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Avoid Alarm plus 0.5mg/25mg tablet with grapefruit juice.
UNSAFE
Alarm plus 0.5mg/25mg tablet may cause excessive drowsiness and calmness with alcohol.
UNSAFE
Alarm plus 0.5mg/25mg tablet is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
WEIGH RISKS VS. BENEFITS
Alarm plus 0.5mg/25mg tablet is probably unsafe to use during breastfeeding. Please consult your doctor.
UNSAFE

SALT INFORMATION FOR ALARM PLUS

Alprazolam(0.5 mg)

Uses

Alprazolam is used in the treatment of short term anxiety

How it works

Alprazolam works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.

Common side effects

Sleepiness, Slurred speech, Memory impairment, Uncoordinated body movements, Dizziness, Dry mouth, Fatigue, Irritability, Constipation, Headache, Depression
Sertraline(25 mg)

Uses

Sertraline is used in the treatment of post traumatic stress disorder, depression, anxiety disorder, obsessive-compulsive disorder and phobia

How it works

Sertraline increases the levels of serotonin in the brain. Serotonin is a chemical messenger in the brain that helps in regulating the mood.

Common side effects

Nausea, Diarrhoea, Insomnia (difficulty in sleeping), Headache, Fatigue

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Expert advice FOR ALARM PLUS

  • Notify your doctor immediately if you are or are planning to become pregnant during the administration of this medicine.
     
  • Alprazolam may be addictive, so take it as prescribed by the doctor. 
  • Do not discontinue the use of Alprazolam, unless the doctor has advised you. Discontinuation may cause withdrawal symptoms, which may include seizures.
  • Alprazolam may cause memory problems, drowsiness, confusion, especially in elderly patients. 
  • Most people may find that it gets less effective over time. 
  • Avoid driving after taking Alprazolam as it may cause drowsiness, dizziness, and confusion. 
  • Avoid consuming alcohol when taking Alprazolam, it may cause excessive drowsiness. 

Frequently asked questions FOR ALARM PLUS

Alprazolam

Q.

What is alprazolam used for?
Alprazolam is used to relieve excess (moderate to severe) anxiety and to treat anxiety associated with depression. It is not to be used for mild anxiety associated with stress of day today life situations.

Q.

Is alprazolam safe?
Alprazolam is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q.

Is alprazolam a sleeping pill?
No, alprazolam is a not a sleeping pill

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Q.

Is alprazolam a controlled substance?
Yes, alprazolam is a controlled substance

Q.

Is alprazolam addictive?
Yes, the use of alprazolam has addictive potential. Its use is associated with risk of addiction for physical or psychological effects. The abrupt discontinuation of alprazolam is therefore not advised to avoid serious withdrawal symptoms.

Q.

Is alprazolam an opiate?
No, alprazolam is not an opioid, it belongs to a class of substances called benzodiazepines.

Q.

Is alprazolam a MAO inhibitor?
No, alprazolam is not a mono-amine oxidase inhibitor (MAOI). It has no known inhibitory action on mono-amine oxidase (MAO) enzyme.

Q.

Is alprazolam a blood thinner?
No, alprazolam has no known effect on blood or any action as blood thinner. It belongs to a class of drugs called benzodiazepines and is used to relieve excess anxiety.

Q.

Is alprazolam an anti-depressant?
No, alprazolam is not an anti-depressant. It is used to relieve excess anxiety and to treat anxiety associated with depression.

Q.

Is alprazolam used for sleep?
No, alprazolam is not indicated for sleep.

Q.

Is alprazolam a narcotic drug?
No, alprazolam is not a narcotic medicine.

Q.

Is alprazolam banned in India?
No, alprazolam is not banned in India, however, it is available only by prescription from physician or doctor.

Q.

Is alprazolam safe during pregnancy?
Alprazolam should not be used during pregnancy unless it is absolutely necessary and is advised by the doctor. Alprazolam use especially during the last trimester and before and during delivery can have harmful effects on the baby like respiratory depression (difficult and slow breathing) and these can stay even after the child is born.

Q.

Is alprazolam habit forming substance?
Yes, alprazolam is a habit forming substance. It is possible to become dependent on alprazolam and there are high chances that you may experience withdrawal symptoms when you stop taking alprazolam. Please take alprazolam only as advised by your doctor. Kindly inform your doctor if you have a history of using habit forming substances as your doctor would be able to advise you better regarding the use of alprazolam.

