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The recommended dose of alprazolam for adults varies depending on its use. The starting dose for excessive anxiety is 0.25 mg taken 2 or 3 times a day. This is gradually increased until anxiety is controlled and side effects are minimized. Seniors may be started at a lower dose of 0.125 mg taken 2 or 3 times a day. The usual maximum dose is 3 mg daily.
The starting dose for panic attacks is 0.5 mg to 1 mg at bedtime or 0.5 mg taken 3 times daily. The dose is then gradually increased until there are no more panic attacks.
The dose is usually started low and increased if necessary, as prescribed by your doctor. It is important that the dose be individualized to your specific needs to avoid excessive drowsiness or motor impairment. In general, the lowest effective dose should be used for the shortest duration possible.