Xanax is an anxiolytic drug (tranquilizer) which is used in psychiatry and narcology. Besides the psychotropic action, it also has a sedative, hypnotic, anti-convulsive and muscle relaxant central action.
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Indications for use
According to the instructions, Xanax pills are used in case of:
- Neuroses, anxiety states
- Depression, neurotic disorders
- Somatic disorders
- Abstinence in the background of alcoholism
- Panic states
- Panic attacks, agoraphobia
Xanax is a tranquilizer belonging to the group of medium-acting benzodiazepines. The active substance is alprazolam, which has anxiolytic and sedative-hypnotic properties.
The effect of Xanax is manifested in an increase of the degree of inhibition of human GABA, stimulation of specific receptors sensitive to benzodiazepine, reduction of excitability of subcortical areas of the brain.
The properties of the tranquilizer are manifested in the form of elimination of psycho-emotional tension, anxiety, panic.
Sedative and hypnotic effect is achieved through the removal of neurotic symptoms. At the same time, the time of falling asleep is reduced and it also eliminates night awakenings.
Method of application and dosage
Xanax should be taken in accordance with the instructions for use or the doctor's instructions. The dosage and duration of the course are set individually for each patient. The pills can be taken regardless of the time of the meal. When increasing the dosage, it is best to take an additional amount before going to bed.
People who have not previously taken psychotropic drugs, the elderly and patients with liver/ kidney pathologies should take less daily amount of Xanax than ordinary patients.
Cancellation of treatment is carried out within a few days with a gradual decrease in dosage.
Pregnancy and breastfeeding
Xanax shouldn’t be included in the therapy of pregnant women. The reception of Alprazolam in the first months of gestation can contribute to the development of malformations and developmental abnormalities, since the active substance of the drug has a toxic effect. The reception at a later date provokes suppression of the central NS of the newborn. If the expectant mother constantly takes the drug, then the child will have Xanax withdrawal syndrome after birth.
Lactating women are advised to abandon lactation during therapy, since it is known that benzodiazepines are particularly active in suppressing central NS in infants.
Contraindications and precautions
- It is not recommended to start the treatment with Alprazolam in case of:
- The presence of excessive sensitivity to the main and additional components
- Lactose intolerance
- Diagnosis of respiratory failure
- Serious pathologies of the liver and renal system
- Poisoning with narcotic substances, sleeping pills or psychotropic drugs.
Alprazolam and alcohol are incompatible, since alcohol can provoke the development of side symptoms and reduce the effectiveness of the treatment.
The drug is not used in pediatrics.
During the course of treatment, it is not recommended to engage in work that requires increased concentration of attention, as well as a high rate of psychomotor reactions.
It is possible to take Xanax with antidepressants if a patient suffers from endogenous depression.
There is a mutual strengthening of the effect when combined with narcotic painkillers, neuroleptic drugs, anticonvulsants and hypnotic drugs, muscle relaxants of central exposure, as well as ethyl alcohol.
The likelihood of toxic effects of alprazolam increases in case of simultaneous administration of the drugs based on microsomal oxidation inhibitors.
A decrease in the therapeutic effectiveness of treatment may be recorded when taken simultaneously with inducers of microsomal oxidation.
The influence of Alprazolam may cause an increase in the plasma concentration of imipramine.
Side effects and overdose
At the initial stages of treatment, the patient may suffer from lethargy, drowsiness and dizziness. The concentration of attention is disturbed and there may be drug dependence and inhibition of psychomotor reactions. The probability of side symptoms is much higher in elderly patients.
The patient may suffer from the withdrawal syndrome in case of a sharp decrease in the dosage of drugs or complete discontinuation of Alprazolam.
- Severe dystrophy
- Muscle spasm of internal organs
- Frequent vomiting
- Increased sweating
- Convulsive syndrome