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
-clarithromycin
-grapefruit juice
-narcotic medicines for cough
-sodium oxybate
This medicine may also interact with the following medications:

-alcohol
-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
-cimetidine
-digoxin
-erythromycin
-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
-kidney disease
-liver disease
-lung disease, asthma, or breathing problem
-seizures
-suicidal thoughts, plans or attempt
-an unusual or allergic reaction to alprazolam, other benzodiazepines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

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). Protect from light. Get rid of any unused medicine 90 days after opening.
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, pour 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.