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Alprazolam is used to treat anxiety and panic disorders. It belongs to a class of medications called benzodiazepines, which act on the brain and nerves (central nervous system) to produce a calming effect. It enhances the effects of a natural chemical in the body (GABA).
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Read your pharmacist’s medication guide before starting Alprazolam and each time you get a refill. If you have any questions, ask your doctor or pharmacist .
Take this medication by mouth as directed by your doctor. Dosage is based on your medical condition, age, and response to treatment. Your dose may be gradually increased until the medication begins to work effectively. Follow your doctor’s instructions carefully to reduce the risk of side effects.
Although it helps many people, this medication can sometimes cause addiction. This risk may be greater if you have a substance use disorder (such as drug or alcohol overuse or addiction). Take this medication exactly as prescribed to reduce the risk of addiction. Ask your doctor or pharmacist for more information.
When this medication is used long-term, it may not work. Talk to your doctor if this medication stops working properly.
Tell your doctor if your condition persists or worsens.
Alprazolam side effects
Drowsiness, dizziness, increased saliva production, or changes in sexual drive/performance may occur. Tell your doctor or pharmacist immediately if any of these effects persist or worsen.
To minimize dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Remember, this medication has been prescribed because your doctor has determined that the benefit outweighs the risk of side effects. Many people who use this medication do not experience serious side effects.
Tell your doctor right away if any of these unlikely but serious side effects occur: mental/mood changes (such as hallucinations, thoughts of suicide), trouble speaking, loss of coordination, trouble walking, or memory problems.
Seek immediate medical attention if these rare but serious side effects occur: yellow eyes or skin and seizures.
A serious allergic reaction to this medication is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or difficulty breathing.
This is not a complete list of possible side effects. Talk to your doctor or pharmacist if you notice any side effects other than those listed above.
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Before taking alprazolam, tell your doctor or pharmacist if you are allergic to alprazolam or any other benzodiazepines (such as diazepam or lorazepam ); or if you have any other allergies. This product may contain inactive ingredients that can cause allergic reactions or other problems. Talk to your pharmacist for more information.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: serious lung/breathing problems (such as COPD, sleep apnea), liver disease, kidney disease, personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), glaucoma.
This medication may make you dizzy or drowsy. Alcohol or marijuana ( cannabis ) can make you more dizzy or drowsy. Do not drive, operate machinery, or do anything that requires alertness until you can do so safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Older adults may be more sensitive to the side effects of this medication, especially loss of coordination and drowsiness. These side effects can increase the risk of falls.
Tell your doctor if you are pregnant or planning to become pregnant. It is best to avoid becoming pregnant while taking alprazolam. Alprazolam can harm an unborn baby. Newborn babies born to mothers who use this medication late in pregnancy may experience symptoms such as slow/shallow breathing, constant crying, trembling, or difficulty feeding. If you become pregnant, talk to your doctor right away about the risks and benefits of this medication.
This medication passes into breast milk and may harm a nursing baby. Breastfeeding while using this medication is not recommended. Consult your doctor before breastfeeding.
Interactions
Drug interactions can change how your medications work or increase your risk of serious side effects. This document does not contain all possible drug interactions. Keep a list of all your products (including prescription and over-the-counter medications and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medications without your doctor’s approval.
Some products that may interact with this drug are kava and sodium oxybate.
Other medications can affect the removal of alprazolam from your body, which may affect how alprazolam works. Examples include adagrasib, azole antifungals (such as itraconazole, ketoconazole), cimetidine, certain antidepressants (such as fluoxetine, fluvoxamine, nefazodone), protease inhibitors (such as indinavir), macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John’s wort, and medications used to treat seizures (such as phenytoin), among others.
The risk of serious side effects (such as slow/shallow breathing and severe drowsiness/dizziness) may be increased if this medicine is taken with other products that may also cause drowsiness or breathing problems.
Tell your doctor or pharmacist if you are taking other products such as opioid pain relievers or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), other medicines for sleep or anxiety (such as diazepam, lorazepam, zolpidem), relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).
Check the labels on all your medications (such as allergy or cough and cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist how to use these products safely.
Smoking cigarettes lowers the blood levels of this medication. Tell your doctor if you smoke or have recently quit smoking.
