What is alprazolam?
Alprazolam oral tablet is a prescription drug that’s available as the brand-name drugs Alprazolam Intensol, Xanax, or Xanax XR. It’s also available as a generic drug. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand-name version.
Alprazolam oral tablets come in immediate-release and extended-release forms, as well as an orally disintegrating form. Alprazolam also comes as a solution. All forms are taken by mouth.
An extended-release drug is released slowly into the bloodstream over time. An immediate-release drug is released into the bloodstream more quickly. The extended-release drug is only used to treat panic disorder.
Alprazolam for Panic Disorders
How Alprazolam works
This drug belongs to a class of drugs called benzodiazepines. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.
This drug attaches to certain benzodiazepine receptors in your brain and nervous system. This boosts the activity of a chemical called gamma-aminobutyric acid. This helps produce a calming effect in your brain.
Alprazolam side effects
Alprazolam can cause mild or serious side effects.
- drowsiness
- dizziness or lightheadedness
- headache
- blurred vision
- memory problems
- trouble concentrating
- sleep problems
- muscle weakness or lack of coordination
- upset stomach
- nausea or vomiting
- diarrhea
- increased sweating
- dry mouth
- stuffy nose
- weight loss or gain
- increased or decreased appetite
- loss of interest in sex
If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist.
How to take alprazolam
The dosage your doctor prescribes will depend on several factors. These include:
- the type and severity of the condition you’re using alprazolam to treat
- your age
- the form of alprazolam you take
- other medical conditions you may have
Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage that’s right for you. They’ll ultimately prescribe the smallest dosage that provides the desired effect.
The following information describes dosages that are commonly used or recommended.
However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.
Dosage for anxiety disorders
Generic: Alprazolam
Form: oral immediate-release tablet
Strengths: 0.25 milligrams (mg), 0.5 mg, 1 mg, 2 mg
Form: orally disintegrating tablet
Strengths: 0.25 mg, 0.5 mg, 1 mg, 2 mg
Brand: Xanax
Form: oral immediate-release tablet
Strengths: 0.25 mg, 0.5 mg, 1 mg, 2 mg
Brand: Alprazolam Intensol
Form: oral solution
Strengths: 1 mg per milliliter (mL)
Adult dosage (ages 18–64 years)
Immediate-release tablet, orally disintegrating tablet, or oral solution:
Typical starting dosage: 0.25 mg to 0.5 mg three times daily.
Dosage increases: Your doctor may increase your dosage every 3 to 4 days until you reach the dosage that’s best for you.
Maximum dosage: 4 mg daily, given in divided doses.
Dosage reduction: When you’re stopping treatment, your dosage should be decreased slowly. Your doctor may decrease it by no more than 0.5 mg every 3 days.
Child dosage (ages 0–17 years)
This medication hasn’t been studied in children. It shouldn’t be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
Immediate-release tablet, orally disintegrating tablet, or oral solution:
Typical starting dosage: 0.25 mg, two to three times per day.
Special considerations
For people with advanced liver disease: For the immediate-release tablet, the usual starting dosage is 0.25 mg, two or three times daily. Your doctor may gradually increase this dosage if needed.
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Dosage for panic disorder
Generic: Alprazolam
Form: oral immediate-release tablet
Strengths: 0.25 mg, 0.5 mg, 1 mg, 2 mg
Form: orally disintegrating tablet
Strengths: 0.25 mg, 0.5 mg, 1 mg, 2 mg
Generic: Alprazolam XR
Form: oral extended-release tablet
Strengths: 0.5 mg, 1 mg, 2 mg, 3 mg
Brand: Xanax
Form: oral immediate-release tablet
Strengths: 0.25 mg, 0.5 mg, 1 mg, 2 mg
Brand: Xanax XR
Form: oral extended-release tablet
Strengths: 0.5 mg, 1 mg, 2 mg, 3 mg
Brand: Alprazolam Intensol
Form: oral solution
Strengths: 1 mg/mL
Adult dosage (ages 18–64 years)
Immediate-release tablet, orally disintegrating tablet, or oral solution:
Typical starting dosage: 0.5 mg three times daily.
Dosage increases: Your doctor may increase your dosage every 3 to 4 days in amounts of no more than 1 mg per day.
Maximum dosage: 10 mg daily, in divided doses.
Dosage reduction: When you’re stopping treatment, your dosage should be decreased slowly. Your doctor may decrease it by no more than 0.5 mg every 3 days.
Extended-release tablet:
Typical starting dosage: 0.5 mg to 1 mg once per day.
Dosage increases: Your doctor may increase your dosage every 3 to 4 days until you reach the dosage that’s best for you.
Maximum dosage: 10 mg per day.
Dosage reduction: When you’re stopping treatment, your dosage should be decreased slowly. Your doctor may decrease it by no more than 0.5 mg every 3 days.
Child dosage (ages 0–17 years)
This medication hasn’t been studied in children. It shouldn’t be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
Immediate-release tablet, orally disintegrating tablet, or oral solution:
Typical starting dosage: 0.25 mg, two to three times per day.
Extended-release tablet:
Typical starting dosage: 0.5 mg once per day.
Special considerations
For people with advanced liver disease: For the immediate-release tablet, the usual starting dosage is 0.25 mg, two or three times daily. Your doctor may gradually increase this dosage if needed.
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