alprazolam

Pronunciation: al PRAY zoe lam

Brand: Niravam, Xanax, Xanax XR

Xanax

slide 1 of 78, Xanax,

0.5 mg, oval, orange, imprinted with XANAX 0.5

slide 1 of 78

Xanax XR

slide 2 of 78, Xanax XR,

0.5 mg, pentagonal, white, imprinted with X, 0.5

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Xanax

slide 3 of 78, Xanax,

2 mg, rectangular, white, imprinted with X A N A X, 2

slide 3 of 78

Alprazolam

slide 4 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with 029, R

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Alprazolam

slide 5 of 78, Alprazolam,

2 mg, rectangular, yellow, imprinted with R 0 3 9

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ALPRAZolam ER

slide 6 of 78, ALPRAZolam ER,

0.5 mg, round, white

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ALPRAZolam ER

slide 7 of 78, ALPRAZolam ER,

1 mg, round, yellow

slide 7 of 78

ALPRAZolam ER

slide 8 of 78, ALPRAZolam ER,

3 mg, round, green

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ALPRAZolam ER

slide 9 of 78, ALPRAZolam ER,

2 mg, round, pink

slide 9 of 78

Alprazolam

slide 10 of 78, Alprazolam,

0.25 mg, round, white, imprinted with logo, 019

slide 10 of 78

Alprazolam

slide 11 of 78, Alprazolam,

0.5 mg, round, white, imprinted with logo, 022

slide 11 of 78

Alprazolam

slide 12 of 78, Alprazolam,

1 mg, round, yellow, imprinted with logo, 024

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Alprazolam

slide 13 of 78, Alprazolam,

2 mg, round, white, imprinted with logo, 025

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Alprazolam

slide 14 of 78, Alprazolam,

1 mg, round, blue, imprinted with MYLAN A1

slide 14 of 78

Alprazolam

slide 15 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with GG 256

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Alprazolam

slide 16 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with GG 257

slide 16 of 78

Alprazolam

slide 17 of 78, Alprazolam,

1 mg, elliptical, blue, imprinted with GG 258

slide 17 of 78

Alprazolam

slide 18 of 78, Alprazolam,

2 mg, rectangular, white, imprinted with GG 249

slide 18 of 78

ALPRAZolam ER

slide 19 of 78, ALPRAZolam ER,

1 mg, square, yellow, imprinted with G, 1

slide 19 of 78

ALPRAZolam ER

slide 20 of 78, ALPRAZolam ER,

2 mg, round, blue, imprinted with G, 2

slide 20 of 78

Alprazolam

slide 21 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with G 3719

slide 21 of 78

Alprazolam

slide 22 of 78, Alprazolam,

0.5 mg, oval, peach, imprinted with G3720

slide 22 of 78

Alprazolam

slide 23 of 78, Alprazolam,

1 mg, oval, blue, imprinted with G3721

slide 23 of 78

Alprazolam

slide 24 of 78, Alprazolam,

2 mg, rectangular, white, imprinted with G 3722

slide 24 of 78

Alprazolam

slide 25 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with S 900

slide 25 of 78

Alprazolam

slide 26 of 78, Alprazolam,

0.5 mg, oval, yellow, imprinted with S 901

slide 26 of 78

Alprazolam

slide 27 of 78, Alprazolam,

1 mg, oval, green, imprinted with S 902

slide 27 of 78

Alprazolam

slide 28 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with S 900

slide 28 of 78

Alprazolam

slide 29 of 78, Alprazolam,

0.5 mg, oval, yellow, imprinted with S 901

slide 29 of 78

Alprazolam

slide 30 of 78, Alprazolam,

1 mg, oval, green, imprinted with S 902

slide 30 of 78

Alprazolam

slide 31 of 78, Alprazolam,

2 mg, rectangular, green, imprinted with S 90 3

slide 31 of 78

Alprazolam

slide 32 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with GG 256

slide 32 of 78

Alprazolam

slide 33 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with GG 257

slide 33 of 78

Alprazolam

slide 34 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with N A, 0.25

slide 34 of 78

Alprazolam

slide 35 of 78, Alprazolam,

0.25 mg, round, white, imprinted with 027, R

slide 35 of 78

Alprazolam

slide 36 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with GG 256

slide 36 of 78

Alprazolam

slide 37 of 78, Alprazolam,

0.25 mg, round, white, imprinted with MYLAN A

slide 37 of 78

Alprazolam

slide 38 of 78, Alprazolam,

0.25 mg, round, white, imprinted with MYLAN A

slide 38 of 78

Alprazolam

slide 39 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with N A, 0.5

slide 39 of 78

Alprazolam

