It is dangerous to purchase alprazolam on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.
You should not use alprazolam 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.
Alprazolam 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. Misuse can cause addiction, overdose, or death.
Fatal side effects can occur if you take alprazolam with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing.
Before taking this medicine
You should not take alprazolam if:
- you also take itraconazole or ketoconazole (antifungal medicines); or
- you have a history of allergic reaction to any benzodiazepine (diazepam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Valium, Versed, Xanax, and others).
To make sure this medicine is safe for you, tell your doctor if you have:
- breathing problems such as COPD (chronic obstructive pulmonary disease) or sleep apnea (breathing that stops during sleep);
- drug or alcohol addiction;
- depression, mood problems, or suicidal thoughts or behavior;
- a seizure; or
- kidney or liver disease (especially alcoholic liver disease).
Do not use alprazolam if you are pregnant. This medicine can cause birth defects, and your baby could 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.
How should I take alprazolam?
Take alprazolam exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of this medicine.
Alprazolam may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
Swallow the extended-release tablet whole and do not crush, chew, or break it.
Do not swallow the orally disintegrating tablet whole. Allow it to dissolve in your mouth without chewing.
Do not stop using alprazolam suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.
Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Throw away any alprazolam liquid not used within 90 days.
Alprazolam dosing information
Usual Adult Dose for Anxiety:
Immediate-release tablets/orally disintegrating tablets (ODT): 0.25 to 0.5 mg orally administered 3 times a day
-Maximum dose: 4 mg/day
-Treatment of generalized anxiety disorder
-Management of anxiety disorder or APA DSM-III-R diagnosis of generalized anxiety disorder
-Short-term relief of symptoms of anxiety
Usual Adult Dose for Panic Disorder:
Immediate-release tablets/ODTs: 0.5 mg orally administered 3 times a day
-Maximum dose: 10 mg/day
-Initial dose: 0.5 to 1 mg orally once a day
-Maintenance dose: 3 to 6 mg orally per day, preferably in the morning
-Maximum dose: 10 mg/day