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Alpramax (Alprazolam)

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Alpramax 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). Alpramax is mostly used to treat anxiety disorders, panic disorders, and nausea due to chemotherapy. Alpramax may also be indicated for the treatment of generalized anxiety disorder, as well as for the treatment of anxiety conditions with co-morbid depression. The FDA label advises that the physician should periodically reassess the usefulness of the drug.

Other names for this medication:
Alcalm, Alfresh, Alpram, Alpramax, Alpranex, Alprasert, Alprocontin, Alprogard, Alprop, Alprotame, Alsert, Alwe, Alzonex, Ansilumirm, Anxyl, Anzocalm, Aryalam, Axizox, Benzax, Berest, Depoxit, Deproz, Depten, Emcalm, Endolam, Ezoprax, Fluwel, Fluzolam, Hiprazole, Jolistar, Mentolift, Niravam, Nokzok, Omelam, Optizole, Ozolam, Pifzot, Serex, Sertamax, Somnia, Tenscure, Tranisol, Visram, Xanti, Xerodep, Zeprax, Zolent, Zopral, Zorest, Zotin

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Also known as: Alprazolam


Alpramax XR (alprazolam) is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Alprazolam affects chemicals in the brain that may become unbalanced and cause anxiety.

Alpramax XR is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

Alpramax XR may also be used for other purposes not listed in this medication guide.


Usual Adult Dose for Anxiety:

Immediate-release tablets: 0.25 to 0.5 mg orally administered 3 times a day -Maximum dose: 4 mg/day

Usual Adult Dose for Panic Disorder:

Immediate-release tablets: 0.5 mg orally administered 3 times a day -Maximum dose: 10 mg/day Extended-release tablets: -Initial dose: 0.5 to 1 mg orally once a day -Maintenance dose: 3 to 6 mg orally per day, preferably in the morning -Maximum dose: 10 mg/day Comments: -The lowest possible effective dose should be administered and the need for continued treatment reassessed frequently. -Dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage. -The daily dosage may be decreased by no more than 0.5 mg every 3 days; however, some patients may require an even slower dosage reduction. -The dose of extended-release tablets may be increased at intervals of 3 to 4 days in increments of no more than 1 mg per day. -The times of administration should be distributed as evenly as possible throughout the waking hours.

Usual Geriatric Dose for Anxiety:

Elderly or debilitated patients: Immediate-release tablets: 0.25 mg orally administered 2 or 3 times a day.

Usual Geriatric Dose for Panic Disorder:

Elderly or debilitated patients: Immediate-release tablets: -Initial dose: 0.25 mg orally administered 2 or 3 times a day Extended-release tablets: -Initial dose: 0.5 mg orally once a day Comments: -If side effects develop, the dose may be lowered. -The lowest possible effective dose should be administered and the need for continued treatment reassessed frequently. -Dosage should be reduced gradually when discontinuing therapy or when decreasing the daily dosage.

Detailed Alpramax dosage information


If you have been prescribed Alpramax for medical reasons, the best way to avoid a Alpramax overdose is to adhere to prescribed orders—closely monitor your dose and the time at which you take your medication. Track your Alpramax consumption in a notebook or on your phone. If you notice that you are taking a higher dose of the drug, taking the drug more often, or you want to consume more of the drug, talk with your doctor immediately.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

It is very important to protect the orally disintegrating tablets from moisture. Remove and throw away any cotton packaging from the medicine bottle when you first use the medicine.

Detailed Alpramax XR dosage information

Side effects

The most common side effects associated with Alpramax are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Appropriate studies have not been performed on the relationship of age to the effects of alprazolam in the pediatric population. Safety and efficacy have not been established.

