Before using this medicine, tell your physician or pharmacist your medical history, especially of: acute lung/breathing issues (like COPD, sleep apnea), liver disorder, kidney disorder, family or personal history of a substance use disorder (for example, overuse of or dependency to drugs/alcohol), glaucoma.

Drug interactions can change how your drugs work or increase your risk for severe side effects. This record doesn’t include all possible drug interactions. Maintain a listing of all of the products that you use (such as prescription/nonprescription medications and herbal remedies ) and discuss it with your health care provider and pharmacist. Don’t start, stop, or change the dose of any medications without your doctor’s approval.

Other medicines can impact the elimination of alprazolam in the entire body, which might influence how alprazolam functions. Examples include azole antifungals (such as itraconazole, ketoconazole), cimetidine, specific anti-depressants (for example, fluoxetine, fluvoxamine, nefazodone), medications to treat HIV (delavirdine, protease inhibitors like indinavir), macrolide antibiotics (such as erythromycin), rifamycins (like rifabutin), St. John’s wort, medications used to treat migraines (such as phenytoin), amongst others.
You may report side effects to FDA in 1-800-FDA-1088 or in www.fda.gov/medwatch. Tell your doctor straight away if any of these unlikely but serious side effects occur: mental/mood affects (for example, hallucinations, ideas of suicide), slurred speech or difficulty speaking, loss of coordination, difficulty walking, memory issues.

Notes Don’t share this medicine with others. Sharing it’s contrary to the law.

Laboratory or clinical tests (like liver function tests) ought to be done periodically to monitor your progress or check for unwanted effects. Ask your physician for additional information.
The probability of serious side effects (for instance, slow/shallow breathing, severe drowsiness/dizziness) can be raised if this drug is taken together with other products that may also lead to drowsiness or breathing issues. Tell your doctor or pharmacist if you’re taking different items like opioid cough or pain relievers (like codeine, hydrocodone), alcohol, marijuana (cannabis), other medications for anxiety or sleep (such as diazepam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (for example, cetirizine, diphenhydramine).

If a person has overdosed and contains severe signs like passing out or difficulty breathing, call 911. Canada residents can predict a provincial poison control centre. Signs of overdose may include: severe nausea slowed/reduced reflexes, slowed breathing, loss of awareness. Interactions

Consequently, breast-feeding whilst using this medication isn’t recommended. Ask your physician prior to breast-feeding.


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Don’t flush drugs down the toilet or put them in a drain unless instructed to do so. Properly discard this product when it’s expired or no longer desired. Ask your pharmacist or local waste disposal firm for additional information. Consult your pharmacist about using those products securely.

Older adults may be more sensitive to the negative effects of the medication, particularly reduction of coordination and nausea. These side effects may raise the danger of falling.
Alprazolam isn’t recommended for use during pregnancy because of the possibility of harm to an unborn baby. Ask your physician for additional information.

Get medical help straight away if these infrequent but very seriousyellowing skin or eyes, seizures. A very serious allergic reaction to this medication is uncommon. But, seek medical help straight away in the event that you notice any signs of a severe allergic reaction, such as: rash, and itching/swelling (particularly of this face/tongue/throat), severe dizziness, trouble breathing.

Drowsiness, nausea, increased saliva production, or alter in sexual drive/ability might happen. If any of these effects persist or worsen, then tell your doctor or pharmacist immediately.

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Don’t store in the bathroom. Keep all medicines away from children and pets.
Some goods that can interact with this medication include: kava, sodium oxybate.

Take your next dose at the normal time.

In Canada – Telephone your physician for medical advice about side effects. Related Links
What if I understand regarding breastfeeding, pregnancy and administering Xanax to kids or the elderly? A lot of people using this medication don’t have severe side effects.
Don’t drive, use machines, or do anything that requires alertness until you are able to do it securely. Stay away from alcoholic drinks. Speak with your physician if you’re using marijuana (cannabis).

Before having surgery, tell your health care provider or dentist about all of the products that you use (such as prescription medications, nonprescription medications, and herbal products).

Side Effects This isn’t a comprehensive list of potential side effects.

Cigarette smoking decreases blood levels of the medicine.
Precautions Before taking alprazolam, tell your doctor or pharmacist if you’re allergic to itor to other benzodiazepines (such as diazepam, lorazepam); even in case you have any allergies. This item could contain inactive ingredients, which may lead to allergic reactions or other issues. Speak with your pharmacist for additional information.

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