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alprazolam is used to treat anxiety and panic disorders. it belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. it works by enhancing the effects of a certain natural chemical in the body (gaba). how to use alprazolam read the medication guide provided by your pharmacist before you start taking alprazolam and each time you get a refill. if you have any questions, ask your doctor or pharmacist. take this medication by mouth as directed by your doctor. dosage is based on your medical condition, age, and response to treatment. your dose may be gradually increased until the drug starts working well. follow your doctor's instructions closely to reduce the risk of side effects. if you suddenly stop using this medication, you may have withdrawal symptoms (such as seizures). to help prevent withdrawal, your doctor may lower your dose slowly. withdrawal is more likely if you have used alprazolam for