Alprazolam
Mental healthAlso known as Xanax
Alprazolam is a benzodiazepine that calms your nervous system by boosting a natural brain chemical called GABA. It works quickly, which is why it's often prescribed for panic attacks and short-term anxiety. The honest part: it's a controlled substance, and your body can become dependent on it even when you take it exactly as prescribed. That's why most doctors treat it as a short-term tool, not a forever medication.
How to take it
When
Exactly as prescribed — it kicks in fast, usually within an hour.
Food
Can be taken with or without food. Skip grapefruit — it can raise levels of the drug in your body.
Avoid
Never mix with alcohol, opioids, or other sedatives — combining it with opioids can slow your breathing to the point of death. Don't drive until you know how it affects you.
Stopping
Never stop suddenly after regular use — withdrawal can include seizures. Taper slowly with your doctor.
Missed a dose?
If you take it on a schedule and miss a dose, take it when you remember — unless it's almost time for the next one. In that case, skip the missed dose. Never double up.
Common side effects
- Drowsiness or feeling sedated
- Dizziness or lightheadedness
- Memory problems or trouble concentrating
- Slurred speech
- Feeling clumsy or unsteady
Call a doctor if
- Very slow or shallow breathing, extreme sleepiness you can't shake, or someone can't be woken up — this is an emergency, call for help immediately
- Swelling of your face, lips, tongue, or throat — this is an emergency, call for help immediately
- Thoughts of hurting yourself — get help now
- Seizures, shaking, or hallucinations after stopping or cutting back — get medical help right away
- Yellowing of your skin or eyes