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The increasing prevalence of Xanax among youth in various countries raises significant concerns regarding its nonmedical use and the associated risks. In South Africa, for instance, Bourgois (2021)

highlights a disturbing trend among high school students who perceive

Xanax as a more potent alternative to cannabis. This perception is

fueled by factors such as high youth unemployment and the desire to

manage stress in an increasingly competitive environment. The ease of

concealing Xanax compared to traditional substances like cannabis further contributes to its appeal, particularly among female students who may face social stigma related to smoking (Bourgois, 2021).

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Moreover, the emergence of counterfeit Xanax pills poses additional dangers that exacerbate public health concerns. Edinoff (2024) discusses how these fake pills often contain etizolam, which is not approved by the FDA for use in the United States. Users may mistakenly believe they are consuming legitimate Xanax, leading to severe health risks including overdose and even death. This phenomenon underscores the critical need for awareness regarding the illicit drug trade and its impact on vulnerable populations seeking relief from anxiety or stress through unregulated means (Edinoff, 2024).