Zoloft Online Questions and Answers
Q. After pressing the button “Add to Cart” I get on other site, why?
A. All operations at purchase of Zoloft ( Sertraline ) are carried out with our secure transaction server.Your data is safely encrypted and is safe from unauthorized access.
Q. What happens after I place an order Zoloft ( Sertraline ) ?
A. Once your order has been approved, it will be forwarded to the pharmacy for fulfillment and shipment the same day. We will notify you by e-mail once your order has been processed. More information about shipping can be found here.
Q. What is your privacy policy?
A. We are fully dedicated to your privacy and security. Please refer to the current privacy policy in the terms & conditions section of our order page. Rest assured that our online order system makes use of the latest Security encryption technology to ensure that your credit card information is submitted safely and with the highest level of protection. All of our computer systems undergo regular security checks to ensure that our ordering system is properly protected.
Q. How do I track my order of Zoloft ( Sertraline ) ?
A. At this time, Zoloft ( Sertraline ) is sent through Registered Mail, which provides delivery confirmation but not real-time tracking.If you need to know the status of order Zoloft ( Sertraline ) or ask for a reshipment, please do not hesitate to get in touch with us.You are provided with real-time order status updates via our order status form, found on the left-hand side of the screen.
Q. How do I cancel my order of Zoloft ( Sertraline ) ?
A. If you wish to cancel your order, you must let us know before 11am EST the following day. We will not be able to cancel any orders after this time. For all cancellations, please contact us.
Q. Can you tell me if I should be taking Zoloft ( Sertraline ) ? Or, will it work for me?
A. We cannot advise you in any capacity in this matter. You should not take any medication without consulting a physician first.
Q. What is your returns policy?
A. By law, we regret that we are unable to accept returned pharmaceuticals. If your purchase is defective in any way, we will be pleased to replace it at no cost to you.
Zoloft Headache Medication
If you take medications for blood pressure, heart conditions, depression, anxiety or other disorders than you know that there are side effects that we have to contend with every time we take our meds. Some will cause stomach upset, cramping and/or other discomforts and in order for us to live longer lives we must take these medications. As with most other medications, Zoloft headache medication is no different and had its side effects and this includes headaches. Any time your body takes in a new chemical or ingredient it is not used to it will react in different ways. Some people will have a reaction to some vitamins and some of the minerals and may get a headache. The most common drug reactions are: * Stomach upset * Cramping * Tenderness in muscles or joints * Headache * Sleeplessness * Grogginess * Blurred vision * Nervousness * Diarrhea
Most side effects will subside after your body gets used to your new medication. Sometimes you could have allergic reactions or the medication might be too strong. Either way you will want to be closely monitored while starting any new medication. Every one reacts differently to medication and depending on the person and other medications that person may be will also be different.
Make sure your doctor knows of all the medication you are taking even if you take vitamins or over-the-counter medications of any kind. Make sure your doctor knows of any herbal products you are using also. Some Herbal products will react with other medications and you should always use caution with herbal products also. Your doctor may recommend something you can do to help you with the Zoloft headache medication as well.
Most people’s reactions will ease up after getting used to the new meds. If your condition worsens or changes you must make sure you notify your doctor immediately of these changes. If you have thoughts of suicide go to the hospital or call 911. If your reaction is severe get to the hospital and they will contact your doctor from there.
Most of the time when starting a new treatment regimen, the good will out weight the bad and the side effects will ease up after a time of adjustment. Sometimes your dose may need to be changed or the medication may need to be changed. Keep close contact with your doctor when starting a new treatment. Anytime you take a prescription drug, you need to pay close attention to the directions and the possible side effects to prevent further health concerns.
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The mechanism of action of sertraline is presumed to be linked to its ability to inhibit the neuronal reuptake of serotonin. It has only very weak effects on norepinephrine and dopamine neuronal reuptake. At clinical doses, sertraline blocks the uptake of serotonin into human platelets.
Like most clinically effective antidepressants, sertraline downregulates brain norepinephrine and serotonin receptors in animals. In receptor binding studies, sertraline has no significant affinity for adrenergic (alpha 1, alpha 2 and beta), cholinergic, GABA, dopaminergic, histaminergic, serotonergic (5-HT1A, 5-HT1B, 5-HT2) or benzodiazepine binding sites.
In placebo-controlled studies in normal volunteers, sertraline did not cause sedation and did not interfere with psychomotor performance.
