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Your doctor has recommended that you take Zoloft antidepressant medication, a drug used for treating depression. If you are new to the world of antidepressants, you may be wondering about this particular drug and its properties.What is this drug? Why has your doctor chosen the antidepressant Zoloft in treating your condition? What can it do to alleviate symptoms of depression? What side effects, if any, are associated with its use?

Zoloft is an effective medication for treating depression and is FDA approved. It is used to treat other disorders that may include social anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive-compulsive disorder, and premenstrual dysphoric disorder.

Your doctor will be aware that Zoloft antidepressant medication is generally well tolerated and is the #1 doctor-prescribed brand of its kind. He may tell you that it has been used to treat more people than any other medication of its kind over the last decade. This drug has helped millions of sufferers and has been used over a 14-year period.

It is a selective serotonin reuptake inhibitor (SSRI). It is not habit forming and is usually not associated with weight gain.discount zoloft, It is available in multiple strengths: 25mg, 50mg, or 100mg. Your doctor can decide on which dose of the antidepressant Zoloft is appropriate for you.

Zoloft alleviates symptoms of depression by working to correct the balance of serotonin levels in the brain. Nerve cells use chemical messengers to communicate and, if you are suffering from depression, these messengers may not have been communicating in the way they should have been. A Zoloft antidepressant helps nerve cells to transmit messages more effectively.

When taking Zoloft, some side effects may be encountered; however these are minimal and usually benefits outweigh effects such as nausea,discount zoloft, sleepiness, or insomnia, dry mouth or possible sexual side effects. If you are concerned, discussing using the antidepressant Zoloft with your doctor can do much to set your mind at rest.

Often, just knowing what to expect lessens fear of the unknown. Communication with your doctor is a key element in the journey to feeling better.

If you are considering alternative treatment options over taking Zoloft antidepressant medication, the good news is that there are potent, natural remedies available, which work to calm the nervous system and treat depression effectively. Natural supplements are specifically formulated to address underlying causes of depression, working to correct neurotransmitter malfunction. Deficiencies of certain amino acids and minerals can affect vitality and feelings of well being.

Natural preparations incorporate vitamins and minerals, amino acids, enzymes, specialty supplements and herbal extracts, as well as other ingredients such as chamomile, which offers beneficial anxiolytic effects (anxiety reduction); valerian, for treating mood disorders such as depression; calcium and magnesium, for alleviation of emotional and physical stress; and ginkgo biloba, for concentration, mental acuity, and for depression. Herbal remedies are becoming increasingly popular as an alternative to conventional medication and you may consider taking this approach over using the antidepressant Zoloft.

Remember, though, it is very important to consult your doctor first before deciding on a treatment option.discount zoloft, Your doctor may have felt your depression merited treatment with a prescription drug.

Conventional and alternative treatments offer hope in treating depression. Zoloft antidepressant medication or use of natural remedies will soon have you on the road to recovery. Armed with appropriate knowledge, you can move forward, equipped to deal with your depression effectively.

Depression

Coexisting psychiatric disorders

Forty to 70% of children and adolescents with clinical depression also have other coexisting psychiatric diagnoses,discount zoloft, such as disruptive behavior disorders (conduct disorder , oppositional defiant disorder, and attention deficit/hyperactivity disorder ), anxiety disorders, abuse of drugs and/or alcohol, and eating disorders (bulimia nervosa and anorexia nervosa ).

Identification and treatment of the coexisting psychiatric disorders may be important for the overall treatment of the depression.
Clinical course

MDD episodes tend to last approximately 7-9 months, and about 90% of the major depressive episodes end by 1.5-2 years after discount zoloft the onset. Between 6 and 10% of MDD episodes become chronic. Depression is a recurrent disorder; a child or adolescent experiencing a first episode of MDD has a 40% probability of developing another depressive episode within the next two years and 70% chance within the next five years.

Follow-up studies of depressed adolescents have found that 20-40% of adolescents with MDD are at risk to develop bipolar disorder within a five year period after the onset of the depression. Characteristics associated with the conversion from MDD to bipolar disorder include the presence of psychomotor retardation and psychosis during the depression, family history of bipolar disorder or strong family history for mood disorders, and the development of agitation, high energy, or euphoria when taking antidepressant medications.

Furthermore, over a period of five years, approximately 70% of the children and adolescents with dysthymic disorders will develop an episode of MDD. Once these children have developed MDD, the course of their mood disorders follows the natural course of MDD. Therefore it may be very important to identify and treat childhood dysthymic disorder early.

The most severe complications of depression are suicidal ideation and suicide attempts. The adolescent suicide discount zoloft rate has quadrupled since 1950 (from 2.5 to 11.2 per 100,000), and currently represents 12% of the total mortality in this age group. Beyond depression, predisposing factors for suicidality include the existence of anxiety, disruptive, bipolar and personality disorders, and substance abuse. In addition, family history of depression or bipolar disorder, family history of suicidal behavior, exposure to family violence, impulsivity, and availability of methods (e.g., firearms at home) have been associated with an increased risk for suicide.

Children and adolescents with clinical depressions are at high risk for suicide, homicide, abuse of alcohol/drugs, physical illnesses, poor academic and psychosocial functioning. Moreover, after remission, previously depressed children may continue to show significant problems. These psychosocial problems tend to improve with time unless the depression develops again. The existence of other psychiatric disorders, family problems, and environmental stresses influences the risk for recurrent depression and suicide attempts.

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Medical researchers have conducted a few studies concerning Zoloft and hot flashes. A few more studies have been done concerning Paxil and hot flashes. Twice as many published studies have focused on black cohosh and hot flashes and there are even more concerning this herb and other symptoms related to menopause. Why so many studies?

Traditional herbal remedies are often the subject of scientific scrutiny, because modern medicine would like to either “prove” or “disprove” their effectiveness. They would also like to know “why” botanical remedies are effective; so, many studies revolve around isolating the active component.

Researchers began studying antidepressants like Zoloft and hot flashes in 2002, around the same time that the Women’s Health Initiative released conclusions concerning the long-term health risks associated with hormone replacement therapy. Research concerning Paxil and hot flashes prior to 2002 focused on breast cancer survivors who are unable to use estrogen replacement therapy.

Scientists and researchers are unable to explain why these drugs may be effective, or even why they would be considered for use. It is likely that they were prescribed to women who were suffering from depression, which sometimes accompanies menopause. These women may have reported a reduction in hot flashes, leading doctors to suggest that they might be useful for controlling hot flashes.

Both Zoloft and Paxil belong to a group of drugs known as Selective Serotonin Reuptake Inhibitor or SSRI. These drugs are approved by the FDA to treat depression and some are approved for the treatment of premenstrual dysphoric disorder. They are not approved by the FDA to treat hot flashes, other symptoms related to menopause, nor are they approved to treat PMS, but doctors often prescribe them for these purposes.

Even though they are not approved by the FDA to relieve hot flashes, both the American College of Obstetricians and Gynecologists (ACOG) and the North American Menopause Society recommend that women with moderate to severe, menopause related hot flashes should consider an SSRI, if they cannot or choose not to take hormone replacement therapy. Interestingly, a brochure released by the ACOG mentions that herbs and botanicals are not approved by the FDA, but they never mention that SSRI drugs are not approved by the FDA to treat menopausal symptoms.

One study concerning Paxil and hot flashes experienced by breast cancer survivors is similar to a more recent study concerning the use of black cohosh. (Black cohosh is an herb used traditionally by Native American healers and passed down from generation to generation for the relief of hot flashes and other menopausal symptoms.) As previously mentioned, women who have had breast cancer are unable to take estrogen replacement therapy, in fact they must take a drug that limits the effects of estrogen for several years following surgery. Even in women who are not near menopause, this drug causes severe hot flashes.

In the study of Paxil and hot flashes, the antidepressant was shown to reduce hot flash frequency by as much as 79%. Black cohosh was shown to reduce hot flash frequency by as much as 100%. Of the 90 women who participated in the black cohosh study, none reported adverse side effects and no one dropped out. Of the 30 women who participated in the study of Paxil and hot flashes, three (10%) dropped out because of drowsiness and one dropped out because of anxiety, a possible adverse reaction to Paxil.

Recently research was conducted by the College of Medicine at the University of Arizona concerning Zoloft and hot flashes. A group of women aged 40-65, currently suffering from hot flashes, but not taking hormone replacement therapy, were recruited. The researchers used a number called the “hot flash score”, which is equal to the number of hot flashes a woman experiences multiplied by the numerical expression of their severity, to evaluate the effectiveness of the SSRI over a four week period. A similar study concerning black cohosh and hot flashes was conducted by the Mayo Clinic.

In the study of Zoloft and hot flashes, the average number of hot flashes the women experienced per week was 45. In the black cohosh trial, the average was 8 per day or 56 per week. Zoloft reduced the frequency of hot flashes by 5 per week or 11%. Black cohosh reduced the frequency by 28 per week or 50% and reduced the average “hot flash score” by 56%.

In the study of Zoloft and hot flashes there was no significant reduction in severity, but in their concluding statement the researchers say that “sertraline (the generic name for Zoloft) reduced the number of hot flashes and improved the hot flash score relative to placebo and may be an acceptable alternative treatment for women experiencing hot flashes”.cheap zoloft, So, these researchers believe that an 11% reduction in the hot flash score represents an effective alternative treatment. Numerous studies have shown that treatment with placebo can reduce hot flashes by 20-40%.

In the Zoloft and hot flashes study, 15 women dropped out, six because of adverse reactions to the drug, 9 without giving reason. None of the women dropped out of the black cohosh trial. No adverse events or unwanted side effects of any kind were reported. Women did note that their sleep improved, they were less tired and had less abnormal sweating.

The unwanted side effects related to the use of cheap zoloft include sleep disorders, weakness, dizziness, tremors, confusion, nausea, vomiting, decreased sex drive and inability to achieve orgasm. It can induce mood swings. At least one study has shown that it increased the risk of suicide in seniors, as it does in teens and pre-teens. In fact, the FDA has released a public health warning which states that “anyone currently using Zoloft for any reason has a greater chance of exhibiting suicidal thoughts or behaviors, regardless of age.”

Worldwide, 20% of all patients in clinical trials relating to Paxil dropped out due to unwanted side effects. The side effects are similar to those of Zoloft. Both drugs can cause increased sweating, which makes it even harder to understand why researchers would conduct studies concerning Zoloft and hot flashes, Paxil and hot flashes or any other drug that can cause increased sweating, since increased sweating is what frustrates women most about hot flashes and night sweats.

Over the years, hundreds and hundreds of studies have been conducted concerning the safety of black cohosh. No one knows how long native healers have used the herb.cheap zoloft, The only known side effect is stomach ache and this is an infrequent complaint. Recent scientific evaluations have shown that it does not increase the risk of breast or endometrial cancer. So, it is unclear why medical practitioners and societies would recommend something with as many side effects as Zoloft and Paxil, when there is a safer and more effective treatment.

Depression
Encyclopedia of Childhood and Adolescence by Boris Birmaher, M.D. and David Axelson, M.D. Department of Psychiatry University of Pittsburgh School of Medicine Western Psychiatric Institute and Clinic

Until recently, it was thought that children and adolescents could not suffer from clinical depression. It was assumed that children were not physically or psychologically mature enough to develop symptoms of depression and that adolescents with mood difficulties were simply going through “growing pains.” However, several investigations have shown that if appropriately evaluated, children and adolescents do suffer from depression. We will refer to clinical depression that presents with severe symptoms as major depressive disorder (MDD) and depression that has moderate, chronic symptoms as dysthymic disorder (see below for specific criteria). Depression is relatively common; the prevalence (number of cases in one year) of MDD and dysthymic disorder combined is approximately 2% for children and 6% for adolescents.
Clinical features

