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Alprazolam (generic for Xanax) is prescribed for anxiety and panic disorder management; it works quickly to reduce severe anxiety symptoms by enhancing GABAergic neurotransmission. Because of the risk of tolerance, dependence, and withdrawal effects, alprazolam should be used at the lowest effective dose for the shortest necessary duration under a healthcare provider’s oversight. Patients should avoid combining alprazolam with alcohol, opioids, or other sedatives due to additive sedation and respiratory risk. Side effects may include drowsiness, lightheadedness, and impaired coordination.