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Alprazolam is a prescription medication belonging to the benzodiazepine class, commonly known by its brand name Xanax. It is primarily used to treat anxiety disorders, panic disorder, and anxiety associated with depression. Alprazolam works by enhancing the effect of GABA, a neurotransmitter in the brain that produces a calming effect on nerve activity, which helps reduce excessive anxiety and panic symptoms.

Dosage of alprazolam varies depending on the condition being treated, age, and response to therapy. For generalized anxiety disorder, the usual starting dose is 0.25–0.5 mg taken three times daily, with gradual increases as needed. For panic disorder, doses may start at 0.5 mg three times daily, with careful titration. The maximum recommended daily dose is generally 4 mg, but adjustments must be made only under the supervision of a healthcare provider. It is important to take alprazolam exactly as prescribed, without altering the dose or frequency.

There are significant warnings associated with alprazolam use. Long-term or high-dose use can lead to physical dependence, tolerance, and addiction. Abrupt discontinuation may cause serious withdrawal symptoms, including seizures, rebound anxiety, insomnia, and tremors, so the medication should be tapered gradually under medical supervision. Alprazolam can also cause dangerous sedation or respiratory depression, especially if combined with alcohol, opioids, or other central nervous system depressants.

Common side effects of alprazolam include drowsiness, fatigue, dizziness, impaired coordination, and memory problems. Some individuals may experience mood changes, confusion, or depression. Serious side effects can include difficulty breathing, severe allergic reactions, or unusual changes in behavior. Patients are advised to avoid driving, operating machinery, or consuming alcohol while taking alprazolam, and to seek immediate medical attention if severe or unusual symptoms occur.