Every child and adolescent can be occasionally and appropriately sad. However depression is more than just having a sad mood for a while. Children and adolescents with depression have a pervasive change in mood as well as a number of other clinical characteristics. There are four types of depression that child psychiatrists diagnose in children and adolescents: major depressive disorder (MDD), cheap zoloft,dysthymic disorder, adjustment disorder with depressed mood, and bipolar depression. Bipolar disorder (previously called manic-depressive illness) is another type of mood disorder consisting of periods of mania and depression. The diagnostic criteria and clinical presentation of the depressed phase of bipolar disorders is similar to that of MDD.
Major depressive disorder (MDD)

MDD is the most severe form of depression and has the most prominent clinical symptoms. Symptoms of MDD include:

1) persistent depressed or irritable mood most of the day (easily annoyed, angry, sad, anxious, hopeless; sometimes described as not having any emotion)

2) markedly diminished interest or pleasure in all or almost all activities (not able to enjoy activities that were previously fun, easily bored, sits around and does not do much)

3) significant weight loss or gain

4) sleep disturbance (trouble falling asleep, staying asleep, waking up too early, or sleeping more than usual)

5) psychomotor retardation (appearing to have slowed-down thinking and movements) or agitation (new onset of restless activity, pacing, unable to stay still)

6) fatigue or loss of energy (frequent complaints of feeling tired or having to push hard to do usual activities)

7) feelings of worthlessness or excessive guilt (very self-critical, blaming self for minor transgressions)

8.) difficulty concentrating (distractible, unable to focus on challenging tasks, forgetful, indecisiveness)

9) thoughts of death or suicide , or attempting suicide

According to the American Psychiatric Association , to be diagnosed with MDD, the child or adolescent must have at least five of the above symptoms nearly every day for at least two weeks, and one of those symptoms must be either: (1) depressed or irritable mood; or (2) loss of interest and pleasure. These symptoms must represent a change from previous functioning and produce impairment in relationships with others or in performance of usual activities. The symptoms and change in mood cannot be attributed to abuse of drugs, use of medications, certain severe psychiatric illnesses, bereavement, or medical illness.

Overall, the clinical picture of childhood MDD parallels the symptoms of adult MDD, with some minor differences. In children, symptoms of anxiety (including phobias and trouble separating from caretakers), physical complaints, and behavioral problems seem to occur more frequently. Adolescents tend to have more sleep and appetite disturbances, psychosis (hallucinations or delusions), and impairment of functioning than younger children. In addition, the incidence and severity of suicide attempts increase after puberty.

Dysthymic disorder consists of a persistent, long-term change in mood which is generally less intense than in MDD. The associated symptoms of dysthymic disorder are not as severe as MDD. To be given a diagnosis of dysthymic disorder, the child or adolescent must have depressed mood or irritability on most days for most of the day over a period of one year, as well as at least two of the following symptoms: (1) change in appetite; (2) sleep disturbance; (3) low self-esteem; (4) poor concentration or difficulty making decisions; (5) decreased energy; or (6) feelings of hopelessness. In addition, they may have other symptoms,cheap zoloft, such as feelings of being unloved, anger, somatic complaints (such as stomach aches, nausea, or headaches), anxiety , and sometimes disobedience.
Adjustment disorder with depressed mood

Sometimes children and adolescents experience an excessive change in mood in response to a very stressful event or a series of stressful events. If they develop a persistently depressed mood (often with tearfulness and hopelessness) and impairment of functioning within three months of the stressor(s), but do not meet criteria for MDD or dysthymic disorder, then they would receive a diagnosis of an adjustment disorder with depressed mood. An adjustment disorder does not have the associated symptoms of MDD or dysthymic disorder. It is important to emphasize that MDD or dysthymic disorder may be precipitated by stressful events,cheap zoloft, so that if a child or adolescent has the appropriate symptoms, they should receive a diagnosis of MDD or dysthymic disorder. The prevalence, clinical course, and treatment of adjustment disorder with depressed mood have not been well studied in children and adolescents; a few studies indicate that it lasts for approximately six months and usually does not recur.
Presentation to outside observers

The diagnosis of depression can be difficult because the depressed and irritable mood often makes the child and adolescent less able and willing to share how they are feeling. Some of the symptoms of depression are difficult for others to observe because they are related to how the person is feeling inside. Parents and teachers may only notice that the depressed child or adolescent has become withdrawn, whiny, or moody. Little things make them angry or tearful, and they tend to view many situations as negative or overwhelming. They interact less with others and withdraw from favorite activities such as sports, social events, or extracurricular activities. Their school performance often declines, and the child may start to get into trouble at school or skip classes. However when clinically assessed, the depressed child or adolescent will often report sad mood, low energy, poor concentration, sleep or appetite changes, feelings of worthlessness or hopelessness, and thoughts of suicide. This underscores the necessity of gathering information from both outside observers and the child herself when assessing for depression.

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Zoloft is well tolerated and effective for the treatment of depression and certain types of anxiety disorders.

Zoloft is FDA approved to treat depression, social anxiety disorder, posttraumatic stress disorder (PTSD), panic disorder, obsessive-compulsive disorder (OCD), and premenstrual dysphoric disorder (PMDD) in adults over age 18. It is also approved for OCD in children and adolescents age 6-17 years.

For more than 15 years, Zoloft has safely and effectively treated millions of people with depression and anxiety. And Zoloft is available in multiple strengths, so your doctor can decide a dose for you.

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Sertraline hydrochloride is a selective serotonin reuptake inhibitor (SSRI) for oral administration. It has a molecular weight of 342.7. Sertraline hydrochloride has the following chemical name: (1S-cis)-4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-N-methyl-1-naphthalenamine hydrochloride.

Sertraline hydrochloride is a white crystalline powder that is slightly soluble in water and isopropyl alcohol, and sparingly soluble in ethanol.

Sertraline hydrochloride is supplied for oral administration as scored tablets equivalent to 25, 50 and 100 mg of sertraline and the following inactive ingredients: dibasic calcium phosphate dihydrate, D & C Yellow #10 aluminum lake (in 25 mg tablet), FD & C Blue #1 aluminum lake (in 25 mg tablet), FD & C Red #40 aluminum lake (in 25 mg tablet), FD & C Blue #2 aluminum lake (in 50 mg tablet), hydroxypropyl cellulose, hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, sodium starch glycolate, synthetic yellow iron oxide (in 100 mg tablet), and titanium dioxide.

Sertraline hydrochloride oral concentrate is available in a multidose 60 mL bottle. Each mL of solution contains sertraline hydrochloride equivalent to 20 mg of sertraline. The solution contains the following inactive ingredients: glycerin, alcohol (12%), menthol, butylated hydroxytoluene (BHT). The oral concentrate must be diluted prior to administration (see PRECAUTIONS, INFORMATION FOR PATIENTS and DOSAGE AND ADMINISTRATION).

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What is Zoloft?

Zoloft is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Zoloft affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.

Zoloft is used to treat depression, obsessive-compulsive disorder, panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).

Zoloft may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about Zoloft?
Do not take Zoloft together with pimozide (Orap), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Zoloft. After you stop taking Zoloft, you must wait at least 14 days before you start taking an MAOI.

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You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Zoloft is FDA-approved for children with obsessive-compulsive disorder (OCD). It is not approved for treating depression in children. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Zoloft, do not stop taking the medication without first talking to your doctor.

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Xanax XR (alprazolam) is approved for the treatment of panic disorder. The extended-release tablets are contraindicated in patients with known sensitivity to benzodiazepines or with acute narrow-angle glaucoma. The drug is also contraindicated for use with ketoconzole and itraconazole.

