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Xanax

alprazolam

Xanax

CMI, dosage, igredients, description, price, photo

What is Xanax?

Xanax (alprazolam) is a benzodiazepine. Alprazolam affects chemicals in the brain that may be unbalanced in people with anxiety.

Xanax is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

Xanax may also be used for purposes not listed in this medication guide.

Important information

You should not use Xanax if you have narrow-angle glaucoma, if you also take itraconazole or ketoconazole, or if you are allergic to Xanax or similar medicines (Valium, Ativan, Tranxene, and others).

Do not use Xanax if you are pregnant. This medicine can cause birth defects or life-threatening withdrawal symptoms in a newborn.

Alprazolam may be habit-forming. Misuse of habit-forming medicine can cause addiction, overdose, or death.

Do not drink alcohol while taking Xanax. This medication can increase the effects of alcohol. Alprazolam may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it.

Before taking this medicine

It is dangerous to purchase Xanax on the Internet or from vendors outside the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. The sale and distribution of Xanax outside the U.S. does not comply with the regulations of the Food and Drug Administration (FDA) for the safe use of this medication.

You should not take Xanax if you have:

  • narrow-angle glaucoma;
  • if you are also taking itraconazole or ketoconazole; or
  • if you are allergic to alprazolam or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

To make sure Xanax is safe for you, tell your doctor if you have:

  • seizures or epilepsy;
  • kidney or liver disease (especially alcoholic liver disease);
  • asthma or other breathing disorder;
  • open-angle glaucoma;
  • a history of depression or suicidal thoughts or behavior; or
  • a history of drug or alcohol addiction.

Do not use Xanax if you are pregnant. This medicine can cause birth defects. Your baby could also become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Use effective birth control to prevent pregnancy while you are taking Xanax.

Alprazolam can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Xanax.

The sedative effects of Xanax may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking Xanax.

Xanax is not approved for use by anyone younger than 18 years old.

How should I take Xanax?

Take Xanax exactly as prescribed by your doctor. Follow all directions on your prescription label. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms.

Alprazolam may be habit-forming. Never share Xanax with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Misuse of habit-forming medicine can cause addiction, overdose, or death. Selling or giving away this medicine is against the law.

Do not crush, chew, or break a Xanax extended-release tablet. Swallow the tablet whole.

Call your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms.

Do not stop using Xanax suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

If you use this medicine long-term, you may need frequent medical tests.

Store Xanax at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Xanax is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of alprazolam can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

What should I avoid while taking Xanax?

Xanax may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Drinking alcohol with this medicine can cause side effects.

Grapefruit and grapefruit juice may interact with alprazolam and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor.

Xanax side effects

Get emergency medical help if you have signs of an allergic reaction to Xanax: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • depressed mood, thoughts of suicide or hurting yourself;
  • racing thoughts, increased energy, unusual risk-taking behavior;
  • confusion, agitation, hostility, hallucinations;
  • uncontrolled muscle movements, tremor, seizure (convulsions); or
  • pounding heartbeats or fluttering in your chest.

Common Xanax side effects may include:

  • drowsiness, feeling tired;
  • slurred speech, lack of balance or coordination;
  • memory problems; or
  • feeling anxious early in the morning.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

Xanax dosing information

Usual Adult Dose of Xanax for Anxiety:

Immediate-release tablets, orally disintegrating tablets, oral concentrate:
Initial dose: 0.25 to 0.5 mg orally 3 times a day
This dose may be gradually increased every 3 to 4 days if needed and tolerated.
Maintenance dose: May increase up to maximum daily dose of 4 mg in divided doses

Usual Adult Dose for Panic Disorder:

Immediate-release tablets, orally disintegrating tablets:
Initial dose: 0.5 mg orally 3 times a day
This dose may be gradually increased every 3 to 4 days if needed and tolerated.
Maintenance dose: 1 to 10 mg per day in divided doses
Mean dose employed: 5 to 6 mg per day in divided doses

Extended-release tablets:

Initial dose: 0.5 to 1 mg once a day
The daily dose may be gradually increased by no more than 1 mg every 3 to 4 days if needed and tolerated.
Maintenance dose: 1 to 10 mg once a day
Mean dose employed: 3 to 6 mg once a day

Usual Adult Dose of Xanax for Depression:

Immediate-release tablets, orally disintegrating tablets, oral concentrate:
Initial dose: 0.5 mg orally 3 times a day
The daily dose may be gradually increased by no more than 1 mg every 3 to 4 days.
Average Dose: Studies on the use of alprazolam for the treatment of depression have reported an average effective dose of 3 mg orally daily in divided doses
Maximum Dose: Studies on the use of alprazolam for the treatment of depression have reported to have used 4.5 mg orally daily in divided doses as a maximum.

Usual Geriatric Dose for Anxiety:

Immediate-release tablets, orally disintegrating tablets, oral concentrate:
Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients
This dose may be gradually increased if needed and tolerated.

Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

Usual Geriatric Dose for Depression:

Immediate-release tablets, orally disintegrating tablets, oral concentrate:
Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients
This dose may be gradually increased if needed and tolerated.

Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

Usual Geriatric Dose for Panic Disorder:

Immediate-release tablets, orally disintegrating tablets:
Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients
This dose may be gradually increased if needed and tolerated.

Extended-release tablets:
Initial dose: 0.5 mg once a day preferably in the morning
This dose may be gradually increased if needed and tolerated.

Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

What other drugs will affect Xanax?

Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking Xanax with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • cimetidine;
  • digoxin;
  • fluvoxamine;
  • nefazodone;
  • ritonavir or other medicines to treat HIV or AIDS; or
  • antifungal medicine - fluconazole, voriconazole.

