If you are:
FDB Contraindicated or Not Recommended:
Absolute Contraindication: REPORTS OF IRRITABILITY & SLEEP DISTURBANCES, WITHDRAWAL RXN W/ REPEATED USE
An adult over 60:
management or monitoring precaution: Neuro/Psych-Sedation and fall risk. Preferred over long acting benzodiazepines. From the CMS State Operations Manual for Long Term Care, limit dose to less than, or equal to, 0.75mg/day unless higher doses (as evidenced by the patient's response and/or the clinical record) are necessary to maintain or improve function.
Giving alprazolam ER to a child under 12:
management or monitoring precaution: Safety and efficacy not established in pediatrics. Limited data available.