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WASHINGTON — The Food and Drug Administration has approved the abbreviated new drug application (ANDA) of Mylan Laboratories Inc. to market a generic version of Xanax XR. Pfizer Inc. manufactures the brand name panic-disorder treatment.

Known under its generic name of alprazolam, the brand product had sales of about $100 million for the 12 months ending in June.

Mylan’s extended-release tablets will be available in 0.5-, 1-, 2- and 3-mg strengths.

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The Medical Letter, Xanax XR for panic disorder. 2003;45(1157):43-44.

Therapy for panic disorder often includes benzodiazepines to provide rapid relief of symptoms, used together with antidepressant medications, which can take weeks to become effective. An extended release formulation of the benzodiazepine alprazolam (Xanax XR) is now available.

The Medical Letter consultants found only two published studies that showed extended-release alprazolam is effective. In one of these studies, extended-release

alprazolam was less effective than immediate-release alprazolam or placebo in some measures. In the other study, response rates to placebo were 61%-81%, making drug effectiveness difficult to substantiate. Two 8-week long studies did not show superiority over placebo. Although extended-release alprazolam requires fewer doses per day than immediate-release alprazolam, clinical data showing that this new formulation is more effective to reduce anxiety between doses are not available. Cognitive behavioral therapy and antidepressants are preferred for long-term treatment of panic disorder. Xanax XR may provide immediate symptoms relief, but needs to be stopped as soon as possible to avoid physical or psychological dependence.

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NOVADEL INITIATES HUMAN STUDY OF ALPRAZOLAM LINGUAL SPRAY.

NovaDel Pharma Inc. (AMEX:NVD), Flemmington, N.J., has commenced a pilot pharmacokinetic feasibility study in humans of a lingual spray version of alprazolam, a widely prescribed anti-anxiety medication marketed as Xanax(R) by Pfizer, Inc, and as a generic by several producers.

The drug’s new formulation utilizes NovaDel’s patented lingual spray drug delivery technology.

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Use of alprazolam in premenstrual syndrome - Tips from Other Journals

Alprazolam, a benzodiazepine, has been studied as a possible treatment for the anxiety- and depression-like components of premenstrual syndrome, but the results of these studies have been inconclusive. Schmidt and colleagues performed a randomized, double-blind, placebo-controlled crossover trial of alprazolam in women with prospectively confirmed premenstrual syndrome.

Women were recruited by newspaper advertisements or physician referral. Twenty women completed the study. A diagnosis of premenstrual syndrome was confirmed through the use of daily self-rating symptom checklists. The women were randomized to receive alprazolam or placebo from day 16 of the menstrual cycle until the onset of menses. Over four menstrual cycles, the alprazolam dose was increased from 0.25 mg to 0.75 mg three times a day. The women completed checklists daily and a battery of psychiatric screening questionnaires twice monthly. Results of these measures in placebo and alprazolam months were then compared.

No differences were found in self-rating scores between alprazolam months and placebo months. Results of psychiatric screening also did not differ between treatment and placebo months, except for a statistically, but not clinically significant, improvement in depression scores during alprazolam treatment.

The authors conclude that no uniform improvement in symptoms of premenstrual syndrome occurs in patients receiving alprazolam, although patients with strong depressive symptoms may have some benefit. (Archives of General Psychiatry, June 1993, vol. 50, p. 467)

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Alprazolam is used to treat anxiety and panic disorders. It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA).
How to use Xanax Oral

Take this medication by mouth as directed by your doctor. Dosage is based on your medical condition and response to therapy.

This medication may cause dependence, especially if it has been used regularly for an extended period of time, or if it has been used in high doses. In such cases, if you suddenly stop this drug, withdrawal reactions including seizures may occur. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with this drug, the dosage should be gradually reduced as directed to help prevent withdrawal reactions. Consult your doctor or pharmacist for more details.

