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Xanax is a prescribed drug that belongs to the class of anxiolytics (anti-anxiety tranquilizers) and is a derivative of benzodiazepine by its chemical formula. It is prescribed as a long-term remedy for anxiety disorders, in addition to various conditions caused by heightened anxiousness (generalized anxious disorder (anxiety), neurosis depression, that has an anxiety component etc. ).

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Furthermore, Xanax is used in short courses for relieving stress, anxiety and stress. Since there is currently a wide range of safer and better-tolerated tranquilizers-anxiolytics, Xanax is used in short courses to quickly relieve fears, anxiety, and worry, and other drugs are chosen for long-term therapy.

The effects of therapeutics

Xanax contains the following pharmacological effect:

  • Muscle relaxant (relaxes muscles);
  • Anxiolytic (relieves anxiety);
  • Anticonvulsant (stops seizures);
  • Can be used as a sleeping aid.

The primary result of Xanax is that it acts as an anxiolytic. However, it also has an hypnotic-sedative effect. It lowers the level of emotional and nervous tension. It also decreases or eliminates the intensity of fear, anxiety, and obsessive thinking, and can also be a strong as a hypnotic and sedative. Xanax decreases the activity of the brain and reduces the responses.

The moderate hypnotic impact that Xanax has is evident by shorter time of sleep and an increase in the length of the sleep as well as a reduction in nighttime wake-ups. Furthermore, the medication minimizes the effects of various stimulations (emotional or motor-related, as well as vegetative) upon the process of settling down.

The effect of anticonvulsants is the reduction of muscle spasms as well as severe tension. This contributes to general relaxation an individual and can help ease the effects of excessive anxiety.

Xanax can be absorbed quickly from the intestines. The highest concentration of the drug within the bloodstream is attained within 1 to 2 hours of taking it. The liver is where the drug is broken into metabolites before being removed from the body via the urine. Xanax doesn’t accumulate in the body. Therefore, the chance of overdose from prolonged use is very low.

Indications for use

Xanax tablet are suggested to be used in the following diseases and conditions:

  • Anxiety or neuroses that cause anxiety-like symptoms that are pronounced or emotional tension, unease and irritability. They can also be accompanied by worsening insomnia and other somatic conditions (such as impotence, sweating or palpitations. Bradycardia anorexia, bulimia issues, discomfort in different regions of the body etc.)
  • Depression-like states of anxiety, which are characterized by anxiety and emotional tension. It can also be characterized by irritability, anger and worsening sleep. It can also be caused by somatic problems, a decrease in mood and a loss of fascination with our surroundings and anger (excitability) and a decrease in appetite and fluctuations in body weight, problems with thought functions as well as suicidal ideas, a decline in general vitality.
  • Anxiety-depressive and neuroses that are caused by any type of somatic illness like cardiovascular insufficiency and heart attacks of fear, malignant tumors and withdrawal symptoms of addiction to alcohol or drugs or addiction, etc.
  • Attacks of panic
  • Agoraphobia (fear of spaces that are open)
  • Tremor
  • Insomnia.

What is the best way to use Xanax?

The tablets should be taken in a single dose, every throughout the day, regardless of consumption. Tablets must be taken in whole form, without biting or chewing, or crushing otherwise or in any other way, then washed by drinking a tiny amount of water (half one glass will suffice).

The amount of Xanax can be determined by a person-to-person basis in accordance with the condition, age as well as the sensitivity of the patient to the drug. It is important to keep in mind that people who are elderly (over 65 years older) and those who are who are taking psychotropic medications at first need smaller doses of Xanax as compared to the other types of people.

If, during the course of using Xanax one experiences an excessive amount of drowsiness or has ataxia (impaired coordination) The dosage of the medication should be decreased. Every time the medication is altered it is essential to check the condition of the patient as well as their overall health.

The dosage for a day of Xanax is broken down into three doses. Additionally, the most potent dose of the medication should be consumed before bedtime at night as this helps to get more restful sleep and reduces the amount of fatigue during the days. In the case of Xanax, for instance, the daily dose of Xanax is one milligram. This means that it could be divided in three doses over the course of a day in order that the dose at night is the most powerful, which can be described in the form of 0.25 mg before breakfast, 0.25 mg during the morning, and 0.5 mg at night.

Take Xanax at a low dose: 0.25 to 0.5 mg daily then increasing the dosage until you reach the therapeutic level required. It is important to raise the dose to levels that are therapeutic gradually, in the course of several weeks. The dosage for the day is initially increased by a higher daily dose in the evening and just afterward, it is increased to daily doses in the morning and at night.

