Zopax

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Zopax. Drug and Patient Information. Dosage. Overdose. Generic or Brand Zopax. For Professionals and Consumers.

Brand name: Zopax

Generic name: Alprazolam

 Alprazolam

Zopax anxiety pills

Zopax is a tranquilizer used in the short-term relief of symptoms of anxiety or the treatment of anxiety disorders. Anxiety disorder is marked by unrealistic worry or excessive fears and concerns. Anxiety associated with depression is also responsive to Zopax.

Zopax and the extended-release formulation, Zopax XR, are also used in the treatment of panic disorder, which appears as unexpected panic attacks and may be accompanied by a fear of open or public places called agoraphobia. Only your doctor can diagnose panic disorder and best advise you about treatment.

Some doctors prescribe Zopax to treat alcohol withdrawal, fear of open spaces and strangers, depression, irritable bowel syndrome, and premenstrual syndrome.

Most important fact about Zopax

Tolerance and dependence can occur with the use of Zopax. You may experience withdrawal symptoms if you suddenly stop using the drug or reduce the dosage too quickly. Withdrawal symptoms are listed under “What side effects may occur?” The drug dosage should be gradually reduced and only your doctor should advise you on how to discontinue or change your dose.

How should you take Zopax

Zopax may be taken with or without food. Take it exactly as prescribed. Do not chew, crush, or break the Zopax XR pills.

If you miss a dose of Zopax

If you are less than 1 hour late, take it as soon as you remember. Otherwise skip the dose and go back to your regular schedule. Never take 2 doses at the same time.

Storage instructions for Zopax

Store Zopax at room temperature.

What side effects may occur when taking Zopax

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 Zopax 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 Zopax anxiety pills may include:

Decreased libido, drowsiness, fatigue, impaired coordination, memory impairment, speech difficulties, weight changes

Side effects of Zopax XR anxiety pills 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 Zopax or Zopax 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 Zopax anxiety pills not be prescribed?

If you are sensitive to or have ever had an allergic reaction to Zopax or other tranquilizers, you should not take Zopax. Also avoid Zopax while taking the antifungal drugs Sporanox or Nizoral. Make sure that your doctor is aware of any drug reactions that you have experienced.

Do not take Zopax 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 Zopax. Discuss your symptoms thoroughly with your doctor.

Special warnings about Zopax

Zopax 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 Zopax than for anxiety alone. High doses more than 4 milligrams a day of Zopax 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 Zopax could encourage suicidal thoughts or episodes of euphoria known as mania. If you notice any new or unusual symptoms after starting Zopax, call your doctor immediately.

Side effects of Zopax anxiety pills may include

Decreased libido, drowsiness, fatigue, impaired coordination, memory impairment, speech difficulties, weight changes

Side effects of Zopax XR anxiety pills 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 Zopax or Zopax 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 Zopax anxiety pills not be prescribed?

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 Zopax while taking the antifungal drugs Sporanox or Nizoral. Make sure that your doctor is aware of any drug reactions that you have experienced.

Do not take Zopax 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 Zopax. Discuss your symptoms thoroughly with your doctor.

Special warnings about Zopax

Zopax 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 Zopax than for anxiety alone. High doses more than 4 milligrams a day of Zopax taken for long intervals may cause emotional and physical dependence. It is important that your doctor supervise you carefully when you are using Zopax.

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

Zopax 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.

Possible food and drug interactions when taking Zopax

Xanax may intensify the effect of alcohol. Do not drink alcohol while taking Zopax.
Never combine Zopax with Sporanox or Nizoral. These drugs cause a buildup of Zopax in the body.

If Zopax is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

It is important to check with your doctor before combining Zopax with the following:

Amiodarone (Cordarone)

Antihistamines such as Benadryl and Tavist

Carbamazepine (Tegretol)

Certain antibiotics such as Biaxin and erythromycin

Certain antidepressant drugs, including Elavil, Norpramin, and Tofranil

Cimetidine (Tagamet)

Cyclosporine (Neoral, Sandimmune)

Digoxin (Lanoxin)

Diltiazem (Cardizem)

Disulfiram (Antabuse)

Ergotamine

Fluoxetine (Prozac)

Fluvoxamine

Grapefruit juice

Isoniazid (Rifamate)

Major tranquilizers such as Mellaril and chlorpromazine

Nefazodone

Nicardipine (Cardene)

Nifedipine (Adalat, Procardia)

Oral contraceptives

Other central nervous system depressants such as Valium and Demerol

Paroxetine (Paxil)

Propoxyphene (Darvon)

Sertraline (Zoloft)

Special information if you are pregnant or breastfeeding when taking Zopax

Do not take Zopax if you are pregnant or planning to become pregnant. There is an increased risk of respiratory problems and muscular weakness in your baby. Infants may also experience withdrawal symptoms. Zopax may appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with Zopaxis finished.

Recommended dosages of Zopax

ADULTS

Anxiety disorder

The usual starting dose of Zopax is 0.25 to 0.5 milligram taken 3 times a day. The dose may be increased every 3 to 4 days to a maximum daily dose of 4 milligrams, divided into smaller doses.

Panic disorder

The usual starting dose of regular Zopax is 0.5 milligram 3 times a day. This dose can be increased by 1 milligram a day every 3 or 4 days. You may be given a dose from 1 up to a total of 10 milligrams, according to your needs. The typical dose is 5 to 6 milligrams a day.

If you’re taking Zopax XR, the usual starting dose is 0.5 to 1 milligram once a day taken in the morning. Depending on your response, the dose may be gradually increased by no more than 1 milligram every 3 or 4 days. The usual effective dose is 3 to 6 milligrams a day. Some people may need a larger dose to relieve their symptoms. Others, including older adults and those with liver disease or other serious illnesses, may need to use lower doses.

CHILDREN

Safety and effectiveness have not been established in children under 18 years of age.

OLDER ADULTS

The usual starting dose for an anxiety disorder is 0.25 milligram, 2 or 3 times daily. The starting dose of Zopax XR is 0.5 milligrams once a day. This dose may be gradually increased if needed and tolerated.

PATIENTS SWITCHING FROM Zopax TO Zopax XR

If you’re taking divided doses of Zopax, the doctor will switch you to a once-daily dose of Zopax XR that equals the current amount you’re taking. If your symptoms return after switching, the dose can be increased as needed.

Overdosage with Zopax

An overdose of Zopax, alone or after combining it with alcohol, can be fatal. If you suspect an overdose of Zopax, seek medical attention immediately.

Symptoms of Zopax anxiety pills overdose may include:

Confusion, coma, impaired coordination, sleepiness, slowed reaction time.