Before taking Xanax

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Before taking Xanax

It is dangerous to try and purchase Xanax on the Internet or from vendors outside of the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. Samples of Xanax purchased on the Internet have been found to contain haloperidol (Haldol), a potent antipsychotic drug with dangerous side effects. For more information, contact the U.S. Food and Drug Administration (FDA) or visit www.fda.gov/buyonlineguide.
Do not use this medication if you have:

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

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Before taking Xanax, tell your doctor if you are allergic to any drugs, or if you have:

*asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems;
*glaucoma;
*kidney or liver disease (especially alcoholic liver disease);
*a history of depression or suicidal thoughts or behavior; or
*a history of drug or alcohol addiction.

If you have any of these conditions, you may not be able to use Xanax, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category D. Xanax can cause birth defects in an unborn baby. Do not use Xanax without your doctor’s consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Xanax can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. The sedative effects of Xanax 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 Xanax. Do not give this medication to anyone under 18 years old.
How should I take Xanax?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.
Xanax may be habit-forming and should be used only by the person it was prescribed for. Xanax should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Measure the liquid form of Xanax with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

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To take alprazolam orally disintegrating tablets (Niravam):

*Using dry hands, remove a tablet from the bottle and place the tablet on your tongue. It will begin to dissolve right away.
*Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
*Swallow several times as the tablet dissolves. If desired, you may drink liquid after the tablet has completely dissolved.

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

Your symptoms may return when you stop using Xanax after using it over a long period of time. You may also have seizures or withdrawal symptoms when you stop using Xanax. Withdrawal symptoms may include blurred vision, trouble concentrating, loss of appetite, diarrhea, muscle twitching, numbness or tingling, or increased sensations.
Do not stop using Xanax suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

To be sure this medication is helping your condition, your doctor will need to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.
Store Xanax at room temperature away from moisture, heat, and light. Remove any cotton from the bottle of disintegrating tablets, and keep the bottle tightly closed.

Keep track of how many pills have been used from each new bottle of this medicine. Benzodiazepines are drugs of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Contraindications
Use of alprazolam should be avoided, or carefully monitored by medical professionals, in individuals with the following conditions:

Myasthenia gravis
Acute narrow-angle glaucoma
Severe liver deficiencies (e.g., hepatitis and cirrhosis)
Severe sleep apnea
Pre-existing respiratory depression
Marked neuromuscular respiratory weakness including unstable myasthenia gravis
Acute pulmonary insufficiency
Chronic psychosis
Hypersensitivity or allergy to alprazolam or other drugs in the benzodiazepine class
Borderline personality disorder (may induce suicidality and dyscontrol)[21], however correlation does not imply causation, as these behaviors are seen in unmedicated BPD patients.

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Overdose
Overdoses caused by alprazolam alone are seldom fatal: The acute oral LD50 in rodents is high: ranging from 331 to 2,171 mg/kg–for every kilogram a person weighs, the lowest possible amount that would be expected to cause death would be 331 milligrams (e.g., someone weighing only 10 kilograms [22 pounds] would not be expected to die taking less than 3,310 (331 x 10) milligrams, and the amounts prescribed to patients are far below 3,310 milligrams). Even still, overdose alone can lead to complications or coma, and especially overdose in combination with other depressants (e.g., alcohol) can easily be fatal and in any case, overdoses of any variety require immediate medical attention. Overdose symptoms of alprazolam overlap with other depressants and include:

Somnolence (difficulty staying awake)
Mental confusion
Respiratory depression
Hypotension
Impaired motor functions
Impaired or absent reflexes
Impaired coordination
Impaired balance
Dizziness
Hypoventilation
Coma
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