Xanax is used to treat anxiety disorders and panic attacks. Alprazolam is in a class of medications called benzodiazepines. It works by decreasing abnormal excitement in the brain. Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life.

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Xanax belong to the group of medicines called central nervous system (CNS) depressants (medicines that slow down the nervous system). Xanax also is used sometimes to treat depression, fear of open spaces (agoraphobia), and premenstrual syndrome. Talk to your doctor about the possible risks of using this medication for your condition. Many of the benzodiazepines are used in the treatment of other conditions, also. Chlordiazepoxide, clorazepate, diazepam, and oxazepam are used to treat the symptoms of alcohol withdrawal. Alprazolam and clonazepam are used in the treatment of panic disorder. The benzodiazepines may also be used for other conditions as determined by your doctor.

Benzodiazepines may be habit-forming (causing mental or physical dependence), especially when taken for a long time or in high doses.

Special precautions

Before taking Xanax ,

Allergies? tell your doctor if you have ever had any unusual or allergic reaction to benzodiazepines. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Certain benzodiazepine products may contain lactose, parabens, or soybean oil.

Pregnancy? Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Xanax , call your doctor immediately.

Too much use of a Xanax during pregnancy may cause the baby to become dependent on the medicine. This may lead to withdrawal side effects after birth. Also, use of Xanax during pregnancy, especially during the last weeks, may cause body temperature problems, breathing problems, difficulty in feeding, drowsiness, or muscle weakness in the newborn infant.

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Xanax given just before or during labor may cause weakness in the newborn infant. When diazepam is given in high doses (especially by injection) within 15 hours before delivery, it may cause breathing problems, muscle weakness, difficulty in feeding, and body temperature problems in the newborn infant.

Breast-feeding? Xanax may pass into the breast milk and cause drowsiness, difficulty in feeding, and weight loss in nursing babies of mothers taking these medicines.

Children? Most of the side effects of these medicines are more likely to occur in children, especially the very young. These patients are usually more sensitive than adults to the effects of Xanax .

Older adults? Most of the side effects of these medicines are more likely to occur in the elderly, who are usually more sensitive to the effects of Xanax .

Taking benzodiazepines for trouble in sleeping may cause more daytime drowsiness in elderly patients than in younger adults. In addition, falls and related injuries are more likely to occur in elderly patients taking Xanax .

Other medicines? although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking or receiving benzodiazepines it is especially important that your health care professional know if you are taking any of the following:

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• Central nervous system (CNS) depressants (medicines that cause drowsiness)?The CNS depressant effects of either these medicines or benzodiazepines may be increased; your doctor may want to change the dose of either or both medicines

• Fluvoxamine (e.g., Luvox) or

• Nefazodone (e.g., Serzone)?Higher blood levels of benzodiazepines may occur, increasing the chance that side effects will occur; your doctor may want to change the dose of either or both medicines, or give you a different medicine

• Itraconazole (e.g., Sporanox) or

• Ketoconazole (e.g., Nizoral)?these medicines should NOT be used if you are taking a benzodiazepine.

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Possible Side Effects: SIDE EFFECTS that may occur while taking this medicine include changes in appetite, changes in sexual desire, constipation, dizziness, drowsiness, dry mouth, increased saliva production, lightheadedness, tiredness, trouble concentrating, unsteadiness, or weight changes. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience confusion, decreased urination, loss of coordination, memory problems, menstrual changes, muscle twitching, overstimulation, severe or persistent trouble sleeping, trouble speaking (such as stammering or stuttering), or yellowing of the eyes or skin. CONTACT YOUR DOCTOR IMMEDIATELY if you experience fainting; hallucinations; new or worsening mental or mood problems (such as depression, irritability, anxiety); red, swollen, blistered, or peeling skin; seizures; severe dizziness; or suicidal thoughts or actions. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include confusion, slow reflexes, clumsiness, deep sleep, and loss of consciousness.

Additional Information: DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children.