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Do not stop taking abruptly. Do not give this drug to anyone who is psychotic. Narcotics may increase the sedative effects of this drug. Do not take other sedative,benzodiazepine's,or sleeping pills with this drug. The combinations could be fatal. Do not drink alcohol when taking benzodiazepine's. Alcohol can lower blood pressure and decrease your breathing rate to the point of unconsciousness. The habit-forming potential is high. It is possible to become dependent in the first few days. Do not stop taking this drug abruptly, this could cause psychological and physical withdrawal symptoms. Do not take alprazolam if you have narrow-angle glaucoma. Alprazolam may worsen this condition.

Before taking this medication, tell your doctor if you have:

  • Kidney disease.
  • Have liver disease.
  • Have a history of alcohol or drug abuse.
  • Have asthma or bronchitis.
  • Emphysema.
  • Any respiratory disease.
  • Depressed or have suicidal thoughts.
  • Mania.
  • Bipolar disorder.
  • Any psychiatric condition.

Use caution:

  • Use caution when driving, operating machinery, or performing other hazardous activities. Alprazolam will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
  • Avoid alcohol while taking alprazolam. Alcohol may increase drowsiness and dizziness caused by alprazolam.
  • Do not crush, chew, or break the extended-release form alprazolam (Xanax XR). Swallow them whole. These tablets are specially formulated to release the medication slowly in the body.
  • Alprazolam is habit forming. You can become physically and psychologically dependent on the medication.
  • Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor.
  • Withdrawal effects may occur if alprazolam is stopped suddenly after several weeks of continuous use.
  • Seizures may be a side effect of sudden discontinuation of the medication.
  • Use caution when driving, operating machinery, or performing other hazardous activities.
  • Alprazolam will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
  • Avoid alcohol while taking alprazolam. Alcohol may increase drowsiness and dizziness caused by alprazolam.
  • Alprazolam may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants.

Do not use if:

  • Do not use this drug if you had negative reactions to other benzodiazepine's. Do not use this drug if you have a history of drug dependence. Do not use this drug if you have had a stroke. Do not use this drug if you have multiple sclerosis. Do not use this drug if you have Alzheimer's disease. Do not use this drug if you are seriously depressed or if you have other brain disorders. Do not use this drug if you have myasthenia gravis or acute narrow-angle glaucoma. Do not use this drug if you are pregnant or planning to become pregnant. Do not use this drug if you are breast-feeding.
  • Do not use this drug if under eighteen and only in small doses if over sixty with very close monitoring.

Inform Physician if: If you have a seizure disorder, impaired liver / kidney function, history of alcoholism / drug abuse, psychosis,palpitations,or Tachycardia.