Taking alprazolam with opioid medications (such as codeine, hydrocodone) may increase your risk of very serious side effects, including death. To lower your risk, your doctor should have you take the smallest dose of alprazolam that works, and take it for the shortest possible time. Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/dizziness, difficulty waking up. Show More 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). Read the Medication Guide provided by your pharmacist before you start taking alprazolam and each time you get a refill. 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However, people with panic disorder have been treated on an open basis for up to 8 months without apparent loss of benefit. In the US, alprazolam is FDA-approved for the management of anxiety disorders (a condition corresponding most closely to the APA Diagnostic and Statistical Manual DSM-IV-TR diagnosis of generalized anxiety disorder) or the short-term relief of symptoms of anxiety. In the UK, alprazolam is recommended for the short-term treatment (2–4 weeks) of severe acute anxiety. Benzodiazepines require special precaution if used in children and in alcohol- or drug-dependent individuals. Xanax, commonly referred to by its generic name alprazolam, was originally developed by Upjohn Labs in the late 1960's as a sleep aid with muscle relaxant properties, but researchers soon learned it had other properties, too. Xanax, in the class known as benzodiazepines, works to suppress the overreaction of the central nervous system. 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