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1mg 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.


Description

1mg Alprazolam

COMMON BRAND(S): Xanax

GENERIC NAME(S): Alprazolam

Uses

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 works by enhancing the effects of a certain natural chemical in the body (GABA).

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How to use 1mg Alprazolam

Read the Medication Guide provided by your pharmacist before you start taking 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 drug starts working well. Follow your doctor’s instructions closely to reduce the risk of side effects.

If you suddenly stop using this medication, you may have withdrawal symptoms (such as seizures). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used alprazolam for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

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1mg Alprazolam Side Effects

See also Warning section.

Drowsiness, dizziness, increased saliva production, or change in sex drive/ability may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have 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, memory problems.

Get medical help right away if these rare but very serious side effects occur: yellowing eyes or skinseizures.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rashitching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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Precautions

Before taking alprazolam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (such as diazepamlorazepam); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe lung/breathing problems (such as COPDsleep apnea), liver diseasekidney disease, personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), glaucoma.

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This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it 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 drug, especially loss of coordination and drowsiness. These side effects can increase the risk of falling.

Alprazolam is not recommended for use during pregnancy due to the potential for harm to an unborn baby. Consult your doctor for more details.

This drug passes into breast milk and may have undesirable effects on a nursing infant. Therefore, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

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Interactions

See also Warning section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: kavasodium oxybate.

Other medications can affect the removal of alprazolam from your body, which may affect how alprazolam works. Examples include azole antifungals (such as itraconazoleketoconazole), cimetidine, certain anti-depressants (such as fluoxetinefluvoxaminenefazodone), drugs to treat HIV (delavirdine, protease inhibitors such as indinavir), macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John’s wort, drugs used to treat seizures (such as phenytoin), among others.

The risk of serious side effects (such as slow/shallow breathing, severe drowsiness/dizziness) may be increased if this medication 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 or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), other drugs for sleep or anxiety (such as diazepamlorazepam, zolpidem), muscle relaxants (such as carisoprodolcyclobenzaprine), or antihistamines (such as cetirizinediphenhydramine).

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Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking.

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IMPORTANT INFORMATION

You should not use Helex 1mg Alprazolam Xanax if you have narrow-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 life-threatening withdrawal symptoms in a newborn.

Helex 1mg Alprazolam Xanax may be habit-forming. Misuse of habit-forming medicine can cause addiction, overdose, or death.

Do not drink alcohol while taking Helex 1mg Alprazolam Xanax. This medication can increase the effects of alcohol. This medicine may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it.

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BEFORE TAKING THIS MEDICINE

It is dangerous to purchase alprazolam on the Internet or from vendors outside the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. The sale and distribution of Helex 1mg Alprazolam Xanax outside the U.S. does not comply with the regulations of the Food and Drug Administration (FDA) for the safe use of this medication.

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 Helex 1mg Alprazolam Xanax or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

To make sure this medicine is safe for you, tell your doctor if you have:

  • seizures or epilepsy;
  • kidney or liver disease (especially alcoholic liver disease);
  • asthma or other breathing disorder;
  • open-angle glaucoma;
  • a history of depression or suicidal thoughts or behavior;
  • a history of drug or alcohol addiction; or
  • if you also use a narcotic (opioid) medication.

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Do not use alprazolam if you are pregnant. This medicine can cause birth defects. Your baby could also become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Use effective birth control to prevent pregnancy while you are taking this medicine.

Alprazolam can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine.

The sedative effects of Helex 1mg Alprazolam Xanax may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking alprazolam.

Alprazolam is not approved for use by anyone younger than 18 years old.

HOW SHOULD I TAKE ALPRAZOLAM?

Take alprazolam exactly as prescribed by your doctor. Follow all directions on your prescription label. Never use this medicine in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms.

Alprazolam may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Misuse of habit-forming medicine can cause addiction, overdose, or death. Selling or giving away this medicine is against the law.

Do not swallow the orally disintegrating tablet whole. Allow it to dissolve in your mouth without chewing.

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

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Call your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms.

Do not stop using Helex 1mg Alprazolam Xanax suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using alprazolam.