Q.

Can I take alprazolam for a hangover?
No, alprazolam is not indicated for managing a hangover. Rather, alprazolam should not be taken with alcohol as both the substances can cause excessive sleep (sedation) and depress your brain.

Q.

Can I take alprazolam for alcohol withdrawal?
No, alprazolam is not indicated for the management of alcohol withdrawal.

Q.

Does alprazolam reduce blood pressure?
Lowering of blood pressure is seen if you take more than prescribed dose of alprazolam. Please consult your doctor if you experience excessive fall in blood pressure while you are taking alprazolam.

Q.

Does alprazolam make you sleepy?
Yes, alprazolam makes you sleepy. Sedation (sleepiness) is a very common side effect of alprazolam. Please consult your doctor if you are prescribed alprazolam and your work requires you to remain alerted or you drive yourself as it may affect your driving.

Q.

Does alprazolam expire?
Yes, like any other medicine, alprazolam also has an expiry date.

Q.

Does alprazolam cause weight gain?
Change in weight (both weight gain and weight loss) has been reported as a common side effect with alprazolam. Please consult your doctor if you experience disproportionate change in weight when you are taking alprazolam.

Q.

Does alprazolam cause hair loss?
Hair loss has not been reported with the use of alprazolam.

Q.

Does alprazolam contain monoamine oxidase inhibitor (MAOI)?
No, alprazolam does not contain monoamine oxidase inhibitor (MAOI).

Q.

Can I take alprazolam with hydrocodone?
Alprazolam should not be taken with hydrocodone. Alprazolam belong to a class od medicines called benzodiazepines and hydrocodone belongs to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with paracetamol?
No, interactions have been reported between alprazolam and paracetamol. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with prednisone?
Prednisolone may increase the metabolism (breakdown) of alprazolam and hence decrease the levels of alprazolam in the body which may decrease the effect of alprazolam and a higher dose may be need. Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with clonazepam?
Alprazolam should not be taken with clonazepam as both the medicines belong to the same class of medicines called benzodiazepines. When taken together, they can cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with oxycodone?
Alprazolam should not be taken with oxycodone. Alprazolam belong to a class of medicines called benzodiazepines and oxycodone belong to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with tramadol?
Alprazolam should not be taken with tramadol. Alprazolam belong to a class of medicines called benzodiazepines and tramadol belong to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with ibuprofen?
No, interactions have been reported between alprazolam and ibuprofen. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with sertraline?
No, interactions have been reported between alprazolam and sertraline. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q.

Can I take alprazolam with buspirone?
No, interactions have been reported between alprazolam and buspirone. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Sertraline

Q.

Is sertraline addictive?
Sertraline is not addictive. However, sudden discontinuation or decrease in dose of sertraline may cause effects like dizziness, numbness, sleep disturbances, agitation or anxiety, headaches, nausea, vomiting and shaking. Patients should follow the advice of the doctor regarding its use and discontinuation

Q.

Is sertraline a mono amine oxidase inhibitor/steroid?
No, sertraline belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs), which alter the levels of a chemical called serotonin in the brain and help improve depression

Q.

Is sertraline safe?
Sertraline is safe, if used at prescribed doses for the prescribed duration as advised by your doctor

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Q.

Does sertraline cause insomnia/hair loss/ weight gain or loss/acne/sick feeling?
Insomnia, headache, weight gain or weight loss and sick feeling are side effects reported with the use of sertraline. However acne has not been reported. Patients should consult doctors regarding the possible side effects

Q.

Can I take sertraline for anxiety?
Sertraline is used for the treatment of social anxiety disorder. But, consult your doctor regarding the use of sertraline for your anxiety complaints

Q.

Is sertraline a stimulant?
No, sertraline belongs to a class of medications called selective serotonin reuptake inhibitors (SSRI) antidepressants. It does not stimulate the brain, but improves depression by increasing the levels of a chemical called serotonin in the brain

Q.

Can I take sertraline with diazepam/ Adderall (amphetamine and dextroamphetamine)/ alcohol/ Tylenol (paracetamol)/ mirtazapine/ amoxicillin/ Nyquil (acetaminophen, dextromethorphan, