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Alprazolam is a prescription medication that belongs to the benzodiazepine class of drugs. It is most commonly prescribed to treat anxiety disorders and panic disorder, including panic attacks with or without agoraphobia.
Alprazolam is used to help manage:
Generalized Anxiety Disorder (GAD)
Panic disorder and panic attacks
Short-term relief of severe anxiety symptoms
It is intended for short-term or carefully monitored use due to its potential for dependence.
Alprazolam enhances the effects of gamma-aminobutyric acid (GABA), a neurotransmitter in the brain that has calming effects. By increasing GABA activity, alprazolam helps:
Reduce anxiety and tension
Promote relaxation
Decrease excessive nervous system activity
This results in a calming effect on the brain and body.
Available in immediate-release and extended-release (XR) tablets
Usually taken 1–3 times daily, depending on the condition and prescription
Dosage is individualized based on symptom severity and patient response
It should always be taken exactly as prescribed by a healthcare provider.
Common side effects may include:
Drowsiness or fatigue
Dizziness
Impaired coordination
Memory or concentration difficulties
Dry mouth
Serious side effects are less common but may include mood changes, confusion, or breathing difficulties, especially when combined with other sedatives.
Alprazolam may not be suitable for individuals with:
History of substance misuse
Severe respiratory conditions
Liver disease
Glaucoma
Pregnancy or breastfeeding
Alprazolam is classified as a Schedule IV controlled substance, meaning it has potential for misuse, tolerance, and dependence. Abrupt discontinuation can cause withdrawal symptoms, so dosage should be reduced gradually under medical supervision.
When used appropriately, alprazolam can be effective in rapidly relieving anxiety and panic symptoms. It is often most effective when combined with psychotherapy, stress-management strategies, and lifestyle changes.
Alprazolam is a widely prescribed medication for anxiety and panic disorders. While it can provide significant symptom relief, it must be used responsibly and under close medical guidance due to the risks of dependence and withdrawal.
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