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Alprazolam has been specially designed for long-term treatment of anxiety and panic disorder; it works by affecting the activity of a specific neurotransmitter called gamma aminobutyric acid, or GABA. If you are required to take this medication for a long time, you need to be prepared for the possibility of developing physical and psychological addiction that will make it impossible for you to discontinue the use of this medication momentarily. Then to avoid such symptoms as trouble concentrating, muscle twitching, blurred vision, increased sensations, tingling, diarrhea, loss of appetite, and numbness, you will need to decrease the dosage you are taking gradually, using less and less of this drug every 3-4 days. To avoid decreasing your dosage too much talk to your doctor about the withdrawal schedule to make sure the benefits of the treatment will not be overshadowed by the unpleasant side effects. You also need to be prepared for some of the mild side effects sometimes reported, including drowsiness, weight changes, nausea, lack of coordination, vomiting, appetite changes, watery or dry mouth, forgetfulness, profuse sweating, dizziness, irritability, decreased sex drive, muscle weakness, and constipation. Some of these side effects may prevent you from performing your everyday activities, so you will need to make sure you do not experience them. Drinking alcohol and smoking may decrease the efficiency of your treatment and you will not benefit from it as much as you could have.
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