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

Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Alprazolam is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

See also: Dosage Information (in more detail)

WHAT HAPPENS IF I MISS A DOSE?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

WHAT HAPPENS IF I OVERDOSE?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of alprazolam can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

WHAT SHOULD I AVOID WHILE TAKING HELEX 1MG ALPRAZOLAM XANAX?

Alprazolam may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Avoid drinking alcohol. Dangerous side effects could occur.

Grapefruit and grapefruit juice may interact with alprazolam and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor.

ALPRAZOLAM SIDE EFFECTS

Get emergency medical help if you have signs of an allergic reaction to alprazolam: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • depressed mood, thoughts of suicide or hurting yourself;
  • racing thoughts, increased energy, unusual risk-taking behavior;
  • confusion, agitation, hostility, hallucinations;
  • uncontrolled muscle movements, tremor, seizure (convulsions); or
  • pounding heartbeats or fluttering in your chest.

Common alprazolam side effects may include:

  • drowsiness, feeling tired;
  • slurred speech, lack of balance or coordination;
  • memory problems; or
  • feeling anxious early in the morning.
    ALPRAZOLAM DOSING INFORMATIONUsual Adult Dose for Anxiety:

    Immediate release tablets, orally disintegrating tablets, oral concentrate:
    Initial dose: 0.25 to 0.5 mg orally 3 times a day
    This dose may be gradually increased every 3 to 4 days if needed and tolerated.
    Maintenance dose: May increase up to maximum daily dose of 4 mg in divided doses

    Usual Adult Dose for Panic Disorder:

    Immediate release tablets, orally disintegrating tablets:
    Initial dose: 0.5 mg orally 3 times a day
    This dose may be gradually increased every 3 to 4 days if needed and tolerated.
    Maintenance dose: 1 to 10 mg per day in divided doses
    Mean dose employed: 5 to 6 mg per day in divided doses

    Extended-release tablets:
    Initial dose: 0.5 to 1 mg once a day
    The daily dose may be gradually increased by no more than 1 mg every 3 to 4 days if needed and tolerated.
    Maintenance dose: 1 to 10 mg once a day
    Mean dose employed: 3 to 6 mg once a day

    Usual Adult Dose for Depression:

    Immediate-release tablets, orally disintegrating tablets, oral concentrate:
    Initial dose: 0.5 mg orally 3 times a day
    The daily dose may be gradually increased by no more than 1 mg every 3 to 4 days.
    Average Dose: Studies in the treatment of depression have reported an average effective dose of 3 mg orally daily in divided doses
    Maximum Dose: Studies in the treatment of depression have reported to have used 4.5 mg orally daily in divided doses as a maximum.

    Usual Geriatric Dose for Anxiety:

    Immediate-release tablets, orally disintegrating tablets, oral concentrate:
    Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients
    This dose may be gradually increased if needed and tolerated.

    Because of increased sensitivity to benzodiazepines in elderly patients, Helex 1mg Alprazolam Xanax at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

    Usual Geriatric Dose for Depression:

    Immediate-release tablets, orally disintegrating tablets, oral concentrate:
    Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients
    This dose may be gradually increased if needed and tolerated.

    Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

    Usual Geriatric Dose for Panic Disorder:

    Immediate-release tablets, orally disintegrating tablets:
    Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients
    This dose may be gradually increased if needed and tolerated.

    Extended-release tablets:
    Initial dose: 0.5 mg once a day preferably in the morning
    This dose may be gradually increased if needed and tolerated.

    Because of increased sensitivity to benzodiazepines in elderly patients, Helex 1mg Alprazolam Xanax at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

    WHAT OTHER DRUGS WILL AFFECT ALPRAZOLAM?

    Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

    Tell your doctor about all your current medicines and any you start or stop using, especially:

    • cimetidine;
    • digoxin;
    • fluvoxamine;
    • nefazodone;
    • ritonavir or other medicines to treat HIV or AIDS; or
    • antifungal medicine – fluconazole, voriconazole.

    This list is not complete. Other drugs may interact with alprazolam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

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