Pharmacokinetics: Following multiple oral once-daily doses of 200 mg, the mean peak plasma concentration (C max) of sertraline is 0.19 µg/mL occurring between 6 to 8 hours post-dose. The area under the plasma concentration time curve is 2.8 mg h/L. For desmethylsertraline, C max is 0.14 µg/mL, the half-life 65 hours and the area under the curve 2.3 mg h/L. Following single or multiple oral once-daily doses of 50 to 400 mg/day the average terminal elimination half-life is approximately 26 hours. Linear dose proportionality has been demonstrated over the clinical dose range of 50 to 200 mg/day.
Order Zoloft 25 mg: Each yellow capsule contains: sertraline HCl equivalent to 25 mg of sertraline. Nonmedicinal ingredients: cornstarch, lactose (anhydrous), magnesium stearate and sodium lauryl sulfate. Capsule shell: D&C Yellow No. 10, FD&C Yellow No. 6, gelatin and titanium dioxide. Tartrazine-free. White high density polyethylene bottles of 100.
Order Zoloft 50 mg: Each white and yellow capsule contains: sertraline HCl equivalent to 50 mg of sertraline. Nonmedicinal ingredients: cornstarch, lactose (anhydrous), magnesium stearate and sodium lauryl sulfate. Capsule shell: D&C Yellow No. 10, FD&C Yellow No. 6, gelatin and titanium dioxide. Tartrazine-free. White high density polyethylene bottles of 100 and 250.
Order Zoloft 100 mg: Each orange capsule contains: sertraline HCl equivalent to 100 mg of sertraline. Nonmedicinal ingredients: cornstarch, lactose (anhydrous), magnesium stearate and sodium lauryl sulfate. Capsule shell: D&C Yellow No. 10, FD&C Red No. 40, gelatin and titanium dioxide. Tartrazine-free. White high density polyethylene bottles of 100.
Zoloft effects and benefits
What are the Zoloft side effects and benefits?
Zoloft ( Sertraline) is an antidepressant medication which has also been found to be effective for obsessive compulsive disorder and panic disorder. Zoloft is primarily prescribed for young adults, adults and geriatric patients. Its use with children below the age of 18 years of age has never really been established. It is a member of a group of medicines referred to as SSRI’s, which stands for Selective Serotonin Reuptake Inhibitors. SSRI’s are known to stimulate an increased prominence of the neurotransmitter, serotonin in the brain, reducing depressive and anxiety-related symptoms. Zoloft and the other SSRI’s are believed to be more effective and to have fewer side effects then the older tricyclic antidepressants, such as nortriptyline and amitriptyline.
Read Zoloft side effects defined. Note: These Zoloft side effects are also Zoloft withdrawal side effects.
Zoloft is prescribed to treat depression, anxiety, post-traumatic stress disorder and OCD (obsessive compulsive disorders). It has also been used to treat extreme premenstrual syndrome and sexual dysfunctions (premature ejaculation). Zoloft claims to work by restoring the balance of chemicals within the brain.
Zoloft has a side effect which deadens sexual sensation, hence being prescribed for premature ejaculation. As the side effects continue an erection also becomes difficult.
Psychiatrists agree: “If you were to just leave a patient alone and not prescribe Zoloft, the patient would be better in 4 to 12 weeks.” Zoloft prescribed for depression, anxiety, post-traumatic stress disorder also deadens the person where they can no longer feel.
Occasionally, >2 <75 Zoloft users will become agitated. The Zoloft agitation tends to persist until additional drugs are prescribed to deaden the feelings further.
Zoloft side Effects:
The most common Zoloft side effects include gastrointestinal complaints, including nausea, diarrhea/loose stools and dyspepsia; male sexual dysfunction (primarily ejaculatory delay); insomnia and somnolence; tremor; increased sweating and dry mouth; and dizziness. While Zoloft is not usually known to have an effect on an individual’s normal activities, some have reported feeling sleepy or drowsy. When feeling these side effects, it is not recommended to drive or operate machinery. Always notify your physician when noticing these side effects, so adjustments can be made in the dosing or alternates may be considered. Alcoholic drinks should always be avoided while taking Zoloft. Some special concerns have been noted in recent lawsuits being filed on the behalf of individuals taking and withdrawing from Zoloft, as well as with some of the other SSRI’s, and should never be purchased and/or taken without a valid prescription and the supervision of a licensed physician.
