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Alpam (Alprazolam)
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Alpam

Alpam 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). Alpam is mostly used to treat anxiety disorders, panic disorders, and nausea due to chemotherapy. Alpam 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:
Aaram, Alprac, Alpracon, Alprogard, Alpronit, Alrif, Anxico, Apsolam, Berest, Cozac, Cqlam, Depoxit, Depten, Imprax, Nexlpra, Nokzok, Onapract, Procalm, Prozam, Resto, Rozin, Tagat, Tenlax, Tryzo, Zolent, Zoloid

Similar Products:
Glyburide, Prograf, Albenza, Rhinocort, Symmetrel, Valium, Plavix, Epivir, Glucophage, Zolpidox, Procaptan, Zopin, Resicon, Hydroxychloroquine, Metaglez,

Also known as: Alprazolam

Description

Alpam 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.

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

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

Dosage

Take this medication by mouth as directed by your doctor. Dosage is based on your medical condition, age, and response to treatment. Your dose may be gradually increased until the drug starts working well. Follow your doctor's instructions closely to reduce the risk of side effects.This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as seizures) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Report any withdrawal reactions immediately.Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs in the past. Take this medication exactly as prescribed to lessen the risk of addiction.When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.Tell your doctor if your condition persists or worsens.

Overdose

If you have been prescribed Alpam for medical reasons, the best way to avoid a Alpam overdose is to adhere to prescribed orders—closely monitor your dose and the time at which you take your medication. Track your Alpam 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.

Storage

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 Alpam XR dosage information

Side effects

The most common side effects associated with Alpam 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.

Contraindications

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug include: kava, sodium oxybate.Other medications can affect the removal of Alpam from your body, which may affect how Alpam works. Examples include azole antifungals (such as itraconazole, ketoconazole), cimetidine, certain anti-depressants (such as fluoxetine, fluvoxamine, nefazodone), drugs to treat HIV (delavirdine, protease inhibitors such as indinavir), macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John's wort, drugs used to treat seizures (such as carbamazepine, phenytoin), among others.Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (such as diphenhydramine), medicine for sleep or anxiety (such as diazepam, zolpidem), muscle relaxants, narcotic pain relievers (such as codeine), psychiatric medicines (such as chlorpromazine, risperidone, amitriptyline, trazodone).Check the labels on all your medicines (such as cough-and-cold products) because they may contain ingredients which cause drowsiness. Ask your pharmacist about the safe use of those products.Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking.

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Changes in the vascular network of the oral epithelium and reduced enamel epithelium during tooth eruption. 3D Woven-Like Carbon Micropattern Decorated with Silicon Nanoparticles for Use in Lithium-Ion Batteries. knowlesi CSP were investigated, focusing on the T-cell epitope regions at the C-terminal of the protein. The distribution of the HNK-1 epitope in the ciliary body does not appreciably change after cataract extraction, although the accommodative demand of the eye is altered. We report the case of an elderly man who developed colonic metastases from a head and neck primary and with treatment has survived disease free for over 6 years. Studies are ongoing that will help to identify optimal scheduling of quadrivalent meningococcal conjugate vaccines, to facilitate their inclusion into national immunization programs seeking extended serogroup coverage against meningococci. This study aims to clarify the incidence of Aurora kinase A (Aurora-A) protein expression and its correlation with clinical parameters in ovarian clear cell carcinoma (OCCC) tumor tissues. Endoglin/CD105 is a membrane protein involved in the TGF-beta receptor signalling pathway. This observation disagrees with the basic assumption of the cascade model that assign the depolarizing photoresponses of R/G C-type horizontal cells to a negative feedback pathway from L-type horizontal cells onto M-cones.