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Our findings suggest that the use of volatile floral-based attractants and sugar mixtures that have been identified in the literature is not an effective lure by which to kill Ae. The aim of this study was to evaluate post-abdominoplasty cutaneous sensitivity of the neo-umbilicus using clinical, quantitative, and reproducible methods. Individual vulnerability appears to vary widely, and many patients demonstrate mental complications at cyclosporine levels that are in the moderate therapeutic range for immunosuppression. The study shows high levels of interobserver and intraobserver agreement of the C-EOS scheme. Despite extensive research, the ideal level of gastric acid inhibition in the treatment of peptic ulcer has not been established. Severe adenovirus infections have been reported in immunocompromised hosts especially bone marrow transplantation recipients due to hematologic malignancy. His mother noted that since the age of three, the child has been having two to seven day-long episodes of right upper eyelid swelling and edema with tenderness. Herein we review published data regarding the relationship between migraine and PFO and discuss the rationale, justification, and important factors to consider in the conduct of prospective, controlled, clinical trials designed to evaluate the efficacy and safety of percutaneous device closure of PFO for migraine prevention.

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A new bisbenzylisoquinoline alkaloid isolated from Thalictrum foliolosum, as a potent inhibitor of DNA topoisomerase IB of Leishmania donovani. The superior sagittal and straight sinuses, the internal cerebral veins, and the Galen vein were visualized in all the volunteers. Internal elements include the mission and goals, culture, relationships, structure, programs and services, resources, and outcomes of the program. A 6-year-old Quarter Horse was examined because of acute, severely swollen masseter muscles (palpation of which elicited pain response), exophthalmos, severe chemosis, and protrusion of the third eyelids. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. The phylogeny of the cruropedal extensor musculature, with special reference to the primates. The aim of this study was to evaluate all available evidence critically with comprehensive analysis to seek a more reliable answer regarding the effectiveness of TCS in the prevention of SSI. Kinetics of Rb Absorption by Excised Barley Roots under Changing Rb Concentrations. Culture of putative Langerhans cell bone marrow precursors: characterization of their phenotype. Intra-articular calcium phosphate cement: Its fate and impact on joint tissues in a rabbit model.

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Hippocampal morphology and cognitive functions in community-dwelling older people: the Lothian Birth Cohort 1936. The incidence of renal colic in the medical profession in the Wes of cotland. Therefore, the purpose of this prospective pilot study was to use actigraphy to examine the changes in sleep quality and quantity acutely following concussion at home rather than in a hospital or sleep laboratory. By close ultrasonic monitoring of the course of development, measurement of parameters of inflammation and administration of prophylactic antibiotics pregnancy could be prolonged by 9 weeks with good fetal outcome. Increased oxidative metabolism of (13C) glutamine in the neurons was favored by increased activity of the neuronal pyruvate recycling system in the 24-hour group. Prospective population-based registry study on all women giving birth in Sweden between 1973 and 1975 (284 598). Experience of ABO-incompatible living kidney transplantation after double filtration plasmapheresis.

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Cardiac responses were induced when oxytocin was reinjected into active intrathoracic ganglionic sites after whole body administration of hexamethonium (10 mg/kg IV), but not after local administration of timolol into the ganglia. We investigated the accuracy of estimating tablet counts when participants were asked to hold tablets in their fists and hands (semi-quantitative terms). Anti-BP180 mucous membrane pemphigoid associated with acquired haemophilia A in a patient who suffered from life-threatening mucosal bleeding. Later the lymphoma relapsed in the subcutaneous lesion and chemotherapy was performed again. Programs for the computation of dosage distribution in pendular irradiation using a 42-MeV-betatron. This study evaluates the efficacy and safety of interleukin-2 and induced killer cells on NSCLC, so as to provide references for further clinical practice and research. The decrease in BNP levels might be associated with early recovery of cardiac function and subsequent maintenance of sinus rhythm at follow-up.

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We describe the case of a patient with severe hypertensive left ventricular hypertrophy and sustained hemodynamically unstable ventricular tachycardia (VT). The combined application of urinary liquid-based cytology with fluorescence in situ hybridization and p16/Ki-67 dual immunostaining is valuable for improving the early diagnosis of upper tract urothelial carcinomas. Meningitis due to Ochrobactrum anthropi: an emerging nosocomial pathogen. The LI remained increased in the first 200 micron of the PDL in both the experimental and control wounds at all observation periods compared to similar zones on the unwounded lingual surfaces. The aim of the study is to attempt at providing a detailed definition of neurodevelopmental profile in AS, with particular regard to motor, cognitive, communicative, behavioural and neurovisual, features by using standardized instruments. Findings from the current study confirm LEs have both detrimental and beneficial impacts on health and well-being. In particular, all 21 eyes with abnormally slow rates of dark adaptation had high-risk fundi, and all 16 eyes with abnormal color matching (ie, a small effect of test area on the color match or rejection of all potential color matches) had high-risk fundi.