Zoloft withdrawal Palpitation - Unusual and not normal heartbeat, that is sometimes irregular, but rapid and forceful thumping or fluttering. It can be brought on by shock, excitement, exertion, or medical stimulants. A person is normally unaware of his/her heartbeat.
Zoloft withdrawal Hypertension - is high blood pressure, which is a symptom of disease in the blood vessels leading away from the heart. Hypertension is known as the “silent killer”. The symptoms are usually not obvious, however it can lead to damage to the heart, brain, kidneys and eye, and even to stroke and kidney failure. Treatment includes dietary and lifestyle changes.
Zoloft withdrawal Bradycardia - The heart rate is slowed from 72 beats per minute, which is normal, to below 60 beats per minute in an adult.
Zoloft withdrawal Tachycardia - The heart rate is speeded up to above 100 beats per minute in an adult. Normal adult heart rate is 72 beats per minute. Zoloft withdrawal ECG Abnormal - A test called an electrocardiogram (ECG) that records the activity of the heart. It measures heartbeats as will as the position and size of the heart’s four chambers. It also measures if there is damage to the heart and the effects of drugs or mechanical devices like a pacemaker on the heart. When the test is abnormal this means that one or more of the following are present: heart disease, defects, beating too fast or too slow, disease of the blood vessels leading from the heart or of the heart valves, and/or a past or about to occur heart attack.
Zoloft withdrawal Flushing - The skin all over the body turns red.
Alprazolam 2mg - “It sets people free,”
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Depression and anxiety
This report, by Richard Layard, begins with the by now familiar dire warnings about the social and economic costs of’crippling depression and chronic anxiety’, described as both ‘the biggest causes of misery in Britain today’ and ‘the great submerged problem, which shame keeps out of sight’. Equally familiar is the report’s ‘good news’ that there is an effective treatment, in the form of cognitive behavioural therapy. The main purpose of the report, which is highly polemical in tone, is to draw attention to what is described as the tragedy of untreated depression, which is attributed largely to the shortage of trained clinical psychologists. The key recommendation is ‘implement the NICE guidelines’, through a national workforce of 250 stand-alone psychotherapy teams, each one covering a population of around 200,000. For many patients ‘work is an essential element in recovery and it is vital that they keep their jobs or are helped to get back into work’, so each team should include an employment adviser working closely with their local Jobcentre Plus, a benefit adviser and a housing adviser. Patients could be referred through primary care, but also through job centres and workplaces.
The focus on employment underlines the extent to which the case for any kind of action on mental health issues depends on economic arguments. It also explains the failure to consider the extent to which employment practice is implicated in the prevalence of depression and, more broadly, whether an apparent epidemic of depression and anxiety in the UK and other developed countries might not be more usefully understood as a reaction to major cultural change, rather than a failure to ‘challenge negative thinking’.
What Layard and colleagues are asking for is a ‘new deal for depression and anxiety’. They are, of course, correct to see them as a major national problem, but it is dispiriting to see the dismissal of social and economic determinants like poverty, inequality and work-life balance and the promotion of such a one dimensional solution. Alprazolam com
Fear or anxiety destroy brain
PROVO — Fear kills brain cells. So does the anxiety created over trying to win a prize.
Therefore, traditional methods of motivation that rely on fear and incentives don’t work, says Douglas S. Warren in his new book, “Mind Over Time.”
The book is the result of 10 years of research where he discovered several breakthroughs in how the mind actually works.
He and his researchers found that everyone is “infinitely capable” of accomplishing what they want in life by becoming addicted to the happiness that progression and improvement bring. They studied brain vibrations and found that the higher those vibrations or frequencies become, the more difficult it is to think clearly. Fear and working for incentives raise those vibrations.
Brain frequencies at 45 cycles per second or higher kill brain cells, Warren said.So rather than using fear or incentives, Warren found that people are more successful when motivated by happiness through self- improvement. They gain control of their own lives, rather than being controlled by someone else through fear, incentives or judgment, he said.
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A former member of President Richard Nixon’s inner circle and a one-time candidate for Congress, Warren found that “politics don’t work. What does work is improvement.”
Politics enslave and control people, he said.
“We didn’t know (when the research began) how detrimental fear was and that fear and incentives keep us from our capabilities,” Warren said.
Everyone has a vision of who they are — “most of it comes from what we think people think of us,” he said.But to do something great a person has to think great.