If you need to boost the daily dosage of your medication take 0.25 mg more during the evening. Then, you can take 0.25 grams more throughout the day and increase the dosage to the amount required.

The recommended therapeutic dose of Xanax to treat various ailments is a bit variable within boundaries because, for every patient, the amount efficient in relieving anxiety and fears differs.

In other words, once you have started taking Xanax the user is advised to gradually increase dose by 0.25 to 0.5 mg daily for 3 days, until the desired effect in clinical terms is attained, which is the reduction of anxiety or anxiety, restlessness and the other symptoms associated with anxiety or neurosis.

Doses for therapeutic use of Xanax to treat various illnesses and ailments are the following:

  • Anxiety: Start with 0.25 to 0.5 mg three times per every day. The recommended dosage (to where the dosage initially is incremented) is 0.25 to 1.5 mg, three times a day.
  • Depression: begin using 0.5 mg three times per daily. The dosage that is therapeutic (to which the dose initially is incremented) is 0.5 to 2 mg three daily;
  • Disorders of panic (attacks or fears) begin with 0.5 1 mg each day, before going to bed or 0.5 mg three times per daily. The dosage that is recommended for therapeutic use is between 1 and 3 mg three times per each day.
  • If you are an elderly person with ailments or conditions, Xanax is prescribed in the beginning at 0.25 mg three times per daily and then gradually increased up to 0.5 mg three times per daily.

The maximum dosage that can be taken daily from Xanax of 10 mg.

The treatment process with Xanax could be both long and shorter. Treatment courses that are short can last for a few days and can be used to reduce the fear of sudden, intense panic (for instance, following a horrible event, or a dream, etc.). When you are taking short therapy courses, Xanax is taken in beginning doses. This amounts to 0.25 to 0.5 mg three times per every day.

Therapy sessions that last for long periods of time range anywhere from 3 to 8 months, and are essential to treat anxious and fearful disorders that are chronic. In long-term courses of therapy that the dose of Xanax can be adjusted to the therapeutic level that is specified. Xanax Withdrawal

Xanax will be discontinued slowly as sudden withdrawal triggers withdrawal symptoms, manifesting its self in the form of a sudden relapse of the symptoms medicine was used to treat. Additionally, as withdrawal syndrome develops the signs, as generally, are more severe than prior to the beginning of Xanax treatment.

Xanax will be discontinued after 2-6 weeks (depending upon the dose that is therapeutic) and reduces dosage daily by 0.25-0.5 mg once every three days. The dose in the morning will be reduced. Then, the daytime dose is reduced, then only at the evening dose is taken.

In the example above, someone was taking Xanax 1.5 mg three daily. The dose is decreased according to the following pattern: In the morning, they’ll begin taking 1 mg of the drug, then at night, they take 1 mg, 1.5 mg.

After 3 days, the daily dosage is reduced to 1 mg each morning and in the afternoon, in addition to 1.5 mg at night. Following three more days, the dosage for evening will be reduced to 0.5 mg. They take Xanax one mg three times every throughout the day. This way, the dose is decreased until there is complete withdrawal.

If a decrease in dose of 0.5 mg creates anxiety and worry, you need to be back at the dose you were taking that you are using the medication for a period of between 1 and two weeks. Following this time it is time to increase the dose of Xanax will be reduced again but in this case, not by 0.5 mg, but instead by 0.25 mg.

Involvement with other medications

In the event that Xanax is combined with psychotropic (Aminazine Haloperidol, a.k.a.) as well as other anticonvulsants (Valproic acid Vigabatrin, Lamotrigine, and others. ) and other tranquilizers (Phenazepam, Diazepam, Elenium, Midazolam, Phenibut, Dextropropoxyphene and anticonvulsants (Valproic acid, Vigabatrin, Pheni. ), sleeping pills, narcotic painkillers, histamine blockers (Diazolin, Suprastin, Fenistil, Claritin, etc. ) as well as macrolide-based antibiotics (Azithromycin, Clarithromycin, Erythromycin and others.) as well as alcohol drinks as the depressant effects in the nervous system’s central nerve gets increased.

In the case of oral contraceptives the speed of Xanax elimination in the body is reduced, because of this, it is in blood for a longer time in an active state and allows the medication to be consumed two times per daily instead of three times.

The use of Xanax along with Digoxin raises the risk from an overdose in heart glycosides.

Xanax causes an increase in concentration and the severity of Imipramine and other antihypertensive medications. Itraconazole ketoconazole, Itraconazole, as well as paroxetine all increase the effects of Xanax.