slide 40 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with GG 257

slide 40 of 78

Alprazolam

slide 41 of 78, Alprazolam,

0.5 mg, oval, peach, imprinted with G3720

slide 41 of 78

Alprazolam

slide 42 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with MYLAN A3

slide 42 of 78

Alprazolam

slide 43 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with MYLAN A3

slide 43 of 78

Alprazolam

slide 44 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with 029, LOGO

slide 44 of 78

Alprazolam

slide 45 of 78, Alprazolam,

1 mg, oval, blue, imprinted with N A, 1.0

slide 45 of 78

Alprazolam

slide 46 of 78, Alprazolam,

1 mg, round, blue, imprinted with 031, R

slide 46 of 78

Alprazolam

slide 47 of 78, Alprazolam,

1 mg, elliptical, blue, imprinted with GG 258

slide 47 of 78

Alprazolam

slide 48 of 78, Alprazolam,

1 mg, round, blue, imprinted with MYLAN A1

slide 48 of 78

Alprazolam

slide 49 of 78, Alprazolam,

2 mg, oblong, white, imprinted with 2

slide 49 of 78

Alprazolam

slide 50 of 78, Alprazolam,

2 mg, rectangular, white, imprinted with GG 249

slide 50 of 78

Alprazolam

slide 51 of 78, Alprazolam,

2 mg, round, white, imprinted with MYLAN A4

slide 51 of 78

ALPRAZolam ER

slide 52 of 78, ALPRAZolam ER,

0.5 mg, round, green, imprinted with IP 9

slide 52 of 78

ALPRAZolam ER

slide 53 of 78, ALPRAZolam ER,

1 mg, round, yellow, imprinted with IP 10

slide 53 of 78

ALPRAZolam ER

slide 54 of 78, ALPRAZolam ER,

1 mg, round, orange, imprinted with M, A22

slide 54 of 78

ALPRAZolam ER

slide 55 of 78, ALPRAZolam ER,

2 mg, round, blue, imprinted with IP 12

slide 55 of 78

ALPRAZolam ER

slide 56 of 78, ALPRAZolam ER,

2 mg, round, purple, imprinted with M, A23

slide 56 of 78

ALPRAZolam ER

slide 57 of 78, ALPRAZolam ER,

3 mg, round, white, imprinted with IP 13

slide 57 of 78

ALPRAZolam ER

slide 58 of 78, ALPRAZolam ER,

3 mg, round, pink, imprinted with M, A24

slide 58 of 78

ALPRAZolam ER

slide 59 of 78, ALPRAZolam ER,

0.5 mg, round, white, imprinted with E 195

slide 59 of 78

ALPRAZolam ER

slide 60 of 78, ALPRAZolam ER,

0.5 mg, pentagonal, peach, imprinted with G, 0.5

slide 60 of 78

ALPRAZolam ER

slide 61 of 78, ALPRAZolam ER,

0.5 mg, round, white, imprinted with A21, M

slide 61 of 78

ALPRAZolam ER

slide 62 of 78, ALPRAZolam ER,

1 mg, round, yellow, imprinted with b 492, 1

slide 62 of 78

ALPRAZolam ER

slide 63 of 78, ALPRAZolam ER,

1 mg, oblong, yellow, imprinted with E196

slide 63 of 78

ALPRAZolam ER

slide 64 of 78, ALPRAZolam ER,

2 mg, round, blue, imprinted with b 493, 2

slide 64 of 78

ALPRAZolam ER

slide 65 of 78, ALPRAZolam ER,

2 mg, oblong, blue, imprinted with E197

slide 65 of 78

ALPRAZolam ER

slide 66 of 78, ALPRAZolam ER,

3 mg, round, yellow, imprinted with E 198

slide 66 of 78

ALPRAZolam ER

slide 67 of 78, ALPRAZolam ER,

3 mg, triangular, green, imprinted with G, 3

slide 67 of 78

Niravam

slide 68 of 78, Niravam,

0.25 mg, round, yellow, orange, imprinted with SP 321

slide 68 of 78

Niravam

slide 69 of 78, Niravam,

0.5 mg, round, yellow, orange, imprinted with SP 322, 0.5

slide 69 of 78

Niravam

slide 70 of 78, Niravam,

1 mg, round, white, orange, imprinted with SP 323, 1

slide 70 of 78

Niravam

slide 71 of 78, Niravam,

2 mg, round, white, orange, imprinted with SP 324, 2

slide 71 of 78

Xanax

slide 72 of 78, Xanax,

0.25 mg, oval, white, imprinted with XANAX 0.25

slide 72 of 78

Xanax

slide 73 of 78, Xanax,

0.5 mg, oval, orange, imprinted with XANAX 0.5

slide 73 of 78

Xanax

slide 74 of 78, Xanax,

1 mg, oval, blue, imprinted with XANAX 1.0

slide 74 of 78

Xanax

slide 75 of 78, Xanax,

2 mg, rectangular, white, imprinted with X A N A X, 2

slide 75 of 78

Xanax XR

slide 76 of 78, Xanax XR,

1 mg, square, yellow, imprinted with X, 1

slide 76 of 78

Xanax XR

slide 77 of 78, Xanax XR,

2 mg, round, blue, imprinted with X, 2

slide 77 of 78

Xanax XR

slide 78 of 78, Xanax XR,

3 mg, triangular, green, imprinted with X, 3

slide 78 of 78

What is the most important information I should know about alprazolam?

You should not use this medicine 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. Misuse of habit-forming medicine can cause addiction, overdose, or death.

What is alprazolam?