First conceive “your finest thought,” then commit to it — that replaces the underlying vision, he said. People can then create their own success out of their finest vision and become addicted to the happiness it brings.
“There’s a catalyst to this. No matter how much improvement you make, you won’t achieve happiness without gratitude,” Warren said.
Warren tested his ideas on himself.
Now 74, when he was in his early 60s he wanted to improve his running ability by overcoming his fear and resistance to it. He worked with a BYU track coach and learned to compete. Over the years he has won numerous medals and trophies from various competitions — as many as six in a day — including the Senior Games, where last year he won three gold medals.
“I gained a solid conviction that people have infinite capability,” Warren said, “and that they can overcome all obstacles.”"Mind Over Time” is self-published and available through Borders Books, at the BYU bookstore or on his Web site, www.mindovertime.com.
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SUMMARY OF PRODUCT CHARACTERISTICS
1.
NAME OF THE MEDICINAL PRODUCT
Alprazolam Stada 0.25 mg tablets
Alprazolam Stada 0.5 mg tablets
Alprazolam Stada 1 mg tablets
Alprazolam Stada 2 mg tablets
2.
QUALITATIVE AND QUANTITATIVE COMPOSITION
Alprazolam Stada 0.25 mg tablet: 1 tablet contains 0.25 mg alprazolam
Excipient: Each tablet contains 92.46 mg lactose.
Alprazolam Stada 0.5 mg tablet: 1 tablet contains 0.5 mg alprazolam
Excipient: Each tablet contains 92.15 mg lactose.
Alprazolam Stada 1 mg tablet: 1 tablet contains 1 mg alprazolam
Excipient: Each tablet contains 91.71 mg lactose.
Alprazolam Stada 2 mg tablet: 1 tablet contains 2 mg alprazolam
Excipient: Each tablet contains 183.48 mg lactose.
For a full list of excipients, see section 6.1.
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PHARMACEUTICAL FORM
Tablet
Alprazolam Stada 0.25 mg: white, oblong, scored tablets
Alprazolam Stada 0.5 mg: pink, oblong, scored tablets
Alprazolam Stada 1 mg:
light blue, oblong, scored tablets
Alprazolam Stada 2 mg:
white, oblong, scored tablets
The tablets can be divided into equal halves.
4.
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CLINICAL PARTICULARS
4.1 Therapeutic indications
Short-term symptomatic treatment of anxiety.
Alprazolam is only indicated when disorder is severe, disabling or subjecting the individual to
extreme distress.
4.2 Posology and method of administration
Treatment should be as short as possible. The patient should be reassessed regularly and the
need for continued treatment should be evaluated, especially in case the patient is symptom
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free. The overall duration of the treatment should not be more than 8-12 weeks, including a
tapering off process.
In certain cases extension beyond the maximum treatment period may be necessary; if so, it
should not take place without reevaluation of the patient’s status with special expertise.
The optimal dose of alprazolam should be individually determined in accordance with the
severity of the symptoms and the patient’s response.
The duration of the treatment should be agreed with the patient, and the patient should be
made aware of the potential initial undesirable effects and that rebound phenomena may occur
at withdrawal (see section 4.4). There is a reduced clearance and an increased sensitivity to
alprazolam in elderly patients.
In most patients, the symptoms of anxiety can generally be effectively treated with a dose of
between 0.5 mg per day and 3 mg per day, divided up into separately administered measures.
Under no circumstances should the maximum dose of 3 mg per day be exceeded. Chronic
alcoholics and patients who have never previously taken psychotropic medications generally
require lower doses than patients who have already been treated with tranquillisers,
antidepressants or hypnotic medicinal products. In order to avoid ataxia and over sedation it is
recommended that the lowest effective dose be used.
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Adults
Initial dosage*: 0.25 to 0.5 mg three times daily
Maintenance Dosage*: 0.5 to a maximum of 3 mg daily in divided doses (increasing at
intervals of 3-4 days)
Elderly, sensitive, weakened patients or patients with kidney or liver functions disorders:
Initial dosage*: 0.25 mg, two to three times daily
Maintenance Dosage: 0.5 to 0.75 mg per day in divided doses: The dose should gradually be
increased by no more than 0.5mg every three days when needed and if the disease
permits.Maximum dose: 0.75 mg if physically frail to 1.5 mg daily if physically robust.
* If side-effects occur, the dose should be reduced.