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Serum hepatitis specific antigen (SH) in commercial and volunteer sources of blood. Thalamic choline was highest in OCD patients, showing a significant difference with TD, and a trend compared to HC (post-hoc analyses). Mice inoculated with larvae developed an immune response faster than those inoculated with eggs. This retrospective preliminary review evaluated the efficacy and toxicity of fractionated proton radiotherapy in the management of pediatric craniopharyngioma. This study examines the association between geriatric screening and geriatric assessment (GA) and the risk of 30-day postoperative complications (30d-POCs) in older patients undergoing surgery for colorectal cancer (CRC). At the level of the counterion cloud around dissolved macroions, anomalous small-angle X-ray scattering measurements made on DNA indicate that divalent ions form a cylindrical sheath enveloping the chain, but they are not localized. Doppler echocardiographic assessment of prosthetic aortic valve function. To compare subjective, objective and safety performance of silicone hydrogel (SiHy) daily disposable (DD) with hydrogel (Hy) DD contact lenses.

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Associations with smoking and dietary factors were investigated. Resveratrol inhibits adventitial fibroblast proliferation and induces cell apoptosis through the SIRT1 pathway. However, the choroidal vessels on OCTA were depicted as white in the RPE atrophic area and black in the normal areas. The global control objective is to minimize the radiated sound power from a rectangular plate. In contrast, Escherichia coli, enterococci, or other species most often caused portal bacteremia only. Swi-Snf catalyzes remodeling of these nucleosomes in a mechanism involving histone acetylation that is poorly understood.

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Accelerated posttransplant coronary arteriosclerosis in combined heart-lung transplantation. The TPP also collected some pharmacogenetic implementation outcomes (scientific, educational, financial, and informatics), which may inform healthcare systems seeking to implement their own pharmacogenetic testing programs. Using random effects and Mantel-Haenszel models we estimated and compared demographic, illness course and psychopathology parameters, using pooled standard deviations as a measurement of heterogeneity. Prolonged bleeding times in case of traumatic injuries represent the drawback of these medications, not only in major trauma, but also in superficial wounds. Identification and Characterization of Cercospora malayensis Causing Leaf Spot on Kenaf. Positive affect as a factor of resilience in the pain-negative affect relationship in patients with rheumatoid arthritis. By contrast, phosphatidylethanolamine (PE), sphingomyelin (SM), and the neutral lipid cholesterol (CH) augment the lymphoproliferative response in serum-free medium. The most developed and organized lamina running trough the biceps brachii muscle belly forms a well-marked tendinous intersection connecting the proximal tendon with the distal one. The clinical features of a patient with an intra-abdominal cystic mass do not lead to a specific diagnosis.

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THE INFLUENCE OF BORON ON THE CHEMICAL COMPOSITION AND GROWTH OF THE TOMATO PLANT. Well-defined amidoborane complexes of group 2 metals are now available by a variety of solution-phase routes, which has allowed a more detailed analysis of this functional group, which was previously largely confined to solid-state materials chemistry. Thermal changes in the pulp chamber during the removal of amalgam restorations. The origin of enteric ganglia: a critical review and discussion of the present state of the problem. Nucleic Acid Metabolism during Greening and Unrolling of Barley Leaf Segments. Modelling the evolution of transcription factor binding preferences in complex eukaryotes.

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Denaturation of defatted human albumin monomer, monitored by differential scanning calorimetry, is monophasic as reflected by the single, resulting endotherm. Timing of Gestational Weight Gain on Fetal Growth and Infant Size at Birth in Vietnam. Sedentary daily expenditure: a base for estimating individual energy requirements. Surgical therapy of nodular chondrodermatitis of the helix of the ear. Maximal blockade induced by SCC was significantly less in VB 20 group than that in other pretreatment and control groups. Statistical evaluation of the distribution of the Rh system in the province of Padua. Of the infected wounds that were cultured, methicillin-resistant Staphylococcus aureus was not isolated as a pathogen.

