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Xanax is used to treat anxiety disorders, panic disorders, and anxiety caused by depression


inspirehealthpharma com/product/xanax/ Xanax (alprazolam) is a benzodiazepine Alprazolam affects chemicals in the brain that may be unbalanced in people with anxiety

Xanax is used to treat anxiety disorders, panic disorders, and anxiety caused by depression

Xanax may also be used for purposes not listed in this medication guide

Anxiety Disorders

inspirehealthpharma com/product/xanax/ Xanax pill(alprazolam) are indicated for the management of anxiety disorder (a condition corresponding most closely to the APA Diagnostic and Statistical Manual [DSM-IIIR diagnosis of generalized anxiety disorder) or the short-term relief of symptoms of anxiety Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic

Generalized anxiety disorder is characterized by unrealistic or excessive anxiety and worry (apprehensive expectation) about two or more life circumstances, for a period of 6 months or longer, during which the person has been bothered more days than not by these concerns At least 6 of the following 18 symptoms are often present in these patients: Motor Tension (trembling, twitching, or feeling shaky; muscle tension, aches, or soreness; restlessness; easy fatigability); Autonomic Hyperactivity (shortness of breath or smothering sensations; palpitations or accelerated heart rate; sweating, or cold clammy hands; dry mouth; dizziness or light-headedness; nausea, diarrhea, or other abdominal distress; flushes or chills; frequent urination; trouble swallowing or ‘lump in throat’); Vigilance and Scanning (feeling keyed up or on edge; exaggerated startle response; difficulty concentrating or ‘mind going blank’ because of anxiety; trouble falling or staying asleep; irritability) These symptoms must not be secondary to another psychiatric disorder or caused by some organic factor

Anxiety associated with depression is responsive to XANAX

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

Do not stop using Xanax suddenly, or you could have unpleasant withdrawal symptoms Ask your doctor how to safely stop using this medicine

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

Store Xanax at room temperature away from moisture and heat

Keep track of the amount of medicine used from each new bottle Xanax is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription

What happens if I miss a dose?
Take the missed dose as soon as you remember Skip the missed dose if it is almost time for your next scheduled dose Do not take extra medicine to make up the missed dose

What happens if I overdose?
Seek emergency medical attention An overdose of alprazolam can be fatal Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting

What should I avoid while taking Xanax?
Alprazolam xanax may impair your thinking or reactions Be careful if you drive or do anything that requires you to be alert

Avoid drinking alcohol Dangerous side effects could occur

Grapefruit and grapefruit juice may interact with alprazolam and lead to unwanted side effects Discuss the use of grapefruit products with your doctor



XANAX DOSAGE
Dosage should be individualized for maximum beneficial effect While the usual daily dosages given below will meet the needs of most patients, there will be some who require doses greater than 4 mg/day In such cases, dosage should be increased cautiously to avoid adverse effects

Anxiety Disorders and Transient Symptoms of Anxiety
Treatment for patients with anxiety should be initiated with a dose of 0 25 to 0 5 mg given three times daily The dose may be increased to achieve a maximum therapeutic effect, at intervals of 3 to 4 days, to a maximum daily dose of 4 mg, given in divided doses The lowest possible effective dose should be employed and the need for continued treatment reassessed frequently The risk of dependence may increase with dose and duration of treatment

In all patients, dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage Although there are no systematically collected data to support a specific discontinuation schedule, it is suggested that the daily dosage be decreased by no more than 0 5 mg every 3 days Some patients may require an even slower dosage reduction

Panic Disorder
The successful treatment of many panic disorder patients has required the use of XANAX at doses greater than 4 mg daily In controlled trials conducted to establish the efficacy of XANAX in panic disorder, doses in the range of 1 to 10 mg daily were used The mean dosage employed was approximately 5 to 6 mg daily Among the approximately 1700 patients participating in the panic disorder development program, about 300 received XANAX in dosages of greater than 7 mg/day, including approximately 100 patients who received maximum dosages of greater than 9 mg/day Occasional patients required as much as 10 mg a day to achieve a successful response

Dose Titration
Treatment may be initiated with a dose of 0 5 mg three times daily Depending on the response, the dose may be increased at intervals of 3 to 4 days in increments of no more than 1 mg per day Slower titration to the dose levels greater than 4 mg/day may be advisable to allow full expression of the pharmacodynamic effect of XANAX To lessen the possibility of interdose symptoms, the times of administration should be distributed as evenly as possible throughout the waking hours, that is, on a three or four times per day schedule

Generally, therapy should be initiated at a low dose to minimize the risk of adverse responses in patients especially sensitive to the drug Dose should be advanced until an acceptable therapeutic response (ie, a substantial reduction in or total elimination of panic attacks) is achieved, intolerance occurs, or the maximum recommended dose is attained

Dose Maintenance
For patients receiving doses greater than 4 mg/day, periodic reassessment and consideration of dosage reduction is advised In a controlled postmarketing dose-response study, patients treated with doses of XANAX greater than 4 mg/day for 3 months were able to taper to 50% of their total maintenance dose without apparent loss of clinical benefit Because of the danger of withdrawal, abrupt discontinuation of treatment should be avoided

The necessary duration of treatment for panic disorder patients responding to XANAX is unknown After a period of extended freedom from attacks, a carefully supervised tapered discontinuation may be attempted, but there is evidence that this may often be difficult to accomplish without recurrence of symptoms and/or the manifestation of withdrawal phenomena

Dose Reduction
Because of the danger of withdrawal, abrupt discontinuation of treatment should be avoided

In all patients, dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage Although there are no systematically collected data to support a specific discontinuation schedule, it is suggested that the daily dosage be decreased by no more than 0 5 mg every three days Some patients may require an even slower dosage reduction

In any case, reduction of dose must be undertaken under close supervision and must be gradual If significant withdrawal symptoms develop, the previous dosing schedule should be reinstituted and, only after stabilization, should a less rapid schedule of discontinuation be attempted In a controlled postmarketing discontinuation study of panic disorder patients which compared this recommended taper schedule with a slower taper schedule, no difference was observed between the groups in the proportion of patients who tapered to zero dose; however, the slower schedule was associated with a reduction in symptoms associated with a withdrawal syndrome It is suggested that the dose be reduced by no more than 0 5 mg every 3 days, with the understanding that some patients may benefit from an even more gradual discontinuation Some patients may prove resistant to all discontinuation regimens

Dosing in Special Populations
In elderly patients, in patients with advanced liver disease or in patients with debilitating disease, the usual starting dose is 0 25 mg, given two or three times daily This may be gradually increased if needed and tolerated The elderly may be especially sensitive to the effects of benzodiazepines If side effects occur at the recommended starting dose, the dose may be lowered



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Старый 12.12.2020, 00:47
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