If required the evening dose should be increased before the daytime dose.
Patients under the age of 18 years
The safety and efficacy of alprazolam tablets in patients less than 18 years old has not been
established and therefore Alprazolam Stada is not recommended for use in this age group.
Discontinuation of treatment
The dose should be reduced gradually in order to avoid the discontinuation phenomenon. The
phasing out should be made by 0.5 mg per three days or in some cases even more slowly.
The treatment should be started, followed up and completed by the same physician, if
possible.
The tablets should be taken together with some fluid and may be taken with or without food
General Advice
General Advice
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* Immediate-release and extended-release tablets are interchangeable on a daily mg-to-mg basis.
* Immediate-release tablets may be administered sublingually to patient who has difficulty swallowing tablets.
* Administer extended-release tablets once daily, preferably in the morning. Have patient swallow whole. Do not crush, chew, divide, or break tablet.
* Solution, oral
* Use calibrated dropper to measure prescribed dose.
* Add prescribed dose to a liquid (eg, juice, water, soda) or semisolid food (eg, applesauce, pudding), stir for a few seconds then immediately administer entire amount of mixture. Do not prepare and store doses for future use.
Storage/Stability
Store immediate-release tablets below 77°F. Store extended-release tablets, orally disintegrating tablets, and oral solution at controlled room temperature (59° to 86°F). Protect orally disintegrating tablets from moisture.
Drug Interactions
Alcohol and other CNS depressants
Produce additive CNS depressant effects.
Cimetidine, disulfiram, oral contraceptives
May increase effects of alprazolam, producing excessive sedation and impaired psychomotor function.
Desipramine, imipramine
Plasma concentrations of these agents may be increased by alprazolam.
Digoxin
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Serum digoxin concentrations may increase.
Drugs that affect salivary flow and stomach pH
May slow dissolution or disintegration, resulting in slowed or decreased Niravam absorption.
Drugs that induce CYP3A4 metabolism (eg, carbamazepine, rifamycins)
May decrease alprazolam plasma levels.
Drugs that inhibit CYP3A4 metabolism (eg, diltiazem, fluoxetine, fluvoxamine, grapefruit juice, isoniazid, macrolide antibiotics [eg, erythromycin], nefazodone, nonnucleoside reverse transcriptase inhibitors [eg, delavirdine, efavirenz], protease inhibitors [eg, indinavir])
May increase alprazolam plasma concentrations.
Itraconazole, ketoconazole
Concurrent use with alprazolam is contraindicated.
Omeprazole
May increase serum levels of alprazolam and enhance alprazolam’s effects.
Theophyllines
May antagonize sedative effects of alprazolam.
Laboratory Test Interactions
None well documented.
Adverse Reactions
Cardiovascular
Tachycardia (15%); hypotension (5%); palpitation (at least 1%).
CNS
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Drowsiness (77%); fatigue/tiredness (49%); sedation (45%); irritability, memory impairment (33%); cognitive disorder (29%); somnolence (23%); light-headedness (21%); decreased libido (14%); depression (12%); dysarthria (11%); confusional state (10%); abnormal coordination (9%); ataxia, mental impairment (7%); disturbed attention, impaired balance, disinhibition (3%); disorientation, paresthesia, dyskinesia, talkativeness, derealization, abnormal dreams, lethargy (2%); anxiety, hypesthesia, hypersomnia, fear, warm feeling (1%); malaise, weakness, headache, dizziness, tremor, irritability, insomnia, nervousness, increased libido, restlessness, agitation, depersonalization, nightmare (at least 1%).
Dermatologic
Rash (11%); increased sweating (at least 1%); Stevens-Johnson syndrome (postmarketing).
EENT
Nasal congestion (17%); allergic rhinitis (1%); vertigo, blurred vision (at least 1%).
GI
Constipation (26%); nausea/vomiting (22%); diarrhea (21%); abdominal distress (18%); dry mouth (15%); increased salivation (6%); dyspepsia, abdominal pain (at least 1%).
Genitourinary
Micturition difficulties (12%); menstrual disorders (10%); dysmenorrhea (4%); sexual dysfunction, PMS, incontinence (2%); gynecomastia (postmarketing).
Hepatic
Increased liver enzymes, hepatitis, hepatic failure (postmarketing).
Metabolic-Nutritional
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Increased appetite (33%); decreased appetite (28%); weight gain (27%); weight loss (23%); edema (5%); anorexia (2%).
