ALPRAZOLAM (al PRAY zoe lam) is a benzodiazepine. It is used to treat anxiety and panic attacks.
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. Do not stop taking except on your doctor's advice.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
loss of balance or coordination
signs and symptoms of low blood pressure like dizziness; feeling faint or lightheaded, falls; unusually weak or tired
suicidal thoughts or other mood changes
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
Do not take this medicine with any of the following medications:
certain antiviral medicines for HIV or AIDS like delavirdine, indinavir
certain medicines for fungal infections like ketoconazole and itraconazole
narcotic medicines for cough
This medicine may also interact with the following medications:
antihistamines for allergy, cough and cold
certain antibiotics like clarithromycin, erythromycin, isoniazid, rifampin, rifapentine, rifabutin, and troleandomycin
certain medicines for blood pressure, heart disease, irregular heart beat
certain medicines for depression, like amitriptyline, fluoxetine, sertraline
certain medicines for seizures like carbamazepine, oxcarbazepine, phenobarbital, phenytoin, primidone
female hormones, like estrogens or progestins and birth control pills, patches, rings, or injections
general anesthetics like halothane, isoflurane, methoxyflurane, propofol
local anesthetics like lidocaine, pramoxine, tetracaine
medicines that relax muscles for surgery
narcotic medicines for pain
other antiviral medicines for HIV or AIDS
phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine
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.
Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.
This medicine may cause accidental overdose and death if taken by other adults, children, or pets. Mix any unused medicine with a substance like cat litter or coffee grounds. Then throw the medicine away in a sealed container like a sealed bag or a coffee can with a lid. Do not use the medicine after the expiration date.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F).
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
kidney or liver disease
lung or breathing disease
seizures or a history of seizures
an unusual or allergic reaction to alprazolam, other benzodiazepines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Tell your doctor or health care professional if your symptoms do not start to get better or if they get worse.
Do not stop taking except on your doctor's advice. You may develop a severe reaction. Your doctor will tell you how much medicine to take.
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.
If you are taking another medicine that also causes drowsiness, you may have more side effects. Give your health care provider a list of all medicines you use. Your doctor will tell you how much medicine to take. Do not take more medicine than directed. Call emergency for help if you have problems breathing or unusual sleepiness.