Alprazolam
Agoraphobia, Depressive Disorder ... show more
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
NO
Pharmaceutical Class
Benzodiazepine
Controlled Drug Substance
YES

Alprazolam
Summary
Alprazolam is used to treat anxiety and panic disorders. It helps manage symptoms such as excessive worry, restlessness, and panic attacks.
Alprazolam works by enhancing the effects of GABA, a neurotransmitter that promotes calmness in the brain. This action helps reduce symptoms of anxiety and panic attacks.
The usual daily dose of Alprazolam for adults starts at 0.25 to 0.5 mg taken three times a day. The dose may be adjusted by a doctor based on individual needs but it usually does not exceed 4 mg per day.
Common side effects of Alprazolam include drowsiness, dizziness, and fatigue. Serious adverse effects, though rare, can include severe allergic reactions, respiratory depression, and dependence.
Alprazolam should not be used by individuals with a history of allergic reactions to benzodiazepines, severe respiratory issues, or acute narrow-angle glaucoma. It can cause dependence and withdrawal symptoms. Avoid alcohol and consult your doctor about other medications you are taking.
Indications and Purpose
How does Alprazolam work?
Alprazolam works by enhancing the effects of a neurotransmitter called GABA in the brain. This action helps to calm the nervous system, reducing symptoms of anxiety and panic. It's like turning down the volume on an overactive brain, helping you feel more relaxed.
Is Alprazolam effective?
Alprazolam is primarily used to treat anxiety and panic disorders. It works by enhancing the effects of a natural chemical in the brain called GABA, which has a calming effect. Clinical trials have shown that Alprazolam is effective in reducing symptoms of anxiety and panic attacks.
What is Alprazolam?
Alprazolam is a medication used primarily to treat anxiety and panic disorders. It works by enhancing the effects of a natural chemical in the brain called GABA, which helps to calm the nervous system. It is also sometimes used for other conditions as determined by a healthcare provider.
Directions for Use
For how long do I take Alprazolam?
Alprazolam is typically used for short-term treatment of anxiety and panic disorders. The duration of use varies based on individual needs and response to treatment. It's crucial to follow your prescriber's instructions regarding the duration of use to avoid dependence and withdrawal symptoms.
How do I dispose of Alprazolam?
If you can, bring unused medicines to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of this medicine properly so they don't harm people or the environment. If you can't find a take-back program, you can throw most medicines in the trash at home. But first, take them out of their original containers, mix them with something undesirable like used coffee grounds, seal the mixture in a plastic bag and throw it away.
How do I take Alprazolam?
Take Alprazolam exactly as prescribed by your healthcare provider. It is usually taken by mouth, with or without food, two to four times daily. Avoid alcohol and grapefruit juice while taking this medication. Follow your healthcare provider's instructions for timing and frequency.
How long does it take for Alprazolam to start working?
Alprazolam typically starts working within 1 to 2 hours after taking it, with peak effects occurring in 1 to 2 hours. Individual factors such as metabolism and other medications can affect onset time. Always follow your prescriber's instructions for this medication.
How should I store Alprazolam?
Store Alprazolam at room temperature, away from moisture and light. Keep it in a secure place out of reach of children. Avoid storing it in the bathroom or any damp area. Follow any specific storage instructions provided by your pharmacist.
What is the usual dose of Alprazolam?
The usual starting dose of Alprazolam for adults is 0.25 to 0.5 mg taken three times daily. The dose may be adjusted based on individual response and tolerance. The maximum recommended dose is 4 mg per day. For elderly patients, a lower starting dose is often recommended. Always follow your healthcare provider's instructions for dosing.
Warnings and Precautions
Can Alprazolam be taken safely while breastfeeding?
Alprazolam is excreted into breast milk and may affect the breastfed infant, causing sedation or feeding difficulties. It may also affect milk supply. It is generally considered inadvisable to use Alprazolam while breastfeeding. Consult your healthcare provider for personalized advice.
Can Alprazolam be taken safely while pregnant?
Alprazolam is not considered safe during pregnancy due to potential risks to the fetus, including withdrawal symptoms and birth defects. It is contraindicated, especially in the first trimester. Always consult a healthcare provider before starting any medication during pregnancy.
Can I take Alprazolam with other prescription drugs?
Alprazolam has major interactions with other CNS depressants, such as opioids and alcohol, which can increase sedation and risk of overdose. It also interacts with certain antifungal medications and some antibiotics, which can increase Alprazolam levels in the blood. Always inform your healthcare provider about all medications you are taking to avoid potential interactions.
Does Alprazolam have adverse effects?
Adverse effects are harmful or unintended reactions to a medication. Alprazolam can cause adverse effects such as severe drowsiness, confusion, and difficulty breathing. Rare but serious effects include seizures and hallucinations, which require immediate medical attention. Always report new symptoms to your healthcare provider and consult them before stopping the medication.
Does Alprazolam have any safety warnings?
Alprazolam comes with safety warnings, including the risk of dependence and withdrawal symptoms. It can cause drowsiness and impair your ability to drive or operate machinery. Avoid alcohol and other CNS depressants while taking this medication. Always follow your healthcare provider's instructions and report any new symptoms.
Is Alprazolam addictive?
Alprazolam has habit-forming potential and can lead to physical dependence. Warning signs of dependence include needing higher doses for the same effect and experiencing withdrawal symptoms. To prevent addiction, use Alprazolam only as prescribed and consult your doctor if you feel you need to increase your dose.
Is Alprazolam safe for the elderly?
Elderly patients may be more sensitive to the effects of Alprazolam, such as drowsiness and dizziness, which can increase the risk of falls. A lower starting dose is often recommended. It's important for elderly patients to follow their healthcare provider's instructions and report any new symptoms.
Is it safe to drink alcohol while taking Alprazolam?
It is not advisable to drink alcohol while taking Alprazolam. Alcohol can enhance the sedative effects of Alprazolam, leading to increased drowsiness, dizziness, and risk of overdose. This combination can impair your ability to perform tasks that require alertness, such as driving. It's best to avoid alcohol entirely while on this medication.
Is it safe to exercise while taking Alprazolam?
Most people tolerate Alprazolam well, and it should not limit your ability to exercise. However, due to potential drowsiness or dizziness, it's advisable to avoid strenuous activities until you know how the medication affects you. If you experience any unusual symptoms during exercise, consult your healthcare provider.
Is it safe to stop Alprazolam?
Alprazolam is used for symptomatic relief and should not be stopped abruptly due to the risk of withdrawal symptoms like anxiety, insomnia, and seizures. Gradual tapering under medical supervision is recommended. Always consult your doctor before stopping this medication.
What are the most common side effects of Alprazolam?
A side effect is an unwanted or unexpected symptom caused by a medicine. For Alprazolam, which is used to treat anxiety, common side effects include drowsiness, which means feeling very sleepy, dizziness, which is feeling lightheaded or unsteady, tiredness, which is feeling very fatigued, dry mouth, which is a lack of saliva, and changes in appetite, which means eating more or less than usual. These side effects can vary in how often they occur. It's important to know that when starting a new medicine, people might experience new symptoms that could be unrelated to the medicine, temporary, or due to another health issue. Always talk to a healthcare provider before stopping any medicine, as they can provide guidance on managing side effects and ensure your safety.
Who should avoid taking Alprazolam?
Absolute contraindications for Alprazolam include allergies to the drug and acute narrow-angle glaucoma. Relative contraindications include respiratory depression and severe liver disease. Use caution in populations such as the elderly and those with a history of substance abuse. Always inform your healthcare provider of your medical history before starting Alprazolam.