Yellow Boys, Blue Footballs, Schoolbus, Xannies, Upjohn, Z-Bars, and Handlebars.
These are some of the street names of Xanax, the most commonly prescribed psychiatric medication in America. Half of all the Xanax sold worldwide is purchased in the United States. Alprazolam is the drug’s active ingredient, a short-acting benzodiazepine usually prescribed as a tranquilizer, meant to treat a wide array of social anxiety disorders.
It is available on the streets, through the dark web, and in online pharmacies. Some obtain it from friends or relatives with legal prescriptions.
Understanding Xanax: Usage, Prevalence, and Street Names
Xanax, the brand name for Alprazolam, holds the somewhat dubious distinction of being the most commonly prescribed psychiatric medication in the United States. The U.S. accounts for a staggering 50% of global Xanax sales. This widespread use underscores its perceived effectiveness in treating a range of conditions, primarily anxiety disorders. However, being in such high demand and sold through illegal channels has also made this medicine available on the black market, known by various slang and street names.
Alprazolam, the active ingredient in Xanax, belongs to the benzodiazepine class of drugs. Benzodiazepines are known for their sedative effects and work on the central nervous system to produce a calming sensation. Typically prescribed as a tranquilizer, Xanax is used to manage various anxiety disorders, including generalized anxiety disorder (GAD), panic disorder, and social anxiety disorder. The World Health Organization has also recognized its use in the short-term treatment of anxiety-related insomnia and anxiety associated with depression. Alprazolam’s “short-acting” nature means it takes effect quickly but leaves the system relatively fast, which contributes to its therapeutic benefits and potential for misuse.
In 2019, the World Health Organization (WHO) included Alprazolam on its Essential Medicines List, highlighting its effectiveness in providing rapid relief and short-term management of moderate to severe anxiety symptoms. However, this recognition contrasts with the fact that drug users often misuse it. It can be an affordable “quick fix,” which makes it appealing. Between 2013 and 2020, Alprazolam was linked to approximately 25,000 deaths annually in the United States.
Due to its widespread use and the potential for recreational misuse, Xanax has acquired several street names. Some of the common street names for this drug include:
- Zanies or Zannies
- Bars, Xanbars
- Football, or Blue Footballs
- Z-Bars
- Handlebars
- School Bus
- Upjohn
- BenZos
These nicknames often reflect the pills’ shape and color. For instance, “bars” refers to Xanax’s typical rectangular shape, while “footballs” refers to its oval shape. Recognizing these street names is crucial for healthcare professionals, educators, and family members in identifying potential medication misuse or diversion. A 2021 study by the National Center for Drug Abuse Statistics revealed that as many as 19 million people have been prescribed benzodiazepines. In a separate study, it was found that nearly 7.4 million adults misused benzos in a year. Additionally, according to the same source, between 5% and 30% of individuals seeking treatment for any drug cited benzos as their primary source of help. It is imperative to understand the risks associated with taking Alprazolam (Xanax). Given its high demand on the black market and the dangers of overdose or drug-to-drug interactions when used illicitly, it is crucial for harm reduction.
As the World Health Organization (WHO) emphasizes, prolonged use of any medication, including Alprazolam, can lead to dependence, even under the supervision of a doctor. This dependence can cause physical and mental addiction, and as the WHO warns, it can be fatal. Therefore, specific at-risk populations should exercise extra caution and consult a medical doctor before taking Alprazolam.
While Xanax offers valuable therapeutic benefits for many individuals, its prevalence and potential for misuse necessitate informed awareness among healthcare providers and the public. Understanding its mechanism of action, the conditions it treats, and the street names it goes by is essential for addressing the complexities associated with this widely prescribed medication.