What Is Alprazolam?

Alprazolam is a schedule II controlled substance and a member of the benzodiazepine class of drugs, which is primarily used under the brand name Xanax.

This medication is mainly used in the treatment of anxiety and panic disorder, characterized by sudden and unexpected attacks of extreme fear, worry, and anxiety.

It is a fast-acting potent tranquilizer of moderate duration with triazolobenzodiazepines class of chemicals called benzodiazepines.

Being a controlled substance, it has a lower risk of abuse and misuse, but alprazolam is a habit-forming drug that can cause dependence when used regularly for an extended period of time.

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Why Alprazolam Is Used

Anxiety Disorder

Alprazolam is one of the most commonly used medications to treat anxiety disorder and anxiety (caused by depression). It helps to relieve and manage the symptoms of anxiety by reducing stress, tension, and overthinking problems and promotes instant relaxation.

Panic Disorder

Alprazolam is also used to treat panic disorder characterized by sudden, unexpected attacks of extreme fear, anxiety, and worry about these attacks. It works to decrease the normal excitement in the brain, causing relaxation.

Alprazolam is indicated to treat generalized anxiety disorder and panic disorder with or without symptoms of agoraphobia in adults.

How It Works

It is a controlled substance and a central nervous system (CNS) stimulant that works by decreasing normal excitement in the brain to help your brain relax and reduce overthinking problems.

Alprazolam acts by binding to the benzodiazepine receptor of the GABA to enhance the affinity of channel opening by the agonist gamma-aminobutyric acid.

What Should I Tell My Healthcare Provider Before Using Alprazolam?

Most adults can use this medication on a doctor’s prescription, but people with certain health conditions are not recommended to use it.

Tell your doctor before using alprazolam if you have:

• Already using anxiety or sleep medications
• Taking antifungal medicines such as itraconazole or ketoconazole
• History of allergic reaction to benzodiazepines
• Addiction to drugs or alcohol
• Using any other CNS stimulants
• Ever had seizures
• Lung, kidney, or liver disease
• Women who are pregnant, planning to become pregnant, or breastfeeding
• Older adults who are 65 years or above

How To Take The Dose

For Anxiety

The recommended dose of an extended-release tablet for anxiety is 0.25 – 0.5 mg, to be taken orally three times a day. The dose may later be increased by your doctor for up to 1 mg after every 3 – 4 days. The dose should not be increased by more than 4 mg in a day.

For Panic Disorder

The recommended dose of an extended-release tablet is 0.5 mg, and the dose of an immediate-release tablet is 1 mg to be taken three times a day. Your doctor may increase your dose by up to 1 mg after 2 – 4 days. Do not increase the dose to more than 10 mg in a day.

Possible Side Effects Of Alprazolam

Alprazolam can cause certain common to serious side effects when not used in moderation or without a doctor’s prescription.

Some of the common and most notable side effects of alprazolam are:

• Dizziness
• Sleepiness
• Headache
• Constipation
• Bitter taste or dry mouth
• Lack of coordination
• Memory problems
• Slurred speech

Some serious side effects include:

• Seizures – It can cause seizures, which may include symptoms such as stiffness, jerking or shaking, and staring blankly.
• Hallucinations – Overdose on these medications can lead to hallucinations that include symptoms such as seeing or hearing things that are not real.
• Weight Loss – Using this medication can cause a change in appetite that leads to weight loss.
• Double vision – While using this medication, you may experience changes in your vision and double vision. In this case, stop the medication and speak to your doctor for further treatment.
• Drug Dependence – Using alprazolam for a longer time than prescribed can cause dependency and addiction to this medication.
• Liver problems – Regular and prolonged use of alprazolam can cause severe liver problems such as nausea and vomiting, upper right abdominal pain, and jaundice.

What To Prevent While Using Alprazolam

You must remember these preventative measures in order to prevent any serious side effects, drug interaction, and withdrawal symptoms:

• Do not use any other medication during this treatment, as it may lead to severe drug interactions that can be fatal to your health.
• Avoid using alprazolam if you have experienced allergic reactions, and if necessary, use antifungal medicines.
• It is not recommended to use this medication during pregnancy or breastfeeding period.
• Talk to your doctor if you are a habitual drinker or have an addiction to any other substance or drugs.
• Avoid combining alprazolam with other benzodiazepines (such as diazepam) or other opioid medication (such as oxycodone and hydrocodone).
• Eat dietary food and have enough water to prevent constipation.

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Conclusion

Benzodiazepine medications, including alprazolam, contain a higher risk of abuse and misuse. Using this medication for an extended period can be habit-forming, which can lead to physical dependence.

It cannot be easily recognized whether a person has an addiction to any drug or not unless they stop using the medication. Do not share this medication with others, especially children and older people 65 years or above.

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