If you’re taking this anti-anxiety medication for the first time, it’s important to understand its side effects and potential interactions before use. Read on to learn what it should and shouldn’t feel like, and answers to other commonly asked questions. Many people who take Xanax recreationally, or without a prescription, describe the feeling as sedating or calming. Unlike some drugs, such as cocaine, that produce a “high” or euphoric feeling, Xanax users describe feeling more relaxed, quiet, and tired. These feelings may lead to falling asleep or passing out for a few hours. Some people have also reported memory loss or blacking out and not remembering what happened for several hours. If you take this medication as it’s intended — it’s commonly prescribed to treat anxiety or panic disorders — you may feel “normal” after your first dose. 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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. If you have any questions, ask your doctor or pharmacist. 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