Country: United States
Language: English
Source: NLM (National Library of Medicine)
ALPRAZOLAM (UNII: YU55MQ3IZY) (ALPRAZOLAM - UNII:YU55MQ3IZY)
PHARMACIA & UPJOHN COMPANY LLC
ALPRAZOLAM
ALPRAZOLAM 0.25 mg
ORAL
PRESCRIPTION DRUG
XANAX is indicated for the: XANAX is contraindicated in patients: There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to psychiatric medications, including XANAX, during pregnancy. Healthcare providers are encouraged to register patients by calling the National Pregnancy Registry for Psychiatric Medications at 1-866-961-2388 or visiting online at https://womensmentalhealth.org/research/pregnancyregistry/. Neonates born to mothers using benzodiazepines late in pregnancy have been reported to experience symptoms of sedation and/or neonatal withdrawal [see Warnings and Precautions (5.8) and Clinical Considerations)] . Available data from published observational studies of pregnant women exposed to benzodiazepines do not report a clear association with benzodiazepines and major birth defects (see Data ). The background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adve
XANAX is supplied in the following strengths and package configurations: Package Configuration Tablet Strength (mg) NDC Print Bottles of 100 Reverse Numbered Unit dose (100) Bottles of 500 Bottles of 1000 0.25 mg NDC 0009-0029-01 NDC 0009-0029-46 NDC 0009-0029-02 NDC 0009-0029-14 white, oval, scored, imprinted “XANAX 0.25” Bottles of 100 Reverse Numbered Unit dose (100) Bottles of 500 Bottles of 1000 0.5 mg NDC 0009-0055-01 NDC 0009-0055-46 NDC 0009-0055-03 NDC 0009-0055-15 peach, oval, scored, imprinted “XANAX 0.5” Bottles of 100 Bottles of 500 Bottles of 1000 1 mg NDC 0009-0090-01 NDC 0009-0090-04 NDC 0009-0090-13 blue, oval, scored, imprinted “XANAX 1.0” Bottles of 100 Bottles of 500 2 mg NDC 0009-0094-01 NDC 0009-0094-03 white, oblong, multi-scored, imprinted “XANAX” on one side and “2” on the reverse side Store at controlled room temperature 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].
New Drug Application
PHARMACIA & UPJOHN COMPANY LLC ---------- MEDICATION GUIDE XANAX (ZAN-aks) (alprazolam) tablets, C-IV What is the most important information I should know about XANAX? • XANAX 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: o shallow or slowed breathing o breathing stops (which may lead to the heart stopping) o excessive sleepiness (sedation) Do not drive or operate heavy machinery until you know how taking XANAX with opioids affects you. • Risk of abuse, misuse, and addiction. There is a risk of abuse, misuse, and addiction with benzodiazepines, including XANAX, which can lead to overdose and serious side effects including coma and death. o Serious side effects including coma and death have happened in people who have abused or misused benzodiazepines, including XANAX. 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. o You can develop an addiction even if you take XANAX as prescribed by your healthcare provider. o Take XANAX exactly as your healthcare provider prescribed. o Do not share your XANAX with other people. o Keep XANAX in a safe place and away from children. • Physical dependence and withdrawal reactions. XANAX can cause physical dependence and withdrawal reactions. o Do not suddenly stop taking XANAX. Stopping XANAX suddenly can cause serious and life- threatening side effects, including, unusual movements, responses, or expressions, seizures, sudden and severe mental or nervous system changes, depression, seeing or hearing things that others do not see or hear, an extreme increase in activity or talking, losing touch with rea Read the complete document
XANAX- ALPRAZOLAM TABLET PHARMACIA & UPJOHN COMPANY LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE XANAX SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR XANAX. XANAX (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._ • • • RECENT MAJOR CHANGES Warnings and Precautions (5.8) 1/2023 INDICATIONS AND USAGE XANAX is a benzodiazepine indicated for the: • • DOSAGE AND ADMINISTRATION • • • • DOSAGE FORMS AND STRENGTHS Tablets: 0.25 mg, 0.5 mg, 1 mg, and 2 mg (3) CONTRAINDICATIONS • • 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 XANAX, EXPOSES USERS TO RISKS OF ABUSE, MISUSE, AND ADDICTION, WHICH CAN LEAD TO OVERDOSE OR DEATH. BEFORE PRESCRIBING XANAX AND THROUGHOUT TREATMENT, ASSESS EACH PATIENT’S RISK FOR ABUSE, MISUSE, AND ADDICTION. (5.2) ABRUPT DISCONTINUATION OR RAPID DOSAGE REDUCTION OF XANAX 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 XANAX OR REDUCE THE DOSAGE. (2.2, 5.3) Acute treatment of generalized anxiety disorder in adults. (1) Treatment of panic disorder with or without agoraphobia in adults. (1) Generalized Anxiety Disorder: (2.1) o o o 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 Read the complete document