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Alpam (Alprazolam)

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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:
Albiz, Alpam, Alpanol, Alpose, Alpraquil, Alprocontin, Alprogard, Alzomax, Alzopam, Ansilumirm, Anzilum, Avizolem, Coolam, Depten, Dipra, Endolam, Fluprax, Mediprex, Niravam, Nitril, Nucalm, Samitol, Samrox, Sanprazole, Serex, Sertamax, Setex, Silam, Somnarest, Stresnil, Suzilam, Tenrid, Visram, Wycalm, Xerodep, Xycalm, Zolark, Zolax, Zolent, Zopax, Zopic, Zotam

Similar Products:
Pepcid, Daklinza, Aceon, Cytoxan, Lamisil, Imodium, Hytrin, Ativan

Also known as: Alprazolam


{name} (alprazolam) is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). It is thought that alprazolam works by enhancing the activity of certain neurotransmitters in the brain.

{name} is used to treat anxiety disorders and anxiety caused by depression.

{name} is also used to treat panic disorders with or without a fear of places and situations that might cause panic, helplessness, or embarrassment (agoraphobia).

It is dangerous to purchase {name} on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.


This section provides information on the proper use of a number of products that contain alprazolam. It may not be specific to Alpam. Please read with care.

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much of this medicine is used for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose.

This medicine should come with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

Swallow the extended-release tablet or tablet whole with a full glass of water. Do not break, crush, or chew it.

If you are using the orally disintegrating tablet, make sure your hands are dry before you handle the tablet. Do not remove the tablets from the bottle until you are ready to take it. Place the tablet immediately on the top of your tongue. It should melt quickly and be swallowed with saliva.

If you are using the oral liquid, measure the dose with a marked measuring spoon, oral syringe, or medicine cup.

Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For anxiety: For oral dosage forms (solution, tablets, or orally disintegrating tablets): Adults—At first, 0.25 to 0.5 milligram (mg) 3 times a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 4 mg per day. Older adults—At first, 0.25 mg 2 or 3 times a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor. For panic disorder: For oral dosage form (extended-release tablets): Adults—At first, 0.5 to 1 milligram (mg) taken in the morning once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 10 mg per day. Older adults—At first, 0.5 mg taken in the morning once a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor. For oral dosage forms (solution, tablets, or orally disintegrating tablets): Adults—At first, 0.5 milligram (mg) 3 times a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 10 mg per day. Older adults—At first, 0.25 mg 2 or 3 times a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor.


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Alpam XR can be fatal.

Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, fainting, and coma.


Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details.

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.


Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine.

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Left-ventricular mechanical activation and aortic-arch orientation recovered from magneto-hydrodynamic voltages observed in 12-lead ECGs obtained inside MRIs: a feasibility study. There is scientific evidence that caesarean sections have long-term consequences in consecutive pregnancies and for mother and child. Synchronization between breath and postural sway is always present, depends on both biomechanical condition and respiratory threat, and cannot be reduced to a simple linear relation. Feeding behavior and jejunal apoptosis were evaluated both with and without truncal vagotomy. In this work, we studied the effect of nanoliposome composition based on phospholipids of docosahexaenoic acid (PL-DHA), salmon and soya lecithin, on physico-chemical characterization of vector. The majority of patients with MHO who underwent one-stage PTBS showed similar efficacy and safety outcomes compared with those who underwent two-stage PTBS. The uncoupling protein 1 homologue, uncoupling protein 3, is able to uncouple adenosine triphosphate production from mitochondrial respiration, thereby dissipating energy as heat and affecting the efficiency of energy metabolism.

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Psychosis, aggression, and self-destructive behavior in hospitalized adolescents. Furthermore, difficulty in emotion regulation, not distress tolerance, was most critical in distinguishing between groups. Alternatively, the access to pregnancy termination services may be suboptimal for teens in geographic areas with low population density. The unfolded protein response triggers selective mRNA release from the endoplasmic reticulum. In this study, a systematic method is proposed to investigate this mechanism by constructing gene regulatory networks from microarray data of Arabidopsis thaliana.

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Evaluate safety of autogenous engineered septal neocartilage grafts.Compare properties of implanted grafts versus in vitro controls. Within the P2Y12 subgroup, the only residue in common with P2Y1 is R6.55, and the role of R3.29 in TM3 seems to be fulfilled by a Lys residue in EL2, whereas the R7.39 in TM7 seems to be substituted by K7.35. Glutamate and ATP: The Crossroads of Signaling and Metabolism in the Brain. Additional suspensions at various growth phases and pHs were treated in an identical manner. Recent in vitro studies led to the hypothesis that thrombocytopenia of MYH9-RD derives from an ectopic platelet release by megakaryocytes in the osteoblastic areas of bone marrow (BM), which are enriched in type I collagen, rather than in vascular spaces.

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Aggression made significant indirect contributions to the prediction of loneliness in Chinese children, but not in other samples. Paracrine actions of angiogenic factors released by resident or infiltrating inflammatory cells following activation by proinflammatory cytokines in diseased airways could play a major role in the airway vascular remodeling process. High-resolution synchrotron data collection for charge-density work at 100 and 20 K. Samples treated with GC VII showed maximum increase in micro hardness. Optokinetic and vestibular stimuli consisted of steps of rotations or sinusoidal oscillations of a fullfield visual pattern surrounding the animal or albendazole chewable tablet of the animal in total darkness, respectively. This substitution results in the creation of a new restriction site for Msp I but not for the isoschizimer Hpa II.

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An open-ended waveguide system for SAR system validation or probe calibration for frequencies above 3 GHz. Although decision aids (e.g., brochures, decision boards, videos, interactive computer programs) can impart useful information, there is a dearth of work on theory-based approaches that help people clarify preferences and select a favored alternative. EG is a rare and often lethal form of GE resulting from bacterial invasion of the gastric wall through a mucosal defect leading to sepsis and gastric necrosis. Compared with 38 HTLV-1-seronegative children, the 10 seropositive children did not have higher rates of neurodevelopmental delay. Auditory tasks for assessment of sensory function and affective prosody in schizophrenia. Prevention of contamination of the circle system and ventilators with a new disposable filter. Broadly neutralizing antibodies abrogate established hepatitis C virus infection.

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Egocentrism occurred in both cultures, suggesting that heavier weighting of self-information occurs across the traditional East-West cultural divide. Evaluation of image quality of paper prints in routine CT investigations. The harm reduction approach places great stress on preventive intervention based on data related to drug-related death. Human rectosigmoid electromyography: a new approach and some pitfalls. The disproportional intrauterine growth is in line with the concept of so-called brain sparing, a mechanism maintaining the intrauterine growth of the brain at the expense of trunk growth. Isolated congenital tricuspid insufficiency associated with right-sided congenital partial absence of the pericardium. Ongoing trials of vitamin D supplementation during pregnancy should consider potential effect modification by race/ethnicity. However, public software to perform individually definable group-specific searches is not available.

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