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Alprazolam (Xanax, Xanor) - Contraindications

Abstract: Who should not take alprazolam?

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Alprazolam (Xanax, Xanor) - Contraindications

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Question(s): 
Written by: Petros Skapinakis, MD, MPH, PhD, lecturer of Psychiatry in the University of Ioannina Medical School, Greece. Eva Gerasi, postgraduate student in the Department of Psychiatry, University Hospital of Ioannina, Greece.
First version: 22 Jul 2008.
Latest revision: 28 Jul 2008.

Who should not take Alprazolam?

Answer:

  • Patients who have narrow-angle glaucoma should not take Alprazolam. It may worsen this condition.
  • Before taking this medication, the patient should tell his/her doctor if he/she
    • has kidney disease;
    • has liver disease;
    • has asthma, bronchitis, emphysema, or another respiratory disease; or
    • is depressed or has suicidal thoughts.
    They may not be able to take Alprazolam, or they may require a dosage adjustment or special monitoring during treatment in such conditions.
  • Alprazolam is known to harm an unborn baby. Patients should not take this medication without first talking to their doctor about pregnancy.
  • It is not known whether Alprazolam passes into breast milk. Patients should not take this medication without first talking to their doctor if they are breast-feeding a baby.
  • If patients are over 65 years of age, they may be more likely to experience side effects from Alprazolam and may require a lower dose of this medication.
  • Alprazolam is not approved for use by children younger than 18 years of age.
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