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    Alprazolam ER

    COMMON BRAND NAME(S): Xanax XR

    GENERIC NAME(S): Alprazolam

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    WARNINGS:

    Taking alprazolam with opioid medications (such as codeine, hydrocodone) may increase your risk of very serious side effects, including death. To lower your risk, your doctor should have you take the smallest dose of alprazolam that works, and take it for the shortest possible time. Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/dizziness, difficulty waking up.

    Who should not take Alprazolam ER?
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    Uses

    This medication is used to treat the panic and anxiety symptoms associated with panic disorder. Alprazolam belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA).

    How to use Alprazolam ER

    Read the Medication Guide provided by your pharmacist before you start taking alprazolam and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

    Take this medication by mouth as directed by your doctor, usually once daily in the morning. Do not take with a high-fat meal because doing so can increase the risk of side effects. Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. Dosage is based on your medical condition, age, and response to treatment. Your dose may be gradually increased until the drug starts working well. Follow your doctor's instructions closely to reduce the risk of side effects.

    This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as seizures) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Report any withdrawal reactions right away.

    Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs in the past. Take this medication exactly as prescribed to lessen the risk of addiction.

    When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

    Tell your doctor if your condition persists or worsens.

    Side Effects

    See also Warning section.

    Drowsiness, dizziness, increased saliva production, nausea, constipation, or change in sex drive/ability may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

    To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.

    Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

    Tell your doctor right away if any of these unlikely but serious side effects occur: mental/mood changes (such as hallucinations, thoughts of suicide), slurred speech or difficulty talking, loss of coordination, trouble walking, memory problems.

    Get medical help right away if these rare but very seriousyellowing eyes or skin, seizures.

    A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

    This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

    In the US -

    Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

    In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

    Precautions

    Before taking alprazolam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (such as diazepam, lorazepam); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

    Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe lung/breathing problems (such as COPD, sleep apnea), liver disease, kidney disease, drug or alcohol abuse, glaucoma.

    This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.

    Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

    Older adults may be more sensitive to the side effects of this drug, especially loss of coordination and drowsiness. These side effects can increase the risk of falling.

    Alprazolam is not recommended for use during pregnancy due to the potential for harm to an unborn baby. Consult your doctor for more details.

    This drug passes into breast milk and may have undesirable effects on a nursing infant. Therefore, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

    Interactions

    See also Warning section.

    Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

    Some products that may interact with this drug include: kava, sodium oxybate.

    Other medications can affect the removal of alprazolam from your body, which may affect how alprazolam works. Examples include azole antifungals (such as itraconazole, ketoconazole), cimetidine, certain anti-depressants (such as fluoxetine, fluvoxamine, nefazodone), drugs to treat HIV (delavirdine, protease inhibitors such as indinavir), macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John's wort, drugs used to treat seizures (such as phenytoin), among others.

    The risk of serious side effects (such as slow/shallow breathing, severe drowsiness/dizziness) may be increased if this medication is taken with other products that may also cause drowsiness or breathing problems. Tell your doctor or pharmacist if you are taking other products such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, other drugs for sleep or anxiety (such as diazepam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

    Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

    Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking.

    Overdose

    If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness, slowed/reduced reflexes, slowed breathing, loss of consciousness.

    Notes

    Do not share this medication with others. It is against the law.

    Laboratory and/or medical tests (such as liver function tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

    Missed Dose

    If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule. Do not double the dose to catch up.

    Storage

    Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

    Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.Information last revised January 2017. Copyright(c) 2017 First Databank, Inc.