Musculoskeletal
Rigidity (4%); arthralgia, myalgia (2%); limb pain (1%); back pain, muscle cramps, muscle twitching (at least 1%).
Respiratory
Upper respiratory tract infection (4%); dyspnea (2%); hyperventilation (at least 1%).
Miscellaneous
Chest pain (at least 1%); hyperprolactinemia (postmarketing).
Precautions
Monitor
Treatment response
Frequently assess patient for response to treatment. Notify health care provider if condition does not appear to be improving or worsens. Ensure therapy is periodically reviewed to determine if it needs to be continued without change or if a dose change (eg, increase, decrease, discontinuation) is indicated.
Panic disorder
The usual starting dose of regular Xanax is 0.5 milligram 3 times a day. This dose can be increased by 1 milligram a day every 3 or 4 days. You may be given a dose from 1 up to a total of 10 milligrams, according to your needs. The typical dose is 5 to 6 milligrams a day.
If you’re taking Xanax XR, the usual starting dose is 0.5 to 1 milligram once a day taken in the morning. Depending on your response, the dose may be gradually increased by no more than 1 milligram every 3 or 4 days. The usual effective dose is 3 to 6 milligrams a day. Some people may need a larger dose to relieve their symptoms. Others, including older adults and those with liver disease or other serious illnesses, may need to use lower doses.
CHILDREN
Safety and effectiveness have not been established in children under 18 years of age.
OLDER ADULTS
The usual starting dose for an anxiety disorder is 0.25 milligram, 2 or 3 times daily. The starting dose of Xanax XR is 0.5 milligrams once a day. This dose may be gradually increased if needed and tolerated.
PATIENTS SWITCHING FROM XANAX TO XANAX XR
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If you’re taking divided doses of Xanax, the doctor will switch you to a once-daily dose of Xanax XR that equals the current amount you’re taking. If your symptoms return after switching, the dose can be increased as needed.
Overdosage
An overdose of Xanax, alone or after combining it with alcohol, can be fatal. If you suspect an overdose, seek medical attention immediately.
* Symptoms of Xanax overdose may include:
Confusion, coma, impaired coordination, sleepiness, slowed reaction time
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Alprazolam
Pronouncation: (al-PRAY-zoe-lam)
Class: Antianxiety, Benzodiazepine
Trade Names:
Alprazolam Intensol
- Oral solution 1 mg/mL
Trade Names:
Xanax
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- Tablets 0.5 mg
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Trade Names:
Xanax XR
- Tablets, extended-release 0.5 mg
- Tablets, extended-release 1 mg
- Tablets, extended-release 2 mg
- Tablets, extended-release 3 mg
Trade Names:
Niravam
- Orally disintegrating tablets 0.25 mg
- Orally disintegrating tablets 0.5 mg
- Orally disintegrating tablets 1 mg
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Pharmacology
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Potentiates action of GABA, an inhibitory neurotransmitter, resulting in increased neuronal inhibition and CNS depression, especially in limbic system and reticular formation.
Pharmacokinetics
Absorption
Readily absorbed; T max is 1 to 2 h; C max is 8 to 37 ng/mL (0.5 to 3 mg doses).
Distribution
80% protein bound. Crosses the placenta and is excreted in breast milk.
Metabolism
Metabolized in the liver to alpha-hydroxy-alprazolam (activity is approximately 50% that of alprazolam) and a benzophenone derivative (inactive).
Elimination
The t ½ is approximately 16.3 h. Excreted in the urine.
Special Populations
Hepatic Function Impairment
The t ½ is approximately 19.7 h in those with alcoholic liver disease.
Elderly
The t ½ is approximately 16.3 h.
Obese
The t ½ is approximately 21.8 h.
Indications and Usage
Treatment of panic disorders with or without agoraphobia ( Niravam , Xanax , Xanax XR ); management of anxiety disorders or for short-term relief of symptoms of anxiety, including anxiety associated with depression ( Niravam , immediate-release tablets and oral solution).
Unlabeled Uses
Treatment of irritable bowel syndrome, depression, PMS.
Contraindications
Hypersensitivity to other benzodiazepines; acute narrow-angle glaucoma; patients receiving itraconazole or ketoconazole.
Dosage and Administration
Panic Disorder
Initial dose
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PO Immediate-release tablets: 0.5 mg 3 times daily; if needed, increase by max 1 mg/day every 3 to 4 day. May require more than 4 mg/day. Extended-release tablets: start with 0.5 to 1 mg daily (suggested daily dose ranges between 3 and 6 mg).
