Country: United States
Language: English
Source: NLM (National Library of Medicine)
ALPRAZOLAM (UNII: YU55MQ3IZY) (ALPRAZOLAM - UNII:YU55MQ3IZY)
Greenstone LLC
ALPRAZOLAM
ALPRAZOLAM 0.25 mg
ORAL
PRESCRIPTION DRUG
Alprazolam is indicated for the: Alprazolam is contraindicated in patients: Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to Alprazolam during pregnancy. Healthcare providers are encouraged to register patients by calling the National Pregnancy Registry for Other Psychiatric Medications at 1-866-961-2388 or visiting online at https://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/othermedications/. Risk Summary Neonates born to mothers using benzodiazepines during the later stages of pregnancy have been reported to experience symptoms of sedation and neonatal withdrawal [see Warnings and Precautions (5.4), Clinical Considerations)]. Overall available data from published observational studies of pregnant women exposed to alprazolam have not established a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes (see Data). The estimated background risk of major birth defects an
Alprazolam is supplied in the following strengths and package configurations: Bottles of 100 Bottles of 500 Bottles of 1000 0.25 mg NDC 59762-3719-1 NDC 59762-3719-3 NDC 59762-3719-4 white, oval, scored, imprinted "G3719" Bottles of 100 Bottles of 500 Bottles of 1000 0.5 mg NDC 59762-3720-1 NDC 59762-3720-3 NDC 59762-3720-4 peach, oval, scored, imprinted "G3720" Bottles of 100 Bottles of 500 Bottles of 1000 1 mg NDC 59762-3721-1 NDC 59762-3721-3 NDC 59762-3721-4 blue, oval, scored, imprinted "G3721" Bottles of 100 Bottles of 500 2 mg NDC 59762-3722-1 NDC 59762-3722-3 white, oblong, multi-scored, imprinted "G3722" Store at controlled room temperature 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].
New Drug Application Authorized Generic
Greenstone LLC ---------- MEDICATION GUIDE alprazolam tablets, C-IV This Medication Guide has been approved by the U.S. Food and Drug Administration. Revised: February 2021 What is the most important information I should know about Alprazolam? • Alprazolam is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system (CNS) depressants (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma and death. Get emergency help right away if any of the following happens: • shallow or slowed breathing • breathing stops (which may lead to the heart stopping) • excessive sleepiness (sedation) Do not drive or operate heavy machinery until you know how taking Alprazolam with opioids affects you. • Risk of abuse, misuse, and addiction. There is a risk of abuse, misuse, and addiction with benzodiazepines, including Alprazolam, which can lead to overdose and serious side effects including coma and death. • Serious side effects including coma and death have happened in people who have abused or misused benzodiazepines, including Alprazolam. These serious side effects may also include delirium, paranoia, suicidal thoughts or actions, seizures, and difficulty breathing. Call your healthcare provider or go to the nearest hospital emergency room right away if you get any of these serious side effects. • You can develop an addiction even if you take Alprazolam as prescribed by your healthcare provider. • Take Alprazolam exactly as your healthcare provider prescribed. • Do not share your Alprazolam with other people. • Keep Alprazolam in a safe place and away from children. • Physical dependence and withdrawal reactions. Alprazolam can cause physical dependence and withdrawal reactions. • Do not suddenly stop taking Alprazolam. Stopping Alprazolam suddenly can cause serious and life-threatening side effects, including, unusual movements, responses, or expressions, seizures, sudden and severe mental or nervous sy Read the complete document
ALPRAZOLAM- ALPRAZOLAM TABLET GREENSTONE LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ALPRAZOLAM SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ALPRAZOLAM. ALPRAZOLAM (ALPRAZOLAM) TABLETS, FOR ORAL USE, CIV INITIAL U.S. APPROVAL: 1981 WARNING: RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; AND DEPENDENCE AND WITHDRAWAL REACTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ CONCOMITANT USE OF BENZODIAZEPINES AND OPIOIDS MAY RESULT IN PROFOUND SEDATION, RESPIRATORY DEPRESSION, COMA, AND DEATH. RESERVE CONCOMITANT PRESCRIBING FOR USE IN PATIENTS FOR WHOM ALTERNATIVE TREATMENT OPTIONS ARE INADEQUATE. LIMIT DOSAGES AND DURATIONS TO THE MINIMUM REQUIRED. FOLLOW PATIENTS FOR SIGNS AND SYMPTOMS OF RESPIRATORY DEPRESSION AND SEDATION. (5.1, 7.1) THE USE OF BENZODIAZEPINES, INCLUDING ALPRAZOLAM, EXPOSES USERS TO RISKS OF ABUSE, MISUSE, AND ADDICTION, WHICH CAN LEAD TO OVERDOSE OR DEATH. BEFORE PRESCRIBING ALPRAZOLAM AND THROUGHOUT TREATMENT, ASSESS EACH PATIENT'S RISK FOR ABUSE, MISUSE, AND ADDICTION. (5.2) ABRUPT DISCONTINUATION OR RAPID DOSAGE REDUCTION OF ALPRAZOLAM AFTER CONTINUED USE MAY PRECIPITATE ACUTE WITHDRAWAL REACTIONS, WHICH CAN BE LIFE-THREATENING. TO REDUCE THE RISK OF WITHDRAWAL REACTIONS, USE A GRADUAL TAPER TO DISCONTINUE ALPRAZOLAM OR REDUCE THE DOSAGE. (2.2, 5.3) RECENT MAJOR CHANGES Boxed Warning 2/2021 Dosage and Administration (2.3) 2/2021 Warnings and Precautions (5.2, 5.3) 2/2021 INDICATIONS AND USAGE Alprazolam is a benzodiazepine indicated for the: Acute treatment of generalized anxiety disorder in adults. (1) Treatment of panic disorder with or without agoraphobia in adults. (1) DOSAGE AND ADMINISTRATION Generalized Anxiety Disorder: (2.1) Recommended starting oral dosage is 0.25 mg to 0.5 mg three times daily. Dosage may be increased, at intervals of every 3 to 4 days, to a maximum recommended daily dose of 4 mg, given in divided doses. Use the lowest possible effect Read the complete document