    Images

    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
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    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr
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    93, 5452
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr
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    93, 5453
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
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    M, A21
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr
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    M, A22
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
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    R, 83
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr
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    R, 84
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr
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    R, 86
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr
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    R, 87
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr
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    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr
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    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr
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    IP 10
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
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    IP 9
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr
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    IP 12
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr
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    cor 188
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
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    G, 0.5
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr
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    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
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    X, 70
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr
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    x, 73
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr
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    X, 74
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr
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    X, 75
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    View Larger Picture
    color
    white
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    round
    imprint
    cor 187
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    white
    shape
    round
    imprint
    93, 5450
    This medicine is a white, round, tablet imprinted with "93" and "5450".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    yellow
    shape
    round
    imprint
    93, 5451
    This medicine is a yellow, round, tablet imprinted with "93" and "5451".
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr

    Identification

    color
    blue
    shape
    oval
    imprint
    93, 5452
    This medicine is a blue, oval, tablet imprinted with "93" and "5452".
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr

    Identification

    color
    green
    shape
    round
    imprint
    93, 5453
    This medicine is a green, round, tablet imprinted with "93" and "5453".
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    white
    shape
    round
    imprint
    M, A21
    This medicine is a white, round, tablet imprinted with "M" and "A21".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    light orange
    shape
    round
    imprint
    M, A22
    This medicine is a light orange, round, tablet imprinted with "M" and "A22".
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    white
    shape
    round
    imprint
    R, 83
    This medicine is a white, round, tablet imprinted with "R" and "83".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    yellow
    shape
    round
    imprint
    R, 84
    This medicine is a yellow, round, tablet imprinted with "R" and "84".
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr

    Identification

    color
    light green
    shape
    round
    imprint
    R, 86
    This medicine is a light green, round, tablet imprinted with "R" and "86".
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr

    Identification

    color
    peach
    shape
    round
    imprint
    R, 87
    This medicine is a peach, round, tablet imprinted with "R" and "87".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    yellow
    shape
    square
    imprint
    G, 1
    This medicine is a yellow, square, tablet imprinted with "G" and "1".
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr

    Identification

    color
    blue
    shape
    round
    imprint
    G, 2
    This medicine is a blue, round, tablet imprinted with "G" and "2".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    yellow
    shape
    round
    imprint
    IP 10
    This medicine is a yellow, round, tablet imprinted with "IP 10".
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    green
    shape
    round
    imprint
    IP 9
    This medicine is a green, round, tablet imprinted with "IP 9".
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr

    Identification

    color
    blue
    shape
    round
    imprint
    IP 12
    This medicine is a blue, round, tablet imprinted with "IP 12".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    yellow
    shape
    round
    imprint
    cor 188
    This medicine is a yellow, round, tablet imprinted with "cor 188".
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    white
    shape
    pentagon
    imprint
    G, 0.5
    This medicine is a white, pentagon, tablet imprinted with "G" and "0.5".
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr

    Identification

    color
    green
    shape
    triangular
    imprint
    G, 3
    This medicine is a green, triangular, tablet imprinted with "G" and "3".
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    white
    shape
    round
    imprint
    X, 70
    This medicine is a white, round, tablet imprinted with "X" and "70".
    alprazolam ER 1 mg tablet,extended release 24 hr
    alprazolam ER 1 mg tablet,extended release 24 hr

    Identification

    color
    yellow
    shape
    round
    imprint
    x, 73
    This medicine is a yellow, round, tablet imprinted with "x" and "73".
    alprazolam ER 2 mg tablet,extended release 24 hr
    alprazolam ER 2 mg tablet,extended release 24 hr

    Identification

    color
    blue
    shape
    round
    imprint
    X, 74
    This medicine is a blue, round, tablet imprinted with "X" and "74".
    alprazolam ER 3 mg tablet,extended release 24 hr
    alprazolam ER 3 mg tablet,extended release 24 hr

    Identification

    color
    green
    shape
    round
    imprint
    X, 75
    This medicine is a green, round, tablet imprinted with "X" and "75".
    alprazolam ER 0.5 mg tablet,extended release 24 hr
    alprazolam ER 0.5 mg tablet,extended release 24 hr

    Identification

    color
    white
    shape
    round
    imprint
    cor 187
    This medicine is a white, round, tablet imprinted with "cor 187".

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    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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