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Alprazolamis a prescription medicine that helps treat anxiety and panic disorders. It is associated with the benzodiazepine class of drugs, which acts on the brain and nerves to produce a calming effect. 


Side effects

Alprazolamcan slow down or stop your breathing, especially if you have recently used alcohol, opioid medication, or other drugs that cause your breathing to slow. If you have weak or shallow breathing, are difficult to wake up, or stop breathing, someone caring for you should seek emergency medical help.


Common side effects of alprazolam may include:


  • feeling light-headed

  • drowsiness


Serious side effects of alprazolam can include:


  • weak or shallow breathing

  • a seizure

  • a light-headed feeling

  • increased energy, decreased need for sleep

  • hallucinations, risk-taking behavior

  • double vision

  • racing thoughts, being agitated or talkative

  • yellowing of the eyes or skin


Alprazolamproduces a sedative effect that may last longer in older people. Older adults taking benzodiazepines are more likely to fall. Use caution to avoid falling or being injured by accident.


What precautions should I take when taking alprazolam?

Alprazolammight not be safe for you if you had a history of allergic reaction to anybenzodiazepine, including diazepam, alprazolam, lorazepam, Klonopin, Ativan, Restoril, Tranxene, Valium, Versed, Xanax, etc.


Avoid taking alprazolam if you also take antifungal drugs such as itraconazole or ketoconazole.


You should inform your healthcare provider if you have ever had any of the following conditions to make sure alprazolam is right for you:


  • drug or alcohol addiction

  • breathing disorders such as COPD or chronic obstructive pulmonary disease, sleep apnea (breathing that stops during sleep)

  • liver disease or kidney disease (especially alcoholic liver disease)

  •  depression, suicidal thoughts or behavior, or mood problems


Women should avoid taking this medicine during the first trimester of pregnancy because it may harm an unborn baby. Using alprazolam during pregnancy can make your baby dependent on the drug, causing fatal withdrawal symptoms after birth. 


Do not breastfeed during treatment with alprazolam. 


Anyone below 18 years should avoid taking alprazolam.


What is the correct way to take alprazolam?

People should take alprazolam as prescribed by their doctor. Do not take more alprazolam than prescribed or for longer than recommended. 


Alprazolam may be habit-forming, so people should not use it without a prescription. You can order alprazolam online if you have a prescription for it.


Carefully measure liquid medicine. You should use the dosing syringe provided or a medicine dose-measuring device.


Make sure to swallow the extended-release tablet whole. Avoid crushing, chewing, or breaking it.


Avoid swallowing the orally disintegrating tablet whole. Let it dissolve without chewing in your mouth.


People should avoid taking alprazolamfor more than four months to treat anxiety disorders and more than ten weeks to treat panic disorders.


Medical tests may be required on a regular basis if you use this medicine for the long term.


People should not abruptly stop taking alprazolam, or they could have unpleasant withdrawal symptoms. If you want to taper your dose, follow the instructions of your doctor.


Make sure to throw away any alprazolam liquid that has not been used within 90 days. You can buy alprazolam onlineif you are out of medicines.


Dosage
Adult Dose for Anxiety

Immediate-release tablets/orally disintegrating tablets (ODT): Take 0.25 mg to 0.5 mg orally three times a day.

Maximum dose: 4 mg per day


Adult Dose for Panic Disorder

Immediate-release tablets/ODTs: Take 0.5 mg orally three times a day

Maximum dose: 10 mg per day


Extended-release tablets:

Initial dose: Take 0.5 mg to 1 mg once each day orally

Maintenance dose: 3 to 6 mg orally daily, preferably first thing in the morning

Maximum dose: 10 mg per day

What if I overdose?

Taking too much alprazolam or with other drugs and alcohol can lead to an overdose which can be fatal. Overdose symptoms may include confusion, extreme drowsiness, loss of balance or coordination, muscle weakness, feeling light-headed, and fainting.


Things to avoid

Do not drink alcohol with alprazolam. Drinking alcohol with this drug can cause dangerous side effects or death. 


You should avoid engaging in risky activities or driving until you know how alprazolam will affect you. Dizziness and drowsiness caused by alprazolam can lead to falls, accidents, and serious injuries.


Grapefruit may interact with alprazolam, causing unwanted side effects. Avoid using grapefruit products.

Drug interactions

When you combine alprazolam with other medications, you increase your chances of experiencing side effects from those medications. If you combine one of these medications with alprazolam, you may experience increased drowsiness. These medications include:


  • sedatives or hypnotics, such as eszopiclone, zaleplon, or zolpidem

  • barbiturates, including amobarbital, butabarbital, or pentobarbital

  • narcotic analgesics, such as morphine or oxycodone

  • anxiolytics, such as clonazepam, lorazepam, or temazepam

  • anesthetics, such as etomidate, propofol, or ketamine

  • antacids, such as cimetidine

  • sedative antihistamines, including chlorpheniramine, brompheniramine, dimenhydrinate, diphenhydramine, or doxylamine

  • antidepressants, such as fluvoxamine, fluoxetine, or nefazodone


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