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Hello and thank you for your question. You only want to take the Alprazolam as needed, meaning when you feel so overwhelmed by your anxiety that you need quick relief. The Alprazolam will start to lessen your anxiety within 30-60 minutes and is only effective for 6-8 hours, so this is why your anxiety and panic started to come back in the mid-afternoon. The Paxil is going to be your mainstay medication for anxiety, but Paxil takes around 6-8 weeks to reach maximum effectiveness, so this is why you were prescribed the Alprazolam to be used until the Paxil reaches it's maximum effectiveness. So for right now, plan on taking your Alprazolam in the morning and afternoon when you know your anxiety is at its worst, and try to space them out by 6-8 hours.
I hope this answers your question and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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