Provided by the College of Psychiatric and Neurologic Pharmacists (October 2016).
The following medications may decrease the levels and effects of alprazolam:
Do not double your next dose or take more than what is prescribed. If you miss a dose of alprazolam, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your healthcare provider.
Symptoms of overdose include confusion, impaired coordination, slow reflexes, coma, and death.
If an overdose occurs call your doctor or 911. You may also contact the poison control center at. You may need urgent medical care.
The individuals have no memory of the events when they awaken. Some people taking benzodiazepines for sleep have experienced various behaviors while they were asleep/not fully awake, such as sleep driving, making phone calls, and preparing or eating food.
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The following medications may increase the levels and effects of alprazolam:
Generalized Anxiety Disorder (GAD) occurs when a person experiences excessive anxiety or worry for at least six months. Other symptoms include.
Xanax Xanax XR Niravam Alprazolam Intensol. Learn how you can help replace stigma with hope.
Only your healthcare provider can determine the length of treatment that is right for you. Benzodiazepines, such as alprazolam, are often used for short periods of time only. They may produce emotional and/or physical dependence (addiction) even when used as recommended.
Increased heart rate, headache, memory impairment, irritability, and restlessness may occur.
Physical dependence may develop after 2 or more weeks of daily use. Alprazolam is a safe and effective medication when used as directed. Benzodiazepines may produce emotional and/or physical dependence (addiction) even when used as recommended.
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Your healthcare provider will determine the dose and method of taking the medication that is right for you based upon your response.
The FDA has found that benzodiazepine drugs, such as alprazolam, when used in combination with opioid medications or other sedating medications can result in serious adverse reactions including slowed or difficult breathing and death. Patients taking opioids with benzodiazepines, other sedating medications, or alcohol, and caregivers of these patients, should seek immediate medical attention if they start to experience unusual dizziness or lightheadedness, extreme sleepiness, slowed or difficulty breathing, or unresponsiveness.
Generic name: alprazolam (al PRAY zoe lam).
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If you are taking alprazolam with an opioid medication, get medical assistance immediay if you feel dizziness or sleepiness, if you have slow or troubled breathing, or if you pass out. Caregivers must get medical help right away if a patient does not respond and does not wake up.
Alprazolam may be taken with or without food.
If you are planning on becoming pregnant, notify your healthcare provider to best manage your medications. People living with anxiety disorders who wish to become pregnant face important decisions. It is important to discuss this with your doctor and caregivers.
Stopping alprazolam abruptly may result in one or more of the following withdrawal symptoms: irritability, nausea, tremor, dizziness, blood pressure changes, rapid heart rate, and seizures. Do not stop taking alprazolam without talking to your healthcare provider first.
Shortness of breath, trouble speaking, feeling very tired, dizziness, or passing out.
However, benzodiazepines are also commonly used to treat difficulty sleeping and alcohol withdrawal. It is approved for the treatment of generalized anxiety disorder (GAD) and panic disorder with or without agoraphobia. Alprazolam is a benzodiazepine.
Medication class: benzodiazepine, anxiolytic (anti-anxiety).
If you experience these side effects after starting clonazepam they will often improve over the first week or two as you continue to take the medication Rare/Serious Side Effects.
Alprazolam should not be taken with other benzodiazepine medications.
Panic Disorder occurs when a person experiences unexpected and repeated episodes of intense fear. These episodes have physical symptoms including chest pain, shortness of breath, heart palpitations, sweating, dizziness, and nausea. Fear of future episodes is also part of panic disorder.
Alprazolam may cause drowsiness, so caution should be used when combining it with other medications that cause drowsiness. These could include:.
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Regarding breastfeeding, caution is advised since alprazolam does pass into breast milk.
If you take the medication everyday (instead of as-needed), use a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take it. You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication.
Only a doctor can decide if you need this medication. This medicine, called flumazenil, can reverse the effects of alprazolam but must be given through an IV at a hospital. A specific treatment to reverse the effects of alprazolam does exist. Common Side Effects.
Opioid drugs are medications used to treat pain and include medications such as: codeine, oxycodone, morphine, and illegal drugs like heroin. The use of alprazolam with drugs like opioid medications has led to serious side effects including slowed and difficulty breathing and death. Some opioid medications are also in cough syrup.
When starting alprazolam, anxiety or insomnia may improve rapidly or over a period of days.
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Alprazolam may be taken every day at regular times or on an as-needed (“PRN”) basis. Typically, your healthcare provider will limit the number of doses you should take in one day.
Alprazolam orally disintegrating tablets will dissolve in your mouth within seconds and can be swallowed with or without liquid.
Avoid alcohol while taking this medication.
Signs of feeling depressed or low mood, thoughts of harming or killing yourself, or lack of interest in life.
They may decrease the benefits (e.g., worsen your condition) and increase the adverse effects (e.g., sedation) of the medication. Avoid drinking alcohol and using illegal drugs while you are taking alprazolam. Alcohol increases the risk of accidental overdose with medications like alprazolam.
Alprazolam orally disintegrating tablets must remain in their original packaging. Open the package with clean dry hands before each dose. Do not try to put tablets in a pillbox if you take the orally disintegrating tablets. Take the tablets right away, do not store for later use.
Extended release tablets: Swallow whole. Do not chew, crush or split tablet.
Alprazolam liquid: Measure with a dosing spoon or oral syringe, which you can get from your pharmacy.
This can occur as early as with the first dose. Some people taking benzodiazepines develop a severe allergic reaction and swelling of the face.
Do not drive a car or operate machinery until you know how this medication affects you because you may notice that you feel tired or dizzy.Xanax