Fluvoxamine can increase the amount of Xanax in blood which increases the chance of adverse side consequences. Xanax can increase zidovudine’s toxicity.

Xanax together with Fluoxetine may trigger psychomotor disorder, along with Clozapine and respiratory depression.

Xanax decreases the effects of Levodopa that requires increasing its dose in management of Parkinsonism.

Alcohol and Xanax

If you’re using Xanax and other medications, it is advised to quit drinking alcohol for various motives. In the first place alcohol and Xanax both enhance their effects on the body. This could cause a drastic decrease in blood pressure, a decrease in blood clotting and worsening cerebral circulation, aswell with vomiting, chills or bleeding, or even the beginning of a heart attack, coma or even death.

Side effects

Xanax could cause these adverse reactions in different organs and systems

Central nervous system (usually begin at the beginning of treatment but completely disappear within a certain period of duration):

  • Drowsiness;
  • A feeling of fatigue;
  • The deterioration of concentration
  • Memory impairment
  • Instability of motor and mental motor responses;
  • Euphoria;
  • Depression;
  • A depressed mood
  • Confusion;
  • Dizziness;
  • Headache;
  • Disorientation;
  • Ataxia (impaired motion);
  • A shaky gait.
  • Tremor;
  • A lack of coordination
  • Movements that are not controlled;
  • Insufficiency of muscles;
  • Dysarthria;
  • Paradoxical responses (outbursts of anger, agitation and fear suicidal thoughts and confusion. spasms, hallucinations sleepiness).

In the digestive tract

  • Dry mouth;
  • Salivation;
  • Heartburn;
  • Nausea;
  • Vomiting;
  • The loss of appetite can progress to anorexia
  • Dyspepsia (flatulence and bloating; feeling of stomach heaviness and so on. );
  • Constipation;
  • Diarrhea;
  • Liver dysfunction;
  • An increase in the activity in ALT, AST, and alkaline-phosphatase
  • Disorders of the blood system:
  • Anemia;
  • Leukopenia (decrease in the overall amount of leukocytes present in blood to levels below the normal);
  • Neutropenia (decrease in the number of neutrophils found in the blood to levels below that of normal);
  • Thymbocytopenia (decrease in the total amount of platelets present in blood, which is below that of normal);
  • Agranulocytosis: there is no basophils, neutrophils and eosinophils found in the blood. This can be accompanied by chills and a rise in body temperature. headache, sore throat and fatigue.

Urinary system disorder:

  • Incontinence in the urinary tract;
  • Retention of urine;
  • The condition of the kidneys;
  • Variation in the libido (increase or decline);
  • Dysmenorrhea (menstrual irregularities).
  • Conditions of the cardiovascular system:
  • Reduced blood pressure
  • Tachycardia.

Allergies:

  • The skin rashes
  • Itching.
  • Others:
  • Loss or gain in weight;
  • Addiction (benzodiazepine dependence);
  • Visual impairment (double vision);
  • Acute withdrawal symptoms that require a drastic diminution in dose.

Contraindications for use

Xanax is not recommended in conjunction with the following conditions or illnesses on a person’s body:

  • Coma;
  • Shock;
  • Myasthenia (muscle weakness);
  • Closed-angle glaucoma;
  • The poisoning can be caused by alcohol, opiate drug, sleeping pills or neuroleptics
  • Chronic obstructive airway disorder (e.g., COPD, the bronchitis etc.) that manifests as respiratory impairment;
  • Respiratory failure with acute symptoms;
  • Severe depression;
  • The breastfeeding and pregnancies;
  • Age less than 18 years old;
  • Allergic reactions or hypersensitivity to any drug of the benzodiazepine class.

These conditions constitute absolute contraindications because, with them this drug can’t be taken under any conditions.

Alongside the absolute contraindications to taking Xanax in addition to absolute contraindications, there are also certain contraindications that are related to the use of Xanax with caution, and in the case of which it may be taken but with caution. Xanax is to be handled at a minimum with caution when it comes to these conditions:

  • A failure of the liver
  • Chronic renal failure
  • Ataxia;
  • Previous drug dependence;
  • A tendency to misuse various drugs which affect the nervous system of central nerves
  • Hyperkinesis;
  • Brain disorders that are organic;
  • Psychoses;
  • Hypoproteinemia (low levels of total protein found in blood);
  • Apnea in the sleep;
  • Ageing.

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Xanax (Alprazolam)

Xanax is an active psychoactive medication belonging to the class of benzodiazepine. Xanax is an antianxiety drug that acts in a very short time. drug that rapidly eliminates signs of anxiety or alertness like those that are caused by agoraphobia.

