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What is Xanax?
Buy Xanax Online . Xanax (alprazolam) is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). It is thought that alprazolam works by enhancing the activity of certain neurotransmitters in the brain.
Xanax is used to treat anxiety disorders and anxiety caused by depression.
Xanax is also used to treat panic disorders with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).
It is dangerous to purchase Xanax 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.
How to use Xanax
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.
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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Xanax can slow or stop your breathing, especially if you have recently used an opioid medication or alcohol.
MISUSE OF XANAX CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.
Do not stop using Xanax without asking your doctor. You may have life-threatening withdrawal symptoms if you stop using the medicine suddenly after long-term use. Some withdrawal symptoms may last up to 12 months or longer.
Get medical help right away if you stop using Xanax and have symptoms such as: unusual muscle movements, being more active or talkative, sudden and severe changes in mood or behavior, confusion, hallucinations, seizures, or thoughts about suicide.
Xanax is a federal controlled substance (C-IV) because it can be abused or lead to dependence. Keep this medicine in a safe place to prevent misuse and abuse. Selling or giving away this Xanax may harm others, and is against the law. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription medicines or street drugs.
In certain individuals, the body may handle Xanax differently. This includes people who:
drink a lot of alcohol
have alcoholic liver disease
have impaired hepatic function
have impaired renal function
People should not use Xanax if they are allergic to alprazolam or other benzodiazepines, such as:
People should not drink alcohol while taking Xanax. Xanax can increase the effects of alcohol.
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People should not use Xanax if they are pregnant. Benzodiazepines can potentially cause harm to the fetus. During the first trimester, for example, Xanax increases the risk of congenital abnormalities.
People should usually avoid taking Xanax during the first trimester of pregnancy.
Healthcare professionals should also inform people that if they become pregnant or intend to become pregnant while taking Xanax, they should tell their doctor.
A child born of a person who is taking benzodiazepines may be at risk of withdrawal symptoms from the drug. Respiratory problems have also occurred in children born to people who have been taking benzodiazepines while pregnant.
Xanax may be excreted in human milk. As a general rule, people who use Xanax should not breastfeed.
Researchers have not yet studied Xanax use in children.
Gender does not affect the body’s response to Xanax.
Older adults, or people aged 65 years and above, may be more sensitive to the effects of benzodiazepines. For example, the sedative effects of Xanax may last longer in older adults.
Accidental falls are also common in older adults who take benzodiazepines. Therefore, people should use caution to prevent falling or accidental injury while taking Xanax.
Xanax may affect Asian populations more than white populations.
Xanax concentrations may be reduced in up to 50% of people who smoke, compared with people who do not smoke.
As with other psychotropic medications, there are some precautions to take when people with severe depression or suicidal thoughts take this drug.
Episodes of hypomania and mania have occurred in association with the use of Xanax in people with depression.
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Food and drug interactions
Alprazolam is primarily metabolized via CYP3A4. Combining CYP3A4 inhibitors such as cimetidine, erythromycin, norfluoxetine, fluvoxamine, itraconazole, ketoconazole, nefazodone, propoxyphene, and ritonavir delay the hepatic clearance of alprazolam, which may result in its accumulation and increased severity of its side effects.
Imipramine and desipramine have been reported to increase an average of 31% and 20% respectively by the concomitant administration of alprazolam tablets. Combined oral contraceptive pills reduce the clearance of alprazolam, which may lead to increased plasma levels of alprazolam and accumulation.
Alcohol is one of the most common interactions; alcohol and alprazolam taken in combination have a synergistic effect on one another, which can cause severe sedation, behavioral changes, and intoxication. The more alcohol and alprazolam taken, the worse the interaction. Combination of alprazolam with the herb kava can result in the development of a semi-comatose state. Plants in the genus Hypericum (including St. John’s wort) conversely can lower the plasma levels of alprazolam and reduce its therapeutic effect
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MANAGING ANXIETY DISORDERS CAN BE DIFFICULT, BUT HELP IS AVAILABLE
Anxiety Management icon
XANAX is indicated for the management of anxiety disorders and the short-term relief of symptoms of anxiety in adults. XANAX is also indicated for the treatment of panic disorder in adults with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).
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Risks and proper use icon
Take XANAX as prescribed by your doctor. If used differently than prescribed serious side effects may occur including addiction, coma and death.
Beware of counterfeit or fake XANAX. Counterfeits are illegal and potentially harmful. It’s hard to tell where or how they were made—or even what’s inside them.
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Can I take Xanax (Alprazolam) if I’m pregnant or breastfeeding?
Tell your doctor if you are pregnant or plan to become pregnant. If you use alprazolam during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.
You should not breastfeed.
If you do breastfeed, tell your doctor if you notice drowsiness or feeding problems in the baby.
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What are the possible side effects of Xanax?
Xanax may cause serious side effects including:
thoughts of suicide or hurting yourself,
unusual risk-taking behavior,
uncontrolled muscle movements,
convulsions (seizure), and
pounding heartbeats or fluttering in your chest
Get medical help right away, if you have any of the symptoms listed above.
The most common side effects of Xanax include:
lack of balance or coordination,
memory problems, and
feeling anxious early in the morning
Tell the doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of Xanax. For more information, ask your doctor or pharmacist.
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What special dietary instructions should I follow?
Talk to your doctor about drinking grapefruit juice while taking this medicine.
What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
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Usual Adult Dose for Anxiety:
Immediate-release tablets: 0.25 to 0.5 mg orally administered 3 times a day
-Maximum dose: 4 mg/day
Usual Adult Dose for Panic Disorder:
Immediate-release tablets: 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
-The lowest possible effective dose should be administered and the need for continued treatment reassessed frequently.
-Dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage.
-The daily dosage may be decreased by no more than 0.5 mg every 3 days; however, some patients may require an even slower dosage reduction.
-The dose of extended-release tablets may be increased at intervals of 3 to 4 days in increments of no more than 1 mg per day.
-The times of administration should be distributed as evenly as possible throughout the waking hours.
Pharmacist tips for Xanax (alprazolam)
Xanax (alprazolam) works pretty fast. If you take a dose when you are starting to have feelings of panic or anxiety, you can expect to feel the effects of the medication within 1 to 2 hours.
Benzodiazepines cause dizziness and drowsiness. Avoid activities that require you to be alert (like driving) until you know how it affects you.
Avoid drinking alcohol while you are taking Xanax (alprazolam), alcohol can make the side effects of the medication worse.
Long-term use of Xanax (alprazolam) can cause dependence or abuse. Take it exactly as your provider prescribes.
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What Should I Discuss With My Healthcare Provider Before Taking Alprazolam?
- Symptoms of your condition that bother you the most
- If you have thoughts of suicide or harming yourself
- Medications you have taken in the past for your condition, whether they were effective or caused any adverse effects
- If you experience side effects from your medications, discuss them with your healthcare provider. Some side effects may pass with time, but others may require changes in the medication.
- Any other psychiatric or medical problems you have including obstructive sleep apnea
- All other medications you are currently taking (including over the counter products and herbal and nutritional supplements) and any medication allergies you have
- Other non-medication treatment you are receiving such as talk therapy or substance abuse treatment. Your provider can explain how these different treatments work with the medication
- If you are elderly or are prone to falls
- If you are pregnant, plan to become pregnant, or are breast-feeding
- If you have liver disease
- If you drink alcohol or use drugs