Alprazolam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). Alprazolam affects chemicals in the brain that may be unbalanced in people with anxiety.

Alprazolam is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

Alprazolam may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking alprazolam?

It is dangerous to purchase alprazolam on the Internet or from vendors outside the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. The sale and distribution of alprazolam outside the U.S. does not comply with the regulations of the Food and Drug Administration (FDA) for the safe use of this medication.

You should not take alprazolam if you have:

narrow-angle glaucoma;
if you are also taking itraconazole or ketoconazole; or
if you are allergic to alprazolam or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

To make sure alprazolam is safe for you, tell your doctor if you have:

seizures or epilepsy;
kidney or liver disease (especially alcoholic liver disease);
asthma or other breathing disorder;
open-angle glaucoma;
a history of depression or suicidal thoughts or behavior;
a history of drug or alcohol addiction; or
if you also use a narcotic (opioid) medication.

Do not use alprazolam if you are pregnant. This medicine can cause birth defects. Your baby could also 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. Tell your doctor if you are pregnant or plan to become pregnant. Use effective birth control to prevent pregnancy while you are taking alprazolam.

Alprazolam can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using alprazolam.

The sedative effects of alprazolam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking alprazolam.

Alprazolam is not approved for use by anyone younger than 18 years old.

How should I take alprazolam?

Follow all directions on your prescription label. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms.

Alprazolam may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Misuse of habit-forming medicine can cause addiction, overdose, or death. Selling or giving away this medicine is against the law.

Do not swallow the orally disintegrating tablet whole. Allow it to dissolve in your mouth without chewing.

Do not crush, chew, or break an extended-release tablet. Swallow it whole.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Call your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms.

Do not stop using alprazolam suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using alprazolam.

If you use this medicine long-term, you may need frequent medical tests.

Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Alprazolam is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of alprazolam can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

What should I avoid while taking alprazolam?

Alprazolam may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Avoid drinking alcohol. Dangerous side effects could occur.

Grapefruit and grapefruit juice may interact with alprazolam and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor.

What are the possible side effects of alprazolam?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

depressed mood, thoughts of suicide or hurting yourself;
racing thoughts, increased energy, unusual risk-taking behavior;
confusion, agitation, hostility, hallucinations;
uncontrolled muscle movements, tremor, seizure (convulsions); or
pounding heartbeats or fluttering in your chest.

Common side effects may include:

drowsiness, feeling tired;
slurred speech, lack of balance or coordination;
memory problems; or
feeling anxious early in the morning.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect alprazolam?

Taking alprazolam with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all your current medicines and any you start or stop using, especially:

cimetidine;
digoxin;
fluvoxamine;
nefazodone;
ritonavir or other medicines to treat HIV or AIDS; or
antifungal medicine --fluconazole, voriconazole.

This list is not complete. Other drugs may interact with alprazolam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

Your pharmacist can provide more information about alprazolam.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2020 Cerner Multum, Inc. Version: 10.05. Revision date: 9/28/2016.

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