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Such impairments are not adequately measured in most clinical pain management settings yet could be a key influence on everyday functioning. Little is known about electroconvulsive therapy (ECT) use in the treatment of schizophrenia in China. Peripheral tumors were treated to 54 Gy in 3 fractions and central tumors to 50 Gy in 5 fractions. Reproductive hormones in breast cancer bone metastasis: The role of inhibins. We argue that current quantitative methodology (1) inherits these categorical assumptions, (2) allows only for the discovery of average treatment response, (3) relies on composite outcome measures and (4) sacrifices valuable predictive information for stratified and personalised treatment in psychiatry. The glnHPQ operon of Escherichia coli encodes components of the high-affinity glutamine transport system. Some preliminary results are reported for bulk polymerization of MMA and a correlation developed for the stirrer power, which can be used for soft sensing.

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Pretransplant ST2 and BAFF appeared to be predictors for survival after HSCT. Platelet transfusions in cancer patients with hypoproliferative thrombocytopenia in the intensive care unit. North Carolina macular dystrophy (MCDR1) caused by a novel tandem duplication of the PRDM13 gene. Management guidelines are difficult to establish due to the rarity of such tumors, but inguinal orchiectomy with careful follow up appears to be sufficient treatment. Genetic factors shared with neuroticism accounted for between one-third and one-half of the genetic risk across the internalizing disorders.

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Effect of deficiency of pantothenic acid and pyridoxine on the function of the central nervous system and its response to coumarin from Melilotus officinalis. Whereas low serum albumin, iron and magnesium indicated a high OR for cancer, vitamin C and beta-carotene had the opposite implication. Convergence nystagmus associated with Arnold-Chiari malformation. This causes acceleration of compensatory liver growth, enabling faster and more extensive tumor removal. Primary OA osteoblast-like cells also expressed higher alkaline phosphatase activity and osteocalcin release than phenergan dog dosage normal cells, both under basal conditions and with 1,25(OH)2D3 (1,25-dihydroxyvitamin D) stimulation.

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Using cross-sectional data from the 2004 Nunavik Inuit Health Survey and multilevel regression modelling, we estimated associations between these two outcomes and various independent individual- and community-level explanatory factors among Inuit youth. Those so-called anti-estrogenic compounds tended to inhibit E2-E2R and E3-E3R bindings equally. The evaluation on late reconstruction of electrical burn zyrtec mg of the forearm. How can the prognosis of acute mesenteric artery ischemia be improved?. Corticotrophin-releasing hormone is able to stimulate copeptin release in healthy controls suggesting a direct interaction of corticotrophin-releasing hormone and vasopressin/vasopressin.

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Non-occlusive disease--ultrasound diagnosis and trend analysis as a treatment guideline. Doppler assessment of pulmonary artery pressure and extrapulmonary shunting in the acute phase of hyaline membrane disease. TEN moderates the acute phase response, and improves disease severity and clinical outcome despite unchanged pancreatic injury on CT scan. Formal ultrasonography by a radiologist may encourage less computerized tomography preoperatively. Biosynthesis of lipid-linked oligosaccharides by microsomes from virus induced Hepatoma MC-29. aegypti ( cozaar dosage maximum nulliparous and gravid) in free-flight attraction assays.

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The effect of methylthiouracil on the uptake of 131I-triiodothyronine by the red cells: a test for thyrotoxicosis. We also experimentally study N-fold multicasting of a 20 Gbit/s quadrature phase-shift keying signal from a single Gaussian mode to multiple Bessel modes and measure the link performance. Comparative analysis showed that, although highly tissue-specific genes tend to exhibit similar expression profiles in human and mouse, there are significant exceptions, indicating that orthologous genes, while sharing basic genomic properties, could result in distinct phenotypes. Conditions for the metathesis of alkenes in the convergent synthesis of HDAC inhibitors have been improved by continuous catalyst flow injection in the reaction media. For this first update, two reviewers independently scrutinized the results of the search to identify relevant RCTs and obtained full reports of potentially eligible studies.

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