Anxiety Disorder (Immediate-Release Tablets and Oral Solution)
Adults
PO Immediate-release tablets and oral solution: 0.25 to 0.5 mg 3 times daily (max, 4mg/day in divided doses). Extended-release tablets: Start with 0.5 mg daily and gradually increase if needed (suggested total daily dose range 3 to 6 mg/day).
Elderly/Debilitated Patients
Adults
PO Immediate-release tablets: 0.25 mg 2 to 3 times daily; may increase dose gradually. Extended-release tablets: 0.25 mg 2 to 3 times daily. May increase dose gradually.
Xanax should be used with caution in elderly or weak patients, and in those with lung disease, alcoholic liver disease, or any disorder that could hinder the elimination of the drug.
Possible food and drug interactions when taking Xanax
Xanax may intensify the effect of alcohol. Do not drink alcohol while taking this medication.
Never combine Xanax with Sporanox or Nizoral. These drugs cause a buildup of Xanax in the body.
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If Xanax is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is important to check with your doctor before combining Xanax with the following:
Amiodarone (Cordarone)
Antihistamines such as Benadryl and Tavist
Carbamazepine (Tegretol)
Certain antibiotics such as Biaxin and erythromycin
Certain antidepressant drugs, including Elavil, Norpramin, and Tofranil
Cimetidine (Tagamet)
Cyclosporine (Neoral, Sandimmune)
Digoxin (Lanoxin)
Diltiazem (Cardizem)
Disulfiram (Antabuse)
Ergotamine
Fluoxetine (Prozac)
Fluvoxamine
Grapefruit juice
Isoniazid (Rifamate)
Major tranquilizers such as Mellaril and chlorpromazine
Nefazodone
Nicardipine (Cardene)
Nifedipine (Adalat, Procardia)
Oral contraceptives
Other central nervous system depressants such as Valium and Demerol
Paroxetine (Paxil)
Propoxyphene (Darvon)
Sertraline (Zoloft)
Special information if you are pregnant or breastfeeding
Do not take this medication if you are pregnant or planning to become pregnant. There is an increased risk of respiratory problems and muscular weakness in your baby. Infants may also experience withdrawal symptoms. Xanax may appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with this medication is finished.
Recommended dosage
ADULTS
Anxiety disorder
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Why should Xanax not be prescribed?
If you are sensitive to or have ever had an allergic reaction to Xanax or other tranquilizers, you should not take this medication. Also avoid Xanax while taking the antifungal drugs Sporanox or Nizoral. Make sure that your doctor is aware of any drug reactions that you have experienced.
Do not take this medication if you have been diagnosed with the eye condition called narrow-angle glaucoma.
Anxiety or tension related to everyday stress usually does not require treatment with Xanax. Discuss your symptoms thoroughly with your doctor.
Special warnings about Xanax
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Xanax may cause you to become drowsy or less alert; therefore, driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended.
If you are being treated for panic disorder, you may need to take a higher dose of Xanax than for anxiety alone. High doses–more than 4 milligrams a day–of this medication taken for long intervals may cause emotional and physical dependence. It is important that your doctor supervise you carefully when you are using this medication.
As with all antianxiety medication, there is a small chance that Xanax could encourage suicidal thoughts or episodes of euphoria known as mania. If you notice any new or unusual symptoms after starting Xanax, call your doctor immediately.
What other drugs will affect Xanax?
Before taking Xanax, tell your doctor if you are using any of the following drugs:
*birth control pills;
*cimetidine (Tagamet);
*diltiazem (Tiazac, Cartia, Cardizem);
*isoniazid (Nydrazid, Rifamate);
*propoxyphene (Darvon, Darvocet);
*seizure medication;
*antibiotics such as fluconazole (Diflucan), itraconazole (Sporanox) or ketoconazole (Nizoral); or
*antidepressants such as fluvoxamine (Luvox), desipramine (Norpramin), or imipramine (Janimine, Tofranil).
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If you are using any of these drugs, you may not be able to use Xanax, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Xanax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
* Your pharmacist has information about Xanax written for health professionals that you may read.
What does my medication look like?
Alprazolam is available with a prescription under the brand names Xanax and Niravam. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
* 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.Tags:Alprazolam 2mg com
