Anxiety and neuroses, accompanied by anxiety, danger, tension, loss of sleep, irritability, and somatic disorders; mixed anxiety-depressive states; – neurotic reactive depression accompanied by depressed mood, loss of interest in his surroundings, anxiety, loss of sleep, loss of appetite, somatic disorders; – anxiety, mixed anxiety-depression and neurotic depression, developed in the background of somatic diseases.
The dose is picked individually and corrected during the treatment process depending on the obtained results. The dose can be increased with care, at first it should be done in daytime and then – during the evening reception.
It is recommended to order Xanax online and use the minimum effective dose. The initial dose for adults in states of worry and anxiety is 0.25-0.5 mg 3 times per day, average maintenance dose – 0.5-4 mg/day in divided doses. If a patient suffers from depression, them the initial dose is 0.5 mg 3 times per day; if necessary, the dose can be gradually increased to 1-4 mg/day.
If you are elderly or debilitated patients, you should use the lower dose: initial dose of 0.25 mg 2-3 times per day, if necessary, it can be gradually increased to 0.5-0.75 mg/day. The cancellation or reduction of the dose of Xanax should be done gradually, reducing the daily dose by no more than 0.5 mg in 3 days; sometimes it needs even a slower cancel.
CNS and sensory organs: the most frequent side effects are drowsiness and dizziness. Rare reactions are blurred vision, headache, depression, nervousness, tremor, impaired memory and coordination. There were described such reactions as agitation, difficulty with concentrating, irritability, anorexia, blurred speech. There are reports of increased intraocular pressure.
Gastrointestinal tract and liver: nausea, vomiting; cases of jaundice, increase transaminases in liver. Urinary system: delay or urinary incontinence.
Other: weight changes, different manifestations of the autonomic nervous system, disorders of libido, irregular menstrual cycle.
Hypersensitivity to derivatives of benzodiazepine
Xanax should be prescribed with caution to patients with impaired functions of liver and/or kidneys, acute respiratory failure and acute attack of glaucoma.
Cheap Xanax should not be used by patients who buy Xanax online with depression with psychomotor retardation, as well as in bipolar depression and the presence of psychotic symptoms. The use of the drug by individuals with severe depression and/or suicidal tendencies requires constant attention and minimum initial doses.
Particular caution should be observed in the appointment of Xanax alprazolam to patients, who are prone to drug abuse, due to their tendency toward addiction or dependence.
The therapy of patients, who have not previously received psychotropic drugs, should start with lower dosages than in case of individuals who have earlier consumed antidepressants and tranquilizers, and chronic alcoholics.
While taking Xanax without prescription you should refrain from driving vehicles or work with machinery until it is established that its reception does not cause drowsiness or dizziness.
The rapid dose reduction or abrupt withdrawal of the drug can lead to a withdrawal syndrome. Its manifestations can range from small dysphoria and insomnia to severe syndrome with spasms in the stomach and skeletal muscles, vomiting, sweating, tremor and convulsions.
These symptoms are more common to patients who have long taken high doses of the drug, however, there were described cases of development of a withdrawal syndrome after abrupt discontinuation of high therapeutic doses.
The safety of use of Xanax alprazolam during pregnancy, lactation, by children and adolescents under the age of 18 years, was not installed.
An overdose of generic Xanax can be manifested by ataxia and lethargy. In such cases, you should induce vomiting and perform gastric lavage. It is important to monitor indicators of central hemodynamics and breathing.
It is effective to perform intravenous injection of large amount of fluid. If necessary, you mat perform artificial respiration, intravenous injection of levarterenol. There is evidence of low efficiency of forced diuresis and hemodialysis.
Interaction with other medicinal products
Concurrent use with psychotropic, anticonvulsant, antihistamines and ethanol enhance the inhibitory effect of Xanax on the CNS. There are reports that the concentrations of imipramine and desipramine in plasma are increased by an average of 31% and 20% respectively while the use of Xanax. Clearance of the drug is decreased with simultaneous use of blockers of H2-histamine receptors and antibiotics from the macrolides.