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Alprazolam Oral tablet, extended release

It is used to treat anxiety and panic attacks

Generic Name: alprazolam

Brand Names: Alprazolam ER, Niravam, Xanax XR, Xanax

What is this medicine?

ALPRAZOLAM (al PRAY zoe lam) is a benzodiazepine. It is used to treat anxiety and panic attacks.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
  • an alcohol or drug abuse problem
  • bipolar disorder, depression, psychosis or other mental health conditions
  • glaucoma
  • kidney or liver disease
  • lung or breathing disease
  • myasthenia gravis
  • Parkinson's disease
  • porphyria
  • seizures or a history of seizures
  • suicidal thoughts
  • an unusual or allergic reaction to alprazolam, other benzodiazepines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medicine?

Take this medicine by mouth. Follow the directions on the prescription label. Do not cut, crush, chew or divide the tablets. Swallow the tablets whole with a drink of water. Take your medicine at regular intervals. Do not take it more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
  • ketoconazole
  • itraconazole

This medicine may also interact with the following medications:

  • cimetidine
  • cyclosporine
  • ergotamine
  • female hormones, including contraceptive or birth control pills
  • grapefruit juice
  • herbal or dietary supplements like kava kava, melatonin, dehydroepiandrosterone, DHEA, St. John's Wort or valerian
  • imatinib, STI-571
  • isoniazid
  • levodopa
  • medicines for depression, mental problems or psychiatric disturbances
  • prescription pain medicines
  • rifampin, rifapentine, or rifabutin
  • some antibiotics like clarithromycin, erythromycin, troleandomycin
  • some medicines for high blood pressure or heart problems
  • some medicines for HIV infection or AIDS
  • some medicines for seizures like carbamazepine, oxcarbazepine, phenobarbital, phenytoin, primidone

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Your body can become dependent on this medicine. Ask your doctor or health care professional if you still need to take it. If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your doctor or health care professional for advice. Even after you stop taking this medicine it can still affect your body for several days.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce the risk of dizzy and fainting spells, do not stand or sit up quickly, especially if you are an older patient. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.


Last Updated: March 12, 2009
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