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What is Xanax?


Xanax (alprazolam) is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). It is thought that alprazolam works by enhancing the activity of certain neurotransmitters in the brain.

Xanax is used to treat anxiety disorders and anxiety caused by depression.

Xanax is also used to treat panic disorders with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).

It is dangerous to purchase Xanax on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.


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· How should I take Xanax?

Take Xanax exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Never use Xanax in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of this medicine.

Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH.

Swallow the extended-release Xanax XR tablet whole and do not crush, chew, or break it.

Xanax is usually taken for no longer than 4 months to treat anxiety disorder, and for no longer than 10 weeks to treat panic disorder. Follow your doctor's dosing instructions very carefully.

Call your doctor if your symptoms do not improve, or if they get worse.

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

Do not stop using Xanax suddenly, or you could have unpleasant withdrawal symptoms. Follow your doctor's instructions about tapering your dose.

Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.




· Dosing information

Usual Adult Dose for Anxiety:

Immediate-release tablets: 0.25 to 0.5 mg orally administered 3 times a day

-Maximum dose: 4 mg/day

Usual Adult Dose for Panic Disorder:

Immediate-release tablets: 0.5 mg orally administered 3 times a day

-Maximum dose: 10 mg/day


Extended-release tablets:

-Initial dose: 0.5 to 1 mg orally once a day

-Maintenance dose: 3 to 6 mg orally per day, preferably in the morning

-Maximum dose: 10 mg/day


Comments:

-The lowest possible effective dose should be administered and the need for continued treatment reassessed frequently.

-Dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage.

-The daily dosage may be decreased by no more than 0.5 mg every 3 days; however, some patients may require an even slower dosage reduction.

-The dose of extended-release tablets may be increased at intervals of 3 to 4 days in increments of no more than 1 mg per day.

-The times of administration should be distributed as evenly as possible throughout the waking hours.

Usual Geriatric Dose for Anxiety:

Elderly or debilitated patients:

Immediate-release tablets: 0.25 mg orally administered 2 or 3 times a day.

Usual Geriatric Dose for Panic Disorder:

Elderly or debilitated patients:

Immediate-release tablets:

-Initial dose: 0.25 mg orally administered 2 or 3 times a day


Extended-release tablets:

-Initial dose: 0.5 mg orally once a day


Comments:

-If side effects develop, the dose may be lowered.

-The lowest possible effective dose should be administered and the need for continued treatment reassessed frequently.

-Dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage.


· Symptoms

There are many similarities between the symptoms of stress and anxiety. When someone is stressed, they may experience:

faster heartbeat

faster breathing

anxious thoughts

moodiness, irritability, or anger

general unhappiness

a feeling of being overwhelmed

loneliness

nausea

dizziness

diarrhea or constipation


When someone is anxious, they might experience:

faster heartbeat

faster breathing

a feeling of unease or dread

sweating

diarrhea or constipation

nervousness



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