Xanax as an Anti Anxiety

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XANAX

• Alprazolam

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What is Xanax ?

• Xanax (alprazolam) is a benzodiazepine (ben-zoe-dy
  e-AZE-eh-peen). Alprazolam affects chemicals in
  the brain that may be unbalanced in people with
  anxiety.
• Xanax is used to treat anxiety disorders, panic
  disorders, and anxiety caused by depression.

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Usual Geriatric Dose - Anxiety

• Immediate-release tablets, orally disintegrating
  tablets, oral concentrate
• Initial dose 0.25 mg orally 2 to 3 times a day
  in elderly or debilitated patients
• This dose may be gradually increased if needed
  and tolerated.
• Because of increased sensitivity to
  benzodiazepines in elderly patients, alprazolam
  at daily doses greater than 2 mg meets the Beers
  criteria as a medication that is potentially
  inappropriate for use in older adults. Smaller
  doses may be effective as well as safer. Total
  daily doses should rarely exceed suggested
  maximums.

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Usual Geriatric Dose - Depression

• Immediate-release tablets, orally disintegrating
  tablets, oral concentrate
• Initial dose 0.25 mg orally 2 to 3 times a day
  in elderly or debilitated patients
• This dose may be gradually increased if needed
  and tolerated.
• Because of increased sensitivity to
  benzodiazepines in elderly patients, alprazolam
  at daily doses greater than 2 mg meets the Beers
  criteria as a medication that is potentially
  inappropriate for use in older adults. Smaller
  doses may be effective as well as safer. Total
  daily doses should rarely exceed suggested
  maximums.

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Usual Geriatric Dose - Panic Disorder

• Immediate-release tablets, orally disintegrating
  tablets
• Initial dose 0.25 mg orally 2 to 3 times a day
  in elderly or debilitated patients
• This dose may be gradually increased if needed
  and tolerated.
• Extended-release tablets
• Initial dose 0.5 mg once a day preferably in the
  morning
• This dose may be gradually increased if needed
  and tolerated.
• Because of increased sensitivity to
  benzodiazepines in elderly patients, alprazolam
  at daily doses greater than 2 mg meets the Beers
  criteria as a medication that is potentially
  inappropriate for use in older adults. Smaller
  doses may be effective as well as safer. Total
  daily doses should rarely exceed suggested
  maximums.

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Side Effects

• Consult Doctor if you have
• depressed mood, thoughts of suicide or hurting
  yourself
• racing thoughts, increased energy, unusual
  risk-taking behavior
• confusion, agitation, hostility, hallucinations
• uncontrolled muscle movements, tremor, seizure
  (convulsions)
• pounding heartbeats or fluttering in your chest.

• Some of the common side effects are,
• - drowsiness, feeling tired
• - slurred speech, lack of balance or coordination
• - memory problems
• - feeling anxious early in the morning

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Other drugs that will Affect XANAX

• Tell your doctor about all your current medicines
  and any you start or stop using, especially
• - cimetidine
• - digoxin
• - fluvoxamine
• - nefazodone
• - ritonavir or other medicines to treat HIV or
  AIDS
• - antifungal medicine - fluconazole,
  voriconazole..

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