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What is alprazolam?

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

Alprazolam is used for the treatment of anxiety disorders, panic disorders, and anxiety caused by depression.

Alprazolam can also be used for purposes not mentioned in this medication guide.

What is the most important information I should know about alprazolam?
You should not use this medicine if you have closed-angle glaucoma, if you also take itraconazole or ketoconazole, or if you are allergic to alprazolam or similar medicines (Valium, Ativan, Tranxene, and others).

Do not use alprazolam if you are pregnant. This medicine can cause birth defects or withdrawal symptoms that can be life-threatening in the newborn.

Alprazolam can create habit. Incorrect use of a medication that creates habit can cause addiction, overdose or death.

What should I discuss with my healthcare provider before taking alprazolam?
It is dangerous to buy alprazolam online or from vendors outside the United States. Medicines distributed over the Internet may contain dangerous ingredients, or they may be distributed by pharmacies without a license. The sale and distribution of alprazolam outside the US does not comply with the Food and Drug Administration (FDA) regulations for the safe use of this medicine.

You should not take alprazolam if you have:

  • narrow angle glaucoma;
  • if you are also taking itraconazole or ketoconazole; or
  • if you are allergic to alprazolam or other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).
  • To make sure alprazolam is safe for you, tell your doctor if you have:
  • seizures or epilepsy;
  • kidney or liver disease (particularly alcoholic liver disease);
  • asthma another breathing disorder;
  • open angle glaucoma;
  • history of depression or thoughts of wanting to commit suicide or taking action for that purpose;
  • history of drug or alcohol addiction; or
  • if you also use a narcotic (opioid) medication.

Do not use alprazolam if you are pregnant. This medicine can cause birth defects. Your baby may also become dependent on the drug. This can cause withdrawal symptoms that can put the baby’s life at risk after birth. Babies born dependent on a medication that creates a habit may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Use an effective method of birth control to prevent pregnancy while using alprazolam.

Alprazolam can pass into breast milk and may harm a nursing baby. You should not breastfeed while using alprazolam.

The sedative effects of alprazolam may last longer in older adults. Accidental falls are more common in older patients taking benzodiazepines. Be careful to avoid accidentally falling or hurt while taking alprazolam.

Alprazolam is not approved for use by anyone under 18 years of age.

How should I take alprazolam?
Follow the instructions on the label of your prescription. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if your medicine no longer works as well as before in treating your symptoms.

Alprazolam can create habit. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medicine in a place where others cannot find it.

Incorrect use of a medication that creates habit can cause addiction, overdose or death. Selling or giving alprazolam is illegal.

Do not swallow the oral disintegration tablet whole. Let it dissolve in your mouth without chewing.

Do not crush, chew, or break an extended-release tablet . Swallow it whole.

Measure the liquid medicine with the measuring syringe that comes with your medicine, or with a special measuring spoon or cup. If you do not have to measure the dose of your medicine, ask your pharmacist for a spoon or measuring cup.

Call your doctor if you think this medicine has stopped working to treat your panic or anxiety symptoms.

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

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

Store at room temperature away from moisture and heat.

Keep a record of the amount of medicine you have used for each new container. Alprazolam is a drug of potential abuse and you should know if someone is using your medicine improperly or without a prescription.

What happens if I skip a dosage?
Take the dose you stopped taking as soon as you remember. Skip the dose you stopped taking if it is almost time for the next dose. Do not use more medicine to reach the dose you stopped taking.

What would happen with an overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Alprazolam overdose could be fatal. Symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling faint, and fainting.

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