This list is not complete. Other drugs may interact with alprazolam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

 

Xanax testimonials from patients and doctors

 "The most efficacious and useful anxiolytic I have ever had. Fast acting and requiring three times a day (chronic) administration, but also, along with the recommended 4mg lorazepam IV when actually suffering an attack and a doc is present, by a long way the best acute remedy for anxiety and panic attack."

 

 "I have been taking Xanax 0.25 for less than four years to control anxiety mainly before sleep. It works really well until it does exactly opposite for its purpose, causing more anxiety and distress. I have been taking Xanax randomly only to relax me before sleep, say 3 times a month, 10 times a month and most of the time half of the 0.25. I noticed that overtime especially in the months I took it more often, the anxiety, the fast heart beats and confusion and strange muscle weakness were getting beyond tolerable. In few words, I would tell anyone there that NO ONE should even begin taking this very addictive Xanax. Better suffer through your difficulties than using Xanax to ease your anxiety and panic. The drug will take you to abyss."

 

 "Anything that can get me back on track while I deal with my very occasional anxiety issues. Xanax helped me out a lot 4.5 years ago and I am in need of it again."

 

"I was extremely against Xanax because of knowing people who abused it, and being someone who will try homeopathic cures before using prescriptions. That said, it really helps me. I have anxiety I would describe as anywhere from mild- severe depending on the day, and week. But sometimes I get in these intensely anxious thought patterns, where I cannot let go, its terrible.Taking medication during these periods is a god-send. It allows me to return back to my normal non-anxious self. I rarely have noticed sleepiness as an effect of the medication- only when I was already sleepy before taking it. If you don't abuse your dose, it shouldn't cause you to feel out of it or have memory loss, if you truly suffer from anxiety. That's my experience"

 

 "One day, out of the blue, I felt lightheaded ; I was nauseous, my legs were tingling and a horrible fear over took me. I had every physical test taken. All were negative. Finally, totally desperate and afraid I'd have another attack, I went to 2 psychiatrists. Both diagnosed Panic Disorder. (Found out it runs in my family. ) Was put on amitriptyline, Prozac, Busbar, Paxil. I stuck each one out for 6 weeks. The nausea was horrible and the anxiety debilitating. Finally I met a psychiatrist who put me on Zanax ( .5 mg 4 to 5 times a day and 25 mg of Zoloft. My life improved immediately. He said he hoped the Zoloft would end the panic attacks but it took a combination of both meds. I take .5 Xanax 3 times a day. I'm alive again!"

 

"I've had social anxiety since I was a kid. I tried different doctors and medications but nothing helped until Xanax. I followed the doctors instructions and it provided nearly immediate relief for the first time without side effects. Unfortunately, after a few months and despite a gradual increased dose the medication stopped working. I stopped taking the meds which resulted in a couple of weeks of withdrawal symptoms, mainly skin hot spots that made sleeping difficult. It was disappointing to say the least."

 

"I'm 21 years old and this medication gave me my life back. I have social anxiety, hypochondria, and occasional panic attacks. I'd immediately become stiff and uptight at all social events as well as at school. It got so bad that it affected my grades. After I take a Xanax, the anxiety simply vanishes and it's replenished with relaxation, tranquility, and stability. All the scary, racing thoughts stop and I begin to think more logically and calmly. I take 0.5 mg five times a day as needed. Xanax is also wonderful for muscle spasms."

 

"Took xanax for a month for anxiety and panic attacks. I took it 3 times a day (the lowest dosage) 0.25 mg in the morning, 0.25 mg in the afternoon, and 0.50 mg in the evening. First week seemed fine with little to no changes, but after that was torture. Horrible insomnia, nausea, and panic attacks got WAY worse. My psychiatrist added Adderall to the mix because of my ADHD. This is when the nightmare really started. I couldn't sleep for 4 days straight-- I had to miss work, I was threatening suicide in front of my family-- I was LOSING it. Couldn't keep anything down. The best way to describe it was like a bad trip that you were certain was never going to end. I tapered off of it, and felt normal again after 2 weeks. Please use caution"

 

"I was having many issues with anxiety attacks, panic attack. First started on 1mg 3 times daily.Then was having night terrors too.So I ended up on 2mg ,4 times daily and 2-3 pills of 2mg ativan at night .I got say not many doctors would give you that I would not ask!! I had an on job accident 3yrs prior to this and was on Oxycontin 60mg twice daily and 30 mg oxycode 6 times daily. Sounds like quite mix I know. But with proper monitoring it was a godsend. Pharmacist was not impressed but that's not his problem, his is to count and fill. If they wanted to be a Dr then that's their issue Moral is don't judge yourself by how a pharmacy makes you feel. Now I'm just on the 2mg of xanax and 1 mg of ativan and am normal thanks to a brave understanding Dr"

 

"Any drug can get a bad wrap because of some people abusing it. A lot of doctors don't even like prescribing Xanax because they don't want their patients getting "hooked". For me, I suffer from occasional anxiety attacks, and my prescription is "as needed". Anxiety attacks can be VERY scary. There were a few times I literally thought I was gonna die, it was that bad. I even went to the ER once because I believed I was having a heart attack. They are different for different people. I use to smoke and drink a lot of coffee, so I think that's what screwed up my body chemistry. I don't drink caffeine or smoke anymore. All I know is that now that I have my Alprazolam (Xanax) in my pocket, I'm not as scared to go places. I can live my life again."

 

Note: This information may not be actual at the time of reading. Always look for actual instructions in the package with the medication.
It is forbidden to use these materials without the advice of healthcare professional.

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