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there is no over-the-counter (OTC) medication that works exactly like alprazolam (brand name: Xanax) to calm anxiety. Alprazolam belongs to the class of medications known as benzodiazepines, which are prescribed by healthcare professionals for the short-term management of anxiety and panic disorders.

Benzodiazepines work by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which has a calming and sedative effect. However, due to their potential for abuse, dependence, and side effects, they are typically available only by prescription and should be used with caution and under medical supervision.

Over-the-counter medications for anxiety are generally limited to herbal or dietary supplements, which may have mild calming effects but are not as potent as prescription medications like alprazolam. Some common OTC supplements that people may use to manage mild anxiety include:

  1. Valerian root: Valerian is an herbal supplement that is sometimes used as a mild sedative and anxiety aid. It is available in various forms, such as capsules, tablets, or teas.

  2. Passionflower: Passionflower is another herbal supplement that some people use for its potential calming effects.

  3. L-theanine: L-theanine is an amino acid found in green tea that may have calming properties and is sometimes available in supplement form.

  4. Magnesium: Some people believe that magnesium supplements can help with anxiety, as magnesium plays a role in regulating certain neurotransmitters.

It's important to note that while these supplements may have some mild benefits for certain individuals, they are not a substitute for professional medical advice and treatment. If you are experiencing significant anxiety or have been diagnosed with an anxiety disorder, it is essential to seek guidance from a healthcare professional who can provide a proper evaluation and recommend appropriate treatment options, which may include therapy, prescription medications, or other interventions. Self-medicating with OTC supplements may not address the underlying causes of anxiety and may not be as effective or safe as evidence-based treatments.

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