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Alprazolam is used to treat anxiety and panic disorders and panic attacks. Alprazolam is also used to treat generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder (PTSD), social anxiety disorder (social phobia), acute stress disorder, premenstrual dysphoric disorder (PMDD), major depressive disorder (MDD)

Alprazolam is a tranquilizer and sleep aid. It interacts with cytochrome P450 enzymes, so it may increase blood levels of other drugs taken by people with liver disease. Some people take alprazolam for insomnia or anxiety; taking this medicine can make you sleepy the first day or two you take it and may cause drowsiness during the day.