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Pre-coating the Pt with lipid and incorporation of the protein bovine serum albumin into the polymer matrix were found to improve the performance of the electrode. We demonstrate that moderate levels of these gene products are sufficient to protect peripheral blood cells from human or baboon complement. We reviewed the charts of 13 patients with a delayed non-expulsive suprachoroidal hemorrhage (DNSCH) after cataract extraction (3 patients), glaucoma filtering surgery (6 patients), penetrating keratoplasty (3 patients), or vitrectomy (1 patient). In in-vitro drug release assay, Cur was released from CN by flicking diffusion and anomalous transport process. Intravenous dexmedetomidine as an adjunct to subarachnoid block: A simple effective method of better perioperative efficacy. In our case, the delivery of two other fetuses occurred spontaneously at gestational age of 33 weeks after the delivery of the first fetus at week 20. lactofermentum together with the kanamycin-resistance gene from the transposon Tn5. Analysis of pleural gases could allow for better chest tube management following lung resection. Mitomycin C sensitivity was confirmed in an hMLH1-defective clone derived from Raji cells and in msh2-defective mouse embryo fibroblasts derived from knock-out mice.

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Sixteen patients submitted to elective coronary artery bypass grafting (CABG) surgery were randomized to either thoracic epidural analgesia combined with general anaesthesia (group I) or high-dose fentanyl anaesthesia (group II). Follicle-stimulating hormone is independently associated with lean mass but not BMD in younger postmenopausal women. Although it is shown in previous studies that few species of viruses can naturally infect zebrafish, the spring viraemia of carp virus (SVCV), a rhabdovirus that causes contagious acute hemorrhagic viraemia in a variety of cyprinid fishes, can infect zebrafish by both injection and static immersion methods in laboratory conditions. Design and rationale of TROCADERO: A TRial Of Caffeine to Alleviate DyspnEa Related to ticagrelOr. The effects of new synthetic lysine-derived anionic surfactants on human and rat erythrocytes were studied. Serial follow-up after optimized ultrasound-guided deployment of Palmaz-Schatz stents.

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The purified populations were supplemented with gamma-irradiated unseparated autologous mononuclear cells to restore helper-functions and stimulated with pokeweed mitogen (PWM) and phytohemagglutinin (PHA), respectively. However, the relationship between gabapentin and postoperative pain after open hysterectomy is still controversial. Though a longer follow-up is needed to evaluate its effectiveness in long-term tumor control, the surgical maneuver using the side-viewing endoscope is effective for removing laterally extended clival chordomas. Presently, existing evidence only comes from retrospective data and non-randomized trials. Gene therapy is a promising strategy to modify ischemia-reperfusion injury and rejection after transplantation.

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Plasticity of protective mechanisms only partially explains interactive effects of temperature and UVR on upper thermal limits. To explore the anti-nociceptive effect of patchouli alcohol (PA), the essential oil isolated from Pogostemon cablin (Blanco) Bent, and determine the mechanism in molecular levels. Age, sex, hematological malignancy and its treatment, existence of neutropenia and hypogammaglobulinemia, administration of immunosuppressive agents, type (hospital or community-acquired) and localization of pneumonia, presence of respiratory failure and treatment response were reported. Retinoic acid suppresses interleukin 6 production in normal human osteoblasts. Hormonal response to lipid and carbohydrate meals during the acute postprandial period. Compressed sensing (CS) method has shown great potential to reconstruct high-quality CT images from sparse-view projection data. PCR products were quantified by means of densitometric analysis after ethidium bromide staining of gels. Further studies using similar antidepressants may be helpful to clarify this discrepancy. In addition, the potential use of the basal levels (with their differences in post-mitotic and mitotic tissues), the inducible levels, as well as the extracellular levels of Hsp70 as possible biomarkers of the rate of aging and lifespan, have also been discussed.

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A new type of filter for charged particle radiotherapy is developed to reduce unwanted dose transfer to the normal tissues around a tumor. These results suggest that the arterial endothelial identity is established even before the onset of blood flow and implicate the grl gene in assignment of vessel-specific cell fate. Function of cytomegalovirus-encoded homologues of G protein-coupled receptors, MHC class I heavy chains and chemokines. An analysis of affected sibling pairs and trios revealed significant linkage between HLA and RA (p less than 0.05). The der(19) chromosome comprises the 19p13.1----q13.2 segment, as well as the distal (Xq24----qter) portion of the X chromosome long arm, and is stably retained by HAT selection.

