Anxiety and Panic Disorder
Oral tablet, extended release
ALPRAZOLAM (al PRAY zoe lam) is a benzodiazepine. It is used to treat anxiety and panic attacks.
Alprazolam may be used for other purposes; ask your health care provider or pharmacist if you have questions
Take this medicine by mouth. Take it as directed on the prescription label. Do not cut, crush or chew this medicine. Swallow the tablets whole. Do not take it more often than directed. Keep taking it unless your health care provider tells you to stop.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your health care provider about the use of this medicine in children. Special care may be needed.
Patients over 65 years of age may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of Alprazolam contact a poison control center or emergency room at once. NOTE: Alprazolam is only for you. Do not share Alprazolam with others.
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Side effects that you should report to your doctor or health care professional as soon as possible:
-allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
-loss of balance or coordination
-signs and symptoms of low blood pressure like dizziness; feeling faint or lightheaded, falls; unusually weak or tired
-suicidal thoughts or other mood changes
-trouble saying things clearly
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
-changes in sex drive
This list may not describe all possible side effects for Alprazolam. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.Source: FDA
Do not take this medicine with any of the following medications:
-certain antivirals for HIV or hepatitis
-certain medicines for fungal infections like ketoconazole, itraconazole, or posaconazole
-narcotic medicines for cough
This medicine may also interact with the following medications:
-antihistamines for allergy, cough and cold
-certain medicines for anxiety or sleep
-certain medicines for depression like amitriptyline, fluoxetine, fluvoxamine, nefazodone, sertraline
-certain medicines for seizures like carbamazepine, phenobarbital, phenytoin, primidone
-female hormones, like estrogens or progestins and birth control pills, patches, rings, or injections
-general anesthetics like halothane, isoflurane, methoxyflurane, propofol
-medicines that relax muscles
-narcotic medicines for pain
-phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine
They need to know if you have any of these conditions:
-depression or other mental health disease
-history of alcohol or medicine abuse or addiction
-lung disease, asthma, or breathing problem
-suicidal thoughts, plans or attempt
-an unusual or allergic reaction to alprazolam, other benzodiazepines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
Visit your health care provider for regular checks on your progress. Tell your health care provider if your symptoms do not start to get better or if they get worse.
Do not stop taking except on your doctor''s advice. You may develop a severe reaction. Your doctor will tell you how much medicine to take.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce the risk of dizzy and fainting spells, do not stand or sit up quickly, especially if you are an older patient. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.
If you are taking another medicine that also causes drowsiness, you may have more side effects. Give your health care provider a list of all medicines you use. Your doctor will tell you how much medicine to take. Do not take more medicine than directed. Call emergency for help if you have problems breathing or unusual sleepiness.
Women should inform their health care provider if they wish to become pregnant or think they might be pregnant. Do not breast-feed while taking this medicine. Talk to your health care provider for more information.
Keep out of the reach of children and pets. This medicine can be abused. Keep it in a safe place to protect it from theft. Do not share it with anyone. It is only for you. Selling or giving away this medicine is dangerous and against the law.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medicine after the expiration date.
This medicine may cause harm and death if it is taken by other adults, children, or pets. It is important to get rid of the medicine as soon as you no longer need it or it is expired. You can do this in two ways:
-Take the medicine to a medicine take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medicine, check the label or package insert to see if the medicine should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your health care provider. If it is safe to put it in the trash, take the medicine out of the container. Mix the medicine with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.