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Alprazolam works by calming overactive signals in the brain, which can help reduce intense anxiety, panic episodes, restlessness, and physical symptoms such as rapid heartbeat or shortness of breath. The strength is considered a higher dose, typically prescribed only when lower doses are not effective and when close medical supervision is in place.

The effects of Xanax may include a sense of calm, reduced anxiety, and improved ability to manage stressful situations. However, it can also cause side effects such as drowsiness, dizziness, slowed reaction time, or difficulty concentrating. Because of its strength, this dose may affect coordination and alertness, making activities like driving unsafe. The medication is usually intended for short-term or carefully monitored use, depending on individual medical needs. 

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