Alprazolam (formerly best known by the brand name Xanax) is a short- to intermediate-acting medication belonging to the benzodiazepine class. Its primary use is in the treatment of panic disorders and anxiety disorders. Using it as an adjunct treatment for depression is an off-label use. Alprazolam has a calming effect, reduces anxiety, relaxes muscles, and causes drowsiness. It is used for feelings of anxiety and tension, such as in cases of panic disorder or social phobia. You will begin to feel calmer within half an hour to an hour of taking it. This effect lasts for 6 to 8 hours. A sustained-release tablet can remain effective for up to 24 hours. For anxiety, do not use it for more than a few consecutive weeks. For social phobia or panic disorder, use is often required for six months to a year. Daily use of Xanax can lead to dependency, making it difficult to stop taking the medication. If you have been using it for more than a few consecutive weeks, do not stop abruptly; taper off slowly in consultation with your doctor. You may experience drowsiness, sleepiness, or fatigue, and your reaction time may be impaired. If you take 1 mg of Xanax daily, you must not drive. If you use it occasionally, you must not drive for 3 days (72 hours) after each dose.
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Use for longer than two consecutive months is strongly discouraged due to the high risk of becoming dependent on the medication. Dependency means you may experience withdrawal symptoms if you stop taking it. Try to find other ways to reduce anxiety and tension as well, and consult your doctor for advice. If you are taking this medication alongside an antidepressant, the plan is usually to taper off the alprazolam within a few weeks, as the antidepressant will begin to take effect by then.
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