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This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. Alprazolam may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom. Discard any cotton in the bottle containing orally disintegrating tablets and close the bottle tightly.
It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.
To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.
In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Do not let anyone else take your medication. Alprazolam is a controlled substance. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions.
It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Generic alternatives may be available.
Alprazolam pronounced as al pray' zoe lam. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names. Swallow the extended-release tablets whole; do not chew, crush, or break them. Other uses for this medicine.
What special precautions should I follow? Before taking alprazolam, tell your doctor and pharmacist if you are allergic to alprazolam, chlordiazepoxide Librium, in Librax , clonazepam Klonopin , clorazepate Gen-Xene, Tranxene , diazepam Diastat, Valium , estazolam, flurazepam, lorazepam Ativan , oxazepam, quazepam Doral , temazepam Restoril , triazolam Halcion , any other medications, or any of the ingredients in alprazolam products.
Ask your pharmacist for a list of the ingredients. Your doctor will probably tell you not to take alprazolam. Be sure to mention any of the following: amiodarone Cordarone, Nexterone, Pacerone ; antidepressants 'mood elevators' such as desipramine Norpramin , imipramine Tofranil , and nefazodone; antifungals such as fluconazole Diflucan , posaconazole Noxafil , or voriconazole Vfend ; antihistamines; cimetidine Tagamet ; clarithromycin Biaxin, in Prevpac ; cyclosporine Gengraf, Neoral, Sandimmune ; diltiazem Cardizem, Cartia XT, Tiazac ; ergotamine Ergomar, in Cafergot, in Migergot ; erythromycin E.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. John's wort. Your doctor may tell you not to take alprazolam. Alprazolam may harm the fetus. If you become pregnant while taking alprazolam, call your doctor.
Older adults should receive low doses of alprazolam because higher doses may not work better and may cause serious side effects. Do not drive a car or operate machinery until you know how this medication affects you. Information about public cemeteries, crematoria and cemetery trusts in Victoria for various stakeholders. Victorian legislation ensures that medicines and poisons are used safely. Healthcare professionals must be aware of the relevant laws for their occupation.
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A Victorian government resource providing information and advice on designing and caring for people with dementia in residential aged care settings. This information has been prepared by Medicines and Poisons Regulation to assist prescribers in understanding policies and procedures associated with obtaining a permit to prescribe alprazolam, which was reclassified as a Schedule 8 poison on 1 February The approved indications for alprazolam, as listed on the Australian Register of Therapeutic Goods, are:.
Alprazolam is indicated for the short-term treatment of anxiety or panic disorder, so support from a psychiatrist will generally be required. Where there are addiction-related issues, support from an addiction medicine specialist will generally be required. Without such evidence, permit applications may be refused.
In the absence of specialist support, the department will issue a permit only for a short-term period. This is to provide prescribers with time to either:. Specialists have advised the department that they are unlikely to support ongoing treatment with alprazolam.
Advice from Therapeutic guidelines: psychotropic on benzodiazepine dose reduction and changing from one benzodiazepine to another is available for download. Where a patient has a history of drug dependence, an applicant will also be required to submit a declaration form to indicate that specific steps have been taken in relation to patient management.
Scheduling decisions on medicines are made by the Secretary of the Australian Government Department of Health and adopted nationally, after consideration of recommendations from an advisory committee and submissions through a public consultation process. In summary, the reasons for the decision to reschedule alprazolam to Schedule 8 were as follows:.
It was also noted that listing in Schedule 8 of alprazolam does not restrict its short-term use for the approved indications. The full record of reasons and the summary of submissions for the rescheduling of alprazolam are available on the Therapeutic Goods Administration website. The National Prescribing Service NPS recommends that benzodiazepines, including alprazolam, are not recommended as first-line treatment for anxiety or panic disorder.
Benzodiazepines should be reserved for short-term use in patients who have not responded to at least two other therapies for example, psychological therapy, antidepressants. The NPS fact sheet Anxiety disorders — which treatment for what anxiety disorder? NPS News 65, provides information on evidence-based treatment strategies for anxiety disorders. The fact sheet is available on the NPS website. The Royal Australian College of General Practitioners RACGP has issued a health alert on rescheduling of alprazolam to a Schedule 8 poison, to provide general practitioners with some management strategies when a patient requests a prescription for alprazolam.
DACAS has prepared a fact sheet, Withdrawal from benzodiazepine dependence , for information about benzodiazepine withdrawal in a general practice setting. Therapeutic guidelines: psychotropic provides advice on dose reduction and diazepam dose equivalents for benzodiazepines.
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