The FDA has approved indications of Xanax

Xanax can be used to treat moderate to extreme anxiety, or alertness that is caused by depression attacks in adults.

Some indications to Xanax usage include a variety of anxiety disorders, such as:

Benzodiazepine is Xanax, a drug that helps eliminate signs of anxiety disorders, like dizziness, sensation of loss of control, a temporary losing consciousness extreme shaking, inexplicably shaken and breathing difficulties and chest pain and numbness or tingling, chills or hot flushes, nausea or abdominal pain.

The greatest antianxiety benefit can be obtained within 60 – 120 minutes following the oral administration of Xanax tablets. Xanax tablets are a source of the active ingredient Alprazolam The average half-life is 13.5 hours.

Benzodiazepine Xanax assists in reducing anxious attacks swiftly, which allows you to tackle everyday issues. An optimal antianxiety result is obtained in 7 days following the commencement of Xanax-therapy.

Xanax dose to treat safely of mental problems

The duration of Xanax tablets ought to be as minimal as it is. If you have not taken daily doses of Xanax tablets for 28 days, any subsequent treatment must be considered.

The antianxiety reaction is to be analyzed during Xanax-therapy along with a periodic change of daily dose. Utilization of Xanax tablets consisting of 0.25 mg 0.5 mg, 1, mg and 2 mg permits titrating dosage to achieve optimal anxiety-reducing effect.

Continuous Xanax use should not be more than three months. The duration of this period should be a gradual increase and reduction of daily Xanax dose.

The doses recommended by Xanax must be consumed regularly. When beginning anxiety therapy, Xanax ranging from 0.25-0.5mg is recommended to be taken in a three-times-a-day dose.

The first single Xanax dosage of 0.25-0.5mg is to be increased gradually according to the following guidelines:

  • The dosage is recommended to be increased at least once every 3 days.
  • The amount of difference between the first and next dosage should not exceed 1 mg of Xanax
  • The dose for the day can be increased up to 4 mg Xanax maximal
  • A dose of more than 4mg of Xanax may be permitted when there is a lack of an antianxiety reaction

Xanax tablets must be consumed in the time it’s prescribed to treat. In the event of abrupt discontinuation of treatment with Xanax, it could cause withdrawal symptoms.

When you reach the end of Xanax therapy, the daily dose should gradually be reduced. It is suggested to decrease the dose daily by 0.5 milligrams of Xanax each day for three consecutive days.

Possible side effects and Xanax misuse

Many side effects can be observed at the start of an the treatment for anxiety or as you increase the dosage that is taken daily of Xanax.

Xanax can be described as a psychoactive medication Therefore, adverse effects could be triggered by the central nervous system, for example:

  • Sedation
  • Sleepiness that is excessive
  • Dizziness and headaches
  • Speech and coordination issues
  • Short-term memory loss, or even deterioration

When you take Xanax tablets, these negative effects could manifest along with gastrointestinal problems as well as body weight gain and loss, fatigue, lower sexual libido, weakness of muscles and pain in muscles and joints as well as itching and the feeling of breathing becoming short.

The withdrawal symptoms can manifest at abrupt reduction in daily dose or as soon as Xanax therapy has been completed. The symptoms of withdrawal syndrome are feelings of dissatisfaction or discomfort, increased sweating, fatigue and muscles cramps.

Xanax is classified as a benzodiazepine which means it can cause addiction to the antianxiety medication.

The chance of becoming addicted increases:

  • When more than 4mg Xanax daily are taken
  • People who are suffering from alcohol or another substance dependence
  • If the suggested duration for treatment for anxiety disorders is in excess

Alternative to traditional Xanax tablets

Treatment using Xanax can be effective as a monotherapy and when it is in combination with antidepressants and other medicines. The combination therapy for anxiety can prove more efficient than the single-therapy method.

Depending on the intensity and severity of the symptoms of anxiety disorder, Xanax tablets are recommended every day and include:

  • Occasionally
  • When as

In lieu the immediate-release Xanax tablets that contain 0.25 mg 0.5 mg, one mg, and 2 mg tablets longer release Xanax XR tablets with 0.5mg 1mg, 1mg and 2 mg and 3mg are available in addition.

These tablets must be consumed every day, and are better suited to those who suffer from anxiety disorders.

Individuals who currently take instant release tablets from Xanax might be able to switch towards Xanax XR tablets. After changing into Xanax XR tablets antianxiety response appears to be insufficient and the dosage for daily use is not sufficient, it could be raised.

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