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Drug Info

Generic name: Alprazolam
Why is prescribed?

Xanax is a tranquilizer used in the short-term relief of symptoms of anxiety or the treatment of anxiety disorders. Anxiety disorder is marked by unrealistic worry or excessive fears and concerns. Anxiety associated with depression is also responsive to X.


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  • Xaxaks. drug and the extended-release formulation - X. XR, are also used in the treatment of panic disorder, which appears as unexpected panic attacks and may be accompanied by a fear of open or public places called agoraphobia. Only your doctor can diagnose panic disorder and best advise you about online treatment.

    Some doctors prescribe this medication to treat alcohol withdrawal, fear of open spaces and strangers, depression, irritable bowel syndrome, and premenstrual syndrome.


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    Most important fact about Xanax
    How should you take Xanax?
    What side effects may occur?
    Why should Xanax not be prescribed?
    Special warnings about Xanax
    Possible food and drug interactions when taking Xanax
    Special information if you are pregnant or breastfeeding
    Recommended dosage
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    Most important fact

    Tolerance and dependence can occur with the use of X. You may experience withdrawal symptoms if you suddenly stop using the drug or reduce the dosage too quickly. Withdrawal symptoms are listed under "What side effects may occur?" The drug dosage should be gradually reduced and only your doctor should advise you on how to discontinue or change your dose.

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    How should you take X.?

    May be taken with or without food. Take it exactly as prescribed. Do not chew, crush, or break the XR tablets.

    --If you miss a dose...

    If you are less than 1 hour late, take it as soon as you remember. Otherwise skip the dose and go back to your regular schedule. Never take 2 doses at the same time.

    --Storage instructions...

    Store pills at room temperature.

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    What side effects may occur?

    Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking pills. Your doctor should periodically reassess the need for this drug.

    Side effects of X. are usually seen at the beginning of treatment and disappear with continued medication. However, if dosage is increased, side effects will be more likely.

  • Side effects may include:
  • Decreased libido, drowsiness, fatigue, impaired coordination, memory impairment, speech difficulties, weight changes

  • Side effects due to a rapid decrease in dose or abrupt withdrawal from this medication
  • Anxiety, blurred vision, decreased concentration, decreased mental clarity, depression, diarrhea, headache, heightened awareness of noise or bright lights, hot flushes, impaired sense of smell, insomnia, loss of appetite, loss of reality, muscle cramps, nervousness, rapid breathing, seizures, tingling sensation, tremor, twitching, weight loss

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    Why should Xanax not be prescribed?

    If you are sensitive to or have ever had an allergic reaction to pills or other tranquilizers, you should not take this medication. Also avoid X a n a x while taking the antifungal drugs Sporanox or Nizoral. Make sure that your doctor is aware of any drug reactions that you have experienced.

    Do not take this medication if you have been diagnosed with the eye condition called narrow-angle glaucoma.

    Anxiety or tension related to everyday stress usually does not require treatment. Discuss online your symptoms thoroughly with your doctor.

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    Special warnings

    This medication may cause you to become drowsy or less alert; therefore, driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended.

    If you are being treated for panic disorder, you may need to take a higher dose than for anxiety alone. High doses--more than 4 milligrams a day--of this medication taken for long intervals may cause emotional and physical dependence. It is important that your doctor supervise you carefully when you are using this medication.

    As with all antianxiety medication, there is a small chance that X a n a x could encourage suicidal thoughts or episodes of euphoria known as mania. If you notice any new or unusual symptoms after starting taking pills, call your doctor immediately.


    It should be used with caution in elderly or weak patients, and in those with lung disease, alcoholic liver disease, or any disorder that could hinder the elimination of the drug.

    Possible food and drug interactions

    It may intensify the effect of alcohol. Do not drink alcohol while taking this medication.

    Never combine this medication with Sporanox or Nizoral. These drugs cause a buildup of X a n a x in the body.

    If this drug is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is important to check with your doctor before combining pills with the following:

    Amiodarone (Cordarone)
    Antihistamines such as Benadryl and Tavist
    Carbamazepine (Tegretol)
    Certain antibiotics such as Biaxin and erythromycin
    Certain antidepressant drugs, including Elavil, Norpramin, and Tofranil
    Cimetidine (Tagamet)
    Cyclosporine (Neoral, Sandimmune)
    Digoxin (Lanoxin)
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    Disulfiram (Antabuse)
    Ergotamine
    Fluoxetine (Prozac)
    Fluvoxamine
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    Isoniazid (Rifamate)
    Major tranquilizers such as Mellaril and chlorpromazine
    Nefazodone
    Nicardipine (Cardene)
    Nifedipine (Adalat, Procardia)
    Oral contraceptives
    Other central nervous system depressants such as Valium and Demerol
    Paroxetine (Paxil)
    Propoxyphene (Darvon)
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    Special information if you are pregnant or breastfeeding

    Do not take this medication if you are pregnant or planning to become pregnant. There is an increased risk of respiratory problems and muscular weakness in your baby. Infants may also experience withdrawal symptoms. It may appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with this medication is finished.

    Recommended dosage

    ADULTS

    Anxiety disorder

    The usual starting dose is 0.25 to 0.5 milligram taken 3 times a day. The dose may be increased every 3 to 4 days to a maximum daily dose of 4 milligrams, divided into smaller doses.

    Panic disorder

    The usual starting dose is 0.5 milligram 3 times a day. This dose can be increased by 1 milligram a day every 3 or 4 days. You may be given a dose from 1 up to a total of 10 milligrams, according to your needs. The typical dose is 5 to 6 milligrams a day.

    If you're taking XR, the usual starting dose is 0.5 to 1 milligram once a day taken in the morning. Depending on your response, the dose may be gradually increased by no more than 1 milligram every 3 or 4 days. The usual effective dose is 3 to 6 milligrams a day. Some people may need a larger dose to relieve their symptoms. Others, including older adults and those with liver disease or other serious illnesses, may need to use lower doses.

    CHILDREN

    Safety and effectiveness have not been established in children under 18 years of age.

    OLDER ADULTS

    The usual starting dose for an anxiety disorder is 0.25 milligram, 2 or 3 times daily. The starting dose of XR is 0.5 milligrams once a day. This dose may be gradually increased if needed and tolerated.

    Overdosage

    An overdose of this drug, alone or after combining it with alcohol, can be fatal. If you suspect an overdose, seek medical attention immediately.
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