Though it is very unlikely to occur, this medication can also result in abnormal drug-seeking behavior (addiction/habit-forming). Do not increase your dose, take it more frequently, or use it for a longer period of time than prescribed. Properly stop this medication when so directed. This will lessen the chances of becoming addicted.

When used for an extended period, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well.

Inform your doctor if your condition persists or worsens.

What side effects may occur?
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Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Xanax. Your doctor should periodically reassess the need for this drug.

Side effects of Xanax are usually seen at the beginning of treatment and disappear with continued medication. However, if dosage is increased, side effects will be more likely.

* Side effects of Xanax may include:
Decreased libido, drowsiness, fatigue, impaired coordination, memory impairment, speech difficulties, weight changes

* Side effects of Xanax XR may include:
Constipation, decreased libido, depression, drowsiness, fatigue, impaired coordination, memory problems, mental impairment, nausea, sedation, sleepiness, speech difficulties, weight changes

* Side effects due to a rapid decrease in dose or abrupt withdrawal from Xanax or Xanax XR:
Anxiety, blurred vision, decreased concentration, decreased mental clarity, depression, diarrhea, headache, heightened awareness of noise or bright lights, hot flushes, impaired sense of smell, insomnia, loss of appetite, loss of reality, muscle cramps, nervousness, rapid breathing, seizures, tingling sensation, tremor, twitching, weight loss

Why should Xanax not be prescribed?
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If you are sensitive to or have ever had an allergic reaction to Xanax or other tranquilizers, you should not take this medication. Also avoid Xanax while taking the antifungal drugs. Make sure that your doctor is aware of any drug reactions that you have experienced.

Do not take this medication if you have been diagnosed with the eye condition called narrow-angle glaucoma.

Anxiety or tension related to everyday stress usually does not require treatment with Xanax. Discuss your symptoms thoroughly with your doctor.
Special warnings about Xanax
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Xanax may cause you to become drowsy or less alert; therefore, driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended.

If you are being treated for panic disorder, you may need to take a higher dose of Xanax than for anxiety alone. High doses—more than 4 milligrams a day—of this medication taken for long intervals may cause emotional and physical dependence. It is important that your doctor supervise you carefully when you are using this medication.

As with all anti-anxiety medication, there is a small chance that Xanax could encourage suicidal thoughts or episodes of euphoria known as mania. If you notice any new or unusual symptoms after starting Xanax, call your doctor immediately.

Xanax should be used with caution in elderly or weak patients, and in those with lung disease, alcoholic liver disease, or any disorder that could hinder the elimination of the drug.

See also the How to Use section.

Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.

This drug should not be used with the following medications because very serious interactions may occur: certain azole antifungals (e.g., itraconazole, ketoconazole), delavirdine, indinavir, sodium oxybate.

If you are currently using any of these medications, tell your doctor or pharmacist before starting alprazolam.

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Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: clozapine, digoxin, disulfiram, kava.

Tell your doctor or pharmacist if you take drugs that affect the removal of alprazolam from your system (CYP 3A4 substrates, inhibitors and inducers) such as: other azole antifungals (e.g., fluconazole, voriconazole), certain anti-depressants (e.g., fluoxetine, fluvoxamine, nefazodone), certain anti-seizure medications (e.g., phenytoin, phenobarbital), cimetidine, macrolide antibiotics (e.g., erythromycin, clarithromycin), rifamycins (e.g., rifampin), ritonavir, St John’s wort.

Tell your doctor or pharmacist if you take drugs that cause drowsiness such as: antihistamines that cause drowsiness (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep (e.g., sedatives), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, tricyclic anti-depressants such as amitriptyline), tranquilizers.

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients which cause drowsiness. Ask your pharmacist about the safe use of those products.

Cigarette smoking decreases blood levels of this medication (through liver enzyme induction). Tell your doctor if you smoke or if you have recently stopped smoking because your dose may need to be adjusted.

Do not start or stop any medicine without doctor or pharmacist approval.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.Tags:Where to Buy Xanax

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