystonia (characterized by unintentional or involuntary muscle contractions that result in slow and repetitive motions.
  • Akathisia (the inability to stand motionless), akathisia is one of the antipsychotic’s extrapyramidal adverse effects. (3)

EPS (Extra-Pyramidal Side effects) are drug-induced movement abnormalities. They are the most frequent adverse pharmacological reactions that patients experience when using dopamine-receptor-blocking medications such as antipsychotics. A range of movement disorders such as akathisia, parkinsonism, and dystonia have been identified among the EPS spectrum. (4)

Xanax is commonly used to treat anxiety disorders such as:

  • GAD (Generalized Anxiety Disorder), GAD indicates that you are constantly worried and unable to control your worrying.
  • Panic disorder. It is an anxiety disorder in which you have frequent panic or fear attacks. (5)

Side effects

There are many adverse consequences associated with Benztropine, some of which include:

  • Confusion, delusions, memory loss, and vision changes.
  • Reduced sweating.
  • Muscle weakness and depression.
  • Vomiting
  • Difficulty urinating.
  • Fast HR (heart rate). (3)

Xanax is associated with side effects, some of which include:

  • Trouble focusing.
  • Fatigue.
  • Dizziness.
  • Agitation.
  • Drowsiness.
  • Headache.
  • Irritability.
  • Nausea and vomiting (you can take Xanax on an empty stomach if you feel nauseated and don’t want to eat).
  • Talkativeness. (5)

Depending on the patient’s age, medical conditions, and medicine dosage concentration, these adverse effects may differ from person to person.

If suddenly discontinued, Benztropine and Xanax can result in withdrawal symptoms. You should never adjust your medication dose without first consulting your healthcare provider.

Can you take Benztropine and Xanax together?

Yes, you can take Benztropine and Xanax together under the careful supervision of your healthcare provider. (6)

Since their different respective mechanisms of action may give additional benefits. Benztropine can improve the anxiolytic effects of Xanax. Combining them, however, could increase the chance of adverse effects and perhaps result in overdosing. 

Combining Benztropine and Xanax may exacerbate adverse effects like fatigue, disorientation, and trouble concentrating. Some individuals, particularly the elderly, may have cognitive and motor coordination impairments.

It is crucial to consult your healthcare provider before using Benztropine and Xanax together in order to manage potential risks and ensure your safety.


Based on my understanding and investigation, Benztropine and Xanax are not similar. They have different mechanisms of action, therapeutic uses, and adverse effects. Combining them can worsen their adverse effects, so you should speak with your healthcare provider before using them together.




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Benztropine: MedlinePlus Drug Information [Internet]. 2018. Available from:


Alprazolam: MedlinePlus Drug Information [Internet]. [cited 2023 Oct 28]. Available from:,or%20pharmacist%20for%20more%20information. 


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D’Souza RS, Hooten WM. Extrapyramidal Symptoms (EPS) [Internet]. StatPearls Publishing; 2019. Available from:


Xanax (Alprazolam): Interactions & Side Effects [Internet]. Cleveland Clinic. Available from: 


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