I've been taking xanax (alprazolam) 1 mg for 20 plus years.i feel like i'm not getting enough relief from the anxiety and nerves. 4 a day should i be taking more.

Consider options: If you have only been taking the medication, and have not been working with psychological means to control your anxiety, consider working with a psychologist to develop more effective coping skills to deal with the anxiety issues. Also, there is often a diminishing effect with long term use of anxiolytic medications. Talk with your doctor about other medical possibilities.