Use of Xanax and other benzodiazepines has been associated in some studies with a higher risk of cognitive decline in older adults, but it does not prove direct causation of dementia. Long-term use may impair memory, attention, and thinking, especially in seniors. Risks increase with higher doses and prolonged use. Doctors usually recommend limiting duration, using the lowest effective dose, and considering safer alternatives for anxiety or sleep in older patients.
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