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Alprazolam is a prescription medication belonging to the benzodiazepine class, commonly used to treat anxiety disorders, panic disorder, and anxiety associated with depression. It works by enhancing the effects of gamma-aminobutyric acid (GABA), a neurotransmitter that helps calm overactive brain activity. Due to its fast-acting nature, alprazolam is effective for short-term relief of severe anxiety symptoms, but it is not typically recommended for long-term use without close medical supervision.
Dosage of alprazolam varies depending on the condition being treated, age, and patient response. For generalized anxiety disorder, typical starting doses range from 0.25 mg to 0.5 mg, taken two to three times daily. In panic disorder, doses may start low and be gradually increased, sometimes reaching higher daily totals under strict medical guidance. Alprazolam should always be taken exactly as prescribed, and doses should not be increased suddenly, as this raises the risk of dependence and adverse effects.
There are several important warnings associated with alprazolam use. This medication carries a high risk of physical and psychological dependence, especially with long-term use or high doses. Abrupt discontinuation can lead to withdrawal symptoms such as seizures, severe anxiety, insomnia, and tremors. Alprazolam should not be combined with alcohol, opioids, or other central nervous system depressants, as this can cause respiratory depression, coma, or even death.
Common side effects include drowsiness, dizziness, fatigue, impaired coordination, and memory problems. Some individuals may also experience headaches, dry mouth, or changes in appetite. Serious but less common side effects include mood changes, hallucinations, confusion, and depression worsening. Patients should contact a healthcare provider immediately if they experience severe reactions, unusual behavior changes, or signs of an allergic reaction.
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