Journal of Psychiatry and Neuroscience. Major Coadministration of alprazolam and ritonavir or lopinavir; ritonavir is not recommended. Are your worries normal or something more? Archived from the original PDF on 17 December In patients treated with methadone for opioid use disorder, cessation of benzodiazepines or other CNS depressants is preferred in most cases.
The perfect: Xanax alprazolam classification
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|Alprazolam medication usages||Panic rebound may be particularly problematic for patients receiving higher doses for panic disorder. Consult your zanax for more details. May increase levels of imipramine, desipramine. Alprazolam can xanax physical and psychological dependence, and alprazolam be used with caution in patients with known, suspected, or a history of xanax abuse. The Panel recommends avoiding benzodiazepines in geriatric patients with the following disease classification or symptoms due to the potential for exacerbation of the alprazolam or increased risk of adverse effects: Is alprazolam safe to take classification I'm pregnant or breastfeeding?|
Do not use Xanax if you are pregnant. Benzodiazepines can potentially cause harm to the fetus. Xanax increases the risk of congenital abnormalities when given to a pregnant woman during the first trimester. Patients should be advised that if they become pregnant during therapy or intend to become pregnant, they should tell their doctor.
A child born of a mother who is taking benzodiazepines may be at risk of withdrawal symptoms from the drug. Also, respiratory problems have been reported in children born to mothers who have been taking benzodiazepines. It is thought that Xanax is excreted in human milk. As a general rule, mothers who must use Xanax should not breast-feed. Older adults may be more sensitive to the effects of benzodiazepines. The sedative effects of 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 Xanax. As with other psychotropic medications, there are precautions when giving the drug to severely depressed patients or those who may have suicidal thoughts.
Episodes of hypomania and mania have been reported in association with the use of Xanax in patients with depression. Xanax is often abused for the fast-acting, relaxed "high" it can give to people who take it, including people without a prescription. According to the Treatment Episode Data Set, the number of individuals seeking treatment for benzodiazepine abuse almost tripled from Long-term abuse and addiction to Xanax are associated with depression, psychotic experiences, and aggressive or impulsive behavior.
The number of emergency department visits involving the non-medical use of the sedative Xanax doubled from 57, to , during the years to and then remained stable at , in The most common drug combinations encountered in ER patients are Xanax and alcohol, and Xanax combined with prescription opiates like hydrocodone and oxycodone. Xanax is used to manage anxiety disorder or the short-term relief of symptoms of anxiety.
Anxiety or tension associated with the stress of everyday life usually does not require treatment. Generalized anxiety disorder is characterized by unrealistic or excessive anxiety and worry about two or more life circumstances, for a period of 6 months or longer, during which the person has been bothered more days than not by these concerns. Xanax is also indicated for the treatment of panic disorder, with or without agoraphobia , and may reduce the number of panic attacks experienced.
Panic disorder is characterized by regular panic attacks. Panic attacks are relatively short periods of intense fear or discomfort where four or more of the following symptoms develop all of a sudden and reach a peak within 10 minutes:. Side effects are often observed at the beginning of therapy and usually disappear upon continued use of medication.
Possible side effects of Xanax include:. The above is not a complete list of side effects and others may occur. Call a doctor for medical advice about side effects. Seek emergency medical help if you have any of these signs of an allergic reaction to Xanax: Xanax comes as a tablet, an extended-release tablet, an orally disintegrating tablet tablet that dissolves quickly in the mouth , and a concentrated solution liquid to take by mouth. Xanax should be taken by mouth as directed by a doctor.
Dosage is based on the following factors:. The dosage of Xanax may be increased gradually until the drug works effectively for the patient. The instructions of a doctor should be closely followed to reduce the risk of side effects. If this medication has regularly been used for a long time or in high doses, withdrawal symptoms such as seizures can occur if usage is suddenly stopped. To prevent these reactions, the doctor may reduce the dosage of Xanax gradually.
Do not crush, chew, or break a Xanax extended-release tablet. Swallow the tablet whole. It is specially made to release medicine slowly in the body. Breaking the tablet would cause too much of the drug to be released at one time. Do not share your medicine with other people. It may not be suitable for them and may harm them. If you miss a dose of Xanax, 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. Symptoms of a Xanax overdose include tiredness , confusion, impaired coordination, diminished reflexes, and coma. Death has been reported in association with overdoses of Xanax by itself, as it has with other benzodiazepines. If an overdose of Xanax occurs, call your doctor or Seek emergency medical attention or call the Poison Help line at Benzodiazepines, including Xanax, produce extra depressant effects on the central nervous system CNS when taken with:.
Studies of benzodiazepines other than Xanax suggest a possible drug interaction with the following drugs:. This list is not complete, and other drugs may interact with Xanax. Tell your doctor about all medications you use. This includes prescription, OTC, vitamin , and herbal products. It is important to taper off Xanax gradually; otherwise, there is a risk of benzodiazepine withdrawal syndrome.
To discontinue treatment of Xanax, the dosage should be reduced and tapered slowly. It is suggested that the daily dosage of Xanax be decreased by no more than 0. Reported withdrawal symptoms include:. Article last updated by Yvette Brazier on Thu 7 December All references are available in the References tab. Drug-related hospital emergency room visits. Your list will be saved and can be edited at any time. The above information is provided for general informational and educational purposes only.
Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. By clicking send, you acknowledge that you have permission to email the recipient with this information. Sign Up It's Free! If you log out, you will be required to enter your username and password the next time you visit. Brand and Other Names: Share Email Print Feedback Close.
Panic Disorder Immediate-release 0. Premenstrual Syndrome Off-label 0. Dosing Modifications Renal impairment Use caution; not studied. Advanced hepatic impairment Immediate-release: Anxiety Associated With Depression Decrease initial dose to 0. Dosing Considerations Use smallest effective dose to avoid ataxia and oversedation Elderly especially sensitive to benzodiazepine effects; higher plasma levels exhibited because of reduced clearance Mean half-life: Significant - Monitor Closely.
All Interactions Sort By: Liver enzyme elevations, hepatitis, hepatic failure CNS: Stevens-Johnson syndrome, angioedema, peripheral edema Endocrine: Warnings Black Box Warnings Concomitant use of benzodiazepines and opioids may result in profound respiratory depression, coma, and death; administer concomitantly when there are no alternative options; limit dosages and durations to minimum required; monitor for signs and symptoms of respiratory depression and sedation.
Contraindications Documented hypersensitivity Acute narrow angle glaucoma Concomitant use with CYP3A4 inhibitors itraconazole, ketoconazole. Pharmacology Mechanism of Action Binds receptors at several sites within the CNS, including the limbic system and reticular formation; effects may be mediated through GABA receptor system; increase in neuronal membrane permeability to chloride ions enhances the inhibitory effects of GABA; the shift in chloride ions causes hyperpolarization less excitability and stabilization of the neuronal membrane.
Print without Office Info. Print with Office Info. Formulary Formulary Patient Discounts. Create Your List of Plans. View explanations for tiers and restrictions. Tier Description 1 This drug is available at the lowest co-pay. Most commonly, these are generic drugs. Most commonly, these are "preferred" on formulary brand drugs. Most commonly, these are "non-preferred" brand drugs. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
This restriction requires that specific clinical criteria be met prior to the approval of the prescription. QL Quantity Limits Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.