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Bias-dependent action spectra and modeling implicate the antisymmetric stretch vibration of Sc3N cluster as the gateway for energy transfer from the tunneling electrons into the cluster rotation. The prenatal growth of the macaque craniofacial skeleton is described using lateral radiographs of 82 fetal and 25 neonatal Macaca nemestrina whose known gestational ages range from 50 to 186 days. Even if CEA are expensive, such engraftment rates and survival ratio results make them an excellent alternative wound covering method for EBC when donor sites for widely meshed autografts are exhausted. We then determined the contribution of several potential contact residues of D1.3 in the interaction with lysozyme, by assaying the effect of site-directed mutations on the kinetics of association and dissociation of the complex between Fv-MalE and immobilized lysozyme, using the BIAcore apparatus. RTs were obtained to the reversal of a progressively dimmer check falling either on the central, nasal, temporal, superior or inferior retina. Activity patterns and synaptic organization of ventrally located interneurons in the embryonic chick spinal cord. Here, we investigated in vitro structural and functional features of satellite cell-derived myoblasts from biceps brachii, in the attempt to investigate cell senescence indices in DM2 patients by ultrastructural cytochemistry. A guideline based on crossing a threshold CEL count above baseline may be valuable in monitoring patient safety.

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Demonstrable savings in sickness incapacity benefits were evident by following CSAG recommendations. Measuring stenosis length more precisely using 3D CT reconstructions is not of help. (2) To assess the correlation between maternal dietary intake and the weight of newborn. Strong recommendations regarding when to initiate IBD specific therapy in those with CDI are precluded by a lack of evidence. To better understand the mechanism of restriction, we conducted yeast-two hybrid screens to identify proteins that bind to two TRIM5 orthologues. In respect of the pathophysiological basis of the thalamic modified nocifensic reflex response, we are inclined to believe that painful stimulation evokes an accentuated flexor reaction if the thalamic-controlled influences are omitted by a lesion of the specific nuclei. Their episodes were also characterized by more intense clinical manifestations. Sirt5 is a NAD-dependent protein lysine demalonylase and desuccinylase. TOF is the leading cause of intracardiac right to left shunt and is the commonest type of cyanotic congenital heart disease to cause a brain abscess. The most common side effect of ACE inhibitors, dry cough, does not occur with AT1 antagonists, which confirms the long-held view that this untoward effect of the ACE inhibitors is due to renin-angiotensin-independent mechanisms.

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The clinical features, magnetic resonance imaging (MRI) findings, and follow-up of these patients are described. These networks consisted of approximately 600 grains separated by a highly connected network of channels with an overall porosity of 0.11-0.20. A bacteriological and histopathological study of apparently normal skin in lepromatous leprosy. However, we should be aware of that it may cause aortic rupture even in the absence of aneurysmal dilatation. Digital fracture polypectomy for juvenile rectal polyps is safe. This threshold is lower when (i) offspring get satiated more quickly, (ii) the cost of provisioning to the parent escalates less rapidly, or (iii) the variation in offspring need is higher. Biochemical and pharmacological characterization of CGS 12066B, a selective serotonin-1B agonist. The involvement of the CRF systems in a variety of both CNS and peripheral disease states has stimulated great interest in this peptide as a potential site of therapeutic intervention. Our mechanistic study showed that rhEPO administration increased phosphorylation of JAK2, STAT3 and VEGF expression in human umbilical vein endothelial cells (HUVECs) in vitro and in MMQ cell xenografts in vivo.

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This article reviews the rationale for atrial pacing as a treatment for AF and the results of recent studies evaluating atrial pacing for prevention of AF. The thickness of the chest wall at the site of penetration was then measured for each entry position. Anthracyclines are commonly used chemotherapeutic agents with proven efficacy in such malignancies as breast cancer, Hodgkin and non-Hodgkin lymphomas. Recent research focusing on the cross-talk and coupling mechanisms associated with the sequential recruitment of osteoblasts to areas where osteoclasts have removed bone matrix have identified a number of osteogenic factors produced by the osteoclasts themselves. Re-examination of some species of the genus Geotrichum Link: Fr. Our interpretation of whether a reported behavioral effect indicates that microwaves may be hazardous depends on our having a complete description of the experiment and on our criteria of behavioral toxicity. LncRNA microarray revealed that lncRNA ODRUL was the most up-regulated expressed in the doxorubicin-resistant OS cell line.

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The healthy subjects received an FDC tablet of rosuvastatin 20 mg/ezetimibe 10 mg (test) or co-administration of rosuvastatin 20 mg and ezetimibe 10 mg (reference) in each period (periods 1 and 2), with a 14-day washout period. The visits consisted of 15min of sedentary viewing, and 30min of walking. This silver staining method is used for DNA sequence analysis of human cilliary neurotrophic factor (hCNTF) gene. A 4-year-old girl presented with one year history of erythematous-edematous and erythematous-bullous eruptions on the genitalia, periocular regions, dorsal and palmo-plantar surfaces. Estimating total genic diversity: problems with the method of Bonhomme and Selander.

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Reliability and validity of the Turkish version of the pediatric sleep questionnaire: a tool for prediction of sleep related breathing disorder. The changes in cerebral hemodynamics using the algorithm of the complex ultrasound study of cerebral vascular system were assessed. Vitamin D receptor gene polymorphisms: analysis of ligand binding and hormone responsiveness in cultured skin fibroblasts. Incidence of inflammatory joint diseases in Finland: results from a bactrim suspension costo population-based epidemiological study. It is concluded that active collection systems using secondary health data provide the optimal resource for canine health surveillance. The dominance of the biomedically informed view of disability, genetics, and diagnosis is explored. Specifically, the large curvature and planarity of the vessel were found to increase the risk for stenoses, because they tend to lower WSS and elevate OSI.

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After completion of the NDI, patients who were surgically treated for cervical single level degenerative disease were asked to complete a five-item Likert scale to rate their clinical situation. A Novel Geriatric Screening Tool in Older Patients with Cancer: The Korean Cancer Study Group Geriatric Score (KG)-7. Of 21 moduretic 5 mg 50 mg compresse patients with a mild lupus nephritis by light microscopy, progression to a diffuse proliferative lesion was seen in only those patients who had subendothelial deposits. Effect of the Kobe earthquake on stress and glycemic control in patients with diabetes mellitus. Demography, economic and social aids, sanitary and social institutions. Biliverdin Reductase A (BVRA) Mediates Macrophage Expression of Interleukin-10 in Injured Kidney. The new heads and cups were manufactured from CoCrMo alloy with careful attention being paid to sphericity and surface finish of both components. The genetic properties of the isolates appear to vary between inland farms producing juveniles and food fish farms in the coastal region: the inland farms harboured genogroup 2 isolates, whereas at coastal farms, all three genogroups were detected.

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We report a patient with abnormal diffusion tensor imaging (DTI) and tractography of the corticospinal tract caused by mass effect from adjacent enlarged Virchow-Robin spaces. Effects of dietary calcium and phosphorus levels upon the physiological behavior of calcium and pyridium pain medicine phosphorus in the rat. Evaluation of Neisseria gonorrhoeae multiple-locus variable-number tandem-repeat analysis, N. Androgens also alter intracellular glutathione levels and the activity of certain detoxification enzymes, such as gamma-glutamyl transpeptidase, that are important for maintenance of the cellular prooxidant-antioxidant balance. Since the cross-reacting Ab are non-anaphylactogenic, there is no evidence that TTd immunization may contribute to the pathogenesis of CIU. The self-assembly of an amphiphilic 2,7-linked pyrene trimer in an aqueous environment into two morphologically related forms is described. Upregulation of cortactin expression during the maturation of megakaryocytes. The mechanisms behind the sub-exponential growth dynamics of the West Africa Ebola virus disease epidemic could be related to improved control of the epidemic and the result of reduced disease transmission in spatially constrained contact structures. The results are then analysed in terms of number of tandem repeats detected and the length of their patterns.

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Studies on antigenic composition of nonpathogenic staphylococci. Structural Basis of Neuronal Nitric-oxide Synthase Interaction with Dystrophin Repeats 16 and 17. Various methods of sample preparation were used to study the cellular ultrastructure with an atomic force microscope (AFM). Sensitivity and perspective in the valuation of health status: whose values count?. The mutants, K132E, K132G, K132Q, K132R, and K132V were characterized in vivo for respiratory growth and in vitro for ubiquinone reduction, enzyme can i take any other allergy medicine with claritin stability, and cytochrome b562 assembly. The clinical series comprises 16 cases up to now and no complications occurred so far. The duration and type of patient care affect hand contamination. Relatives were more aware, more distressed, and often concerned to protect patients from full awareness, which made it difficult to explore with patients directly the possible trade off between quality and length of life. In recent years, unmanned aerial vehicles (UAVs) have gained significant attention. With goats and dwarf pigs two experiments were made with semi-synthetic rations.

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A total of 670 patients were screened for distal symmetric HIV-associated polyneuropathy during CDC stages 1-3 and its correlation to immunological deterioration. Design and chemoenzymatic synthesis of thiooligosaccharide inhibitors of 1,3:1,4-beta-D-glucanases. The GSI spectra of natural bacterial populations in water with various levels of eutrophication showed a distinct profile, suggesting possible staining specificity that indicates the presence of a particular bacterial population in the aquatic environment. Octreotide LAR was most effective over the first 12 months of treatment. In part II we will report on our investigations of the time dependent behaviour, i.e. The nfxl2-1 mutant displayed reduced stomatal aperture under all conditions tested. Reassuring Birth Outcomes With Tenofovir/Emtricitabine/Efavirenz Used for Prevention of Mother-to-Child Transmission of HIV in Botswana. These molybdenum containing enzymes can reduce a variety of N-hydroxylated compounds, such as N-hydroxy-guanidines and sulfohydroxamic acids, as well as convert nitrite into nitric oxide (NO). Structure and transport properties of polymer grafted nanoparticles. By means of Kelvin force probe microscopy (KFM), enhancement of the surface potential was detected at exactly the same location as topographically detected gold particles.

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The aim of this study was to prospectively evaluate the repeatability of non-contrast-enhanced lower-extremity magnetic resonance angiography using the flow-spoiled fresh blood imaging (FS-FBI). The antibody was used to localize the intracellular distribution of activated calpains in infarcted regions of the human heart. Factors predicting hospitalization after operative treatment for gastric carcinoma in patients older than 70 years. To determine the effectiveness of antiplatelet agents in reducing mortality (all cause and cardiovascular) and cardiovascular events in patients with intermittent claudication. During the single-stage approach, HDTS achieved less error in lateral and longitudinal position offset from the landing point and lower RMSE in heading. This panel agreed upon six descriptive attributes for odour: sweet, chemical, stale, dusty, foul and floor-cloth. Hard tissue barrier formation in pulpotomized monkey teeth capped with cyanoacrylate or calcium hydroxide for 10 and 60 minutes. For comparison, the growth was studied also on ZrO2 films and SiO2/Si surfaces. Among clinical studies used to support FDA approval of high-risk medical device modifications, fewer than half were randomized, blinded, or controlled, and most primary outcomes were based on surrogate end points.

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Clopidogrel significantly inhibited shear-induced platelet activation and coagulation 2 h after administration at doses of 7.5 and 15 mg/kg. Refocusing shows that these components are not artifacts of the electrofocusing technique. Different research groups have identified microorganisms on breast implants by sonication with significant correlation to the rate of capsular contracture. Alfalfa nodules elicited by a nodD1 mutant appeared 5-6 days after wild-type nodules, and sweet clover nodules elicited by a nodD1 mutant appeared 2-3 days after wild-type nodules. Previous results suggested that the monkey represents the most appropriate animal model for studying the physiologic relevance of steroid UGTs. Here, we report that TBP protein levels are tightly regulated by the ubiquitin-proteasome system. Drugs acting on dopaminergic receptors such as neuroleptics and apomorphine, were shown to increase and diminish the striatal signal, respectively. By contrast GFR did not fall and thickening of the glomerular basement membrane did not occur in diabetic rats receiving ASA. Immunological investigations revealed an imparied granulocyte function.

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