Drug Status in USA : Approved Drug Status in Canada : Approved
pronunciation
pronounced as (al pray' zoe lam)
Why is this medication prescribed?
Alprazolam is used to treat anxiety disorders and panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks). Alprazolam is in a class of medications called benzodiazepines. It works by decreasing abnormal excitement in the brain.
How should this medicine be used?
Alprazolam comes as a tablet, an extended-release tablet, an orally disintegrating tablet (tablet that dissolves quickly in the mouth), and a concentrated solution (liquid) to take by mouth. The tablet, orally disintegrating tablet, and concentrated solution usually are taken two to four times a day. The extended-release tablet is taken once daily, usually in the morning. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take alprazolam exactly as directed.
To take the concentrated liquid, use only the dropper that came with your prescription. Draw into the dropper the amount prescribed for one dose. Squeeze the dropper contents into a liquid or semi-solid food such as water, juice, soda, applesauce, or pudding. Stir the liquid or food gently for a few seconds. The concentrated liquid will blend completely with the food. Drink or eat the entire mixture immediately. Do not store for future use.
Remove the orally disintegrating tablet from the bottle just before it is time for your dose. With dry hands, open the bottle, remove the tablet, and immediately place it on your tongue. The tablet will dissolve and can be swallowed with saliva. The orally disintegrating tablet can be taken with or without water.
Swallow the extended-release tablets whole; do not chew, crush, or break them.
Your doctor will probably start you on a low dose of alprazolam and gradually increase your dose, not more than once every 3 or 4 days.
Alprazolam can be habit-forming. Do not take a larger dose, take it more often, or take it for a longer period of time than prescribed by your doctor . Do not stop taking alprazolam or decrease your dose without talking to your doctor. If you suddenly stop taking alprazolam you may experience withdrawal symptoms such as seizures; shaking of a part of your body that you cannot control; headache; blurred vision; increased sensitivity to noise or light; change in sense of smell; sweating; difficulty falling asleep or staying asleep; difficulty concentrating; nervousness; depression; irritability; agressive behavior; muscle twitching or cramps; diarrhea; vomiting; pain, burning, numbness, or tingling in the hands or feet; a decrease in appetite; or weight loss. Your doctor will probably decrease your dose gradually.
What are the precautions to be followed?
Before taking alprazolam,
tell your doctor and pharmacist if you are allergic to alprazolam, chlordiazepoxide (Librium, Librax), clonazepam (Klonopin), clorazepate (Tranxene), diazepam (Valium), estazolam (ProSom), flurazepam (Dalmane), halazepam (Paxipam), lorazepam (Ativan), oxazepam (Serax), prazepam (Centrax), quazepam (Doral), temazepam (Restoril), triazolam (Halcion), or any other medications.
tell your doctor if you are taking itraconazole (Sporanox) or ketoconazole (Nizoral). Your doctor willl probably tell you not to take alprazolam.
tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements, you are taking. Be sure to mention any of the following: amiodarone (Cordarone, Pacerone); antidepressants ('mood elevators') such as desipramine (Norpramin), imipramine (Tofranil), and nefazodone ; antifungals such as fluconazole (Diflucan), posaconazole (Noxafil), or voriconazole (Vfend); antihistamines; cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); diltiazem (Cardizem, Dilacor, Tiazac); ergotamine (Cafatine, Cafergot, Wigraine, others); erythromycin (E.E.S., E-Mycin, Erythrocin); isoniazid (INH, Nydrazid); medications for mental illness, chronic pain, and seizures; nicardipine (Cardene); nifedipine (Adalat, Procardia); oral contraceptives (birth control pills); propoxyphene (Darvon); selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft); sedatives; sleeping pills; and tranquilizers. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor and pharmacist what herbal products you are taking, especially St. John's wort.
tell your doctor if you have glaucoma (increased pressure in the eye that may cause loss of sight). Your doctor may tell you not to take alprazolam.
tell your doctor if you have or have ever had depression; if you have had thoughts of suicide or harming yourself; if you have alcoholism or if you drink or have ever drunk large amounts of alcohol;if you use or have ever used street drugs or have overused prescription medications;if you smoke; if you have had seizures;or if you have or have ever had lung, kidney, or liver disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. Alprazolam may harm the fetus. If you become pregnant while taking alprazolam, call your doctor .
talk to your doctor about the risks and benefits of taking this medication if you are 65 years of age or older. Older adults should receive low doses of alprazolam because higher doses may not work better and may cause serious side effects.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking alprazolam.
you should know that alprazolam may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
talk to your doctor about the safe use of alcohol while you are taking this medication. Alcohol can make the side effects of alprazolam worse.
What are possible side effects of this medication ?
Alprazolam may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
drowsiness
light-headedness
headache
tiredness
dizziness
irritability
talkativeness
difficulty concentrating
dry mouth
increased salivation
changes in sex drive or ability
nausea
constipation
changes in appetite
weight changes
difficulty urinating
joint pain
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
shortness of breath
seizures
seeing things or hearing voices that do not exist (hallucinating)
severe skin rash
yellowing of the skin or eyes
depression
memory problems
confusion
problems with speech
unusual changes in behavior or mood
thinking about harming or killing yourself or trying to do so
problems with coordination or balance
During the course of medication, in case there is severity of any side effect mentioned above or any other side effect or any other medical issue or complication, same should be reported to doctor or health care provider immediately without any fail.
How to store the medication and dispose it of after its use later?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Discard any cotton in the bottle containing orally disintegrating tablets and close the bottle tightly. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
Drug Category/Class
Anti-Anxiety Agents
Hypnotics and Sedatives
GABA Modulators
Benzodiazepines
Benzodiazepine Derivatives
Anxiolytics
Psycholeptics
Cytochrome P-450 CYP2C9 Inhibitors
Cytochrome P-450 CYP2C9 Inducers
Nervous System
CYP3A4 Inhibitors
Benzodiazepine derivatives
Prescribed
For the management of anxiety disorder or the short-term relief of symptoms of anxiety and for the treatment of panic disorder, with or without ago...