I am on the smallest dose per day of alprazolam (xanax) (.25mg) to combat panic attacks I started having after a heart attack (about 7 or 8 years ago). I usually take it right before I go to bed because that's when I've had most of the panic attacks and I feel it helps me sleep. I'm not real sure I need it any more, for one thing I'm healthier (I've lost considerable weight and stopped smoking) and I haven't had a panic attack in several years. Not sure if that's because of the alprazolam or just my better physical shape. I think maybe I need to just keep in on hand to take when I feel I might be having a panic attack. But, my main question is, I only drink about once a week but when I do, I have several. I tend to get really drunk really fast and I think part of it has to do with me and how fast I drink, plus my weight loss (about 100 pounds). But I also think that even though I don't take the medication before or even when I get home (I don't need to, I go right to sleep) I think it's still in my system from the continual use. My question is, is the prolonged continual use of the alprazolam in my system contributing to me getting so inebriated. It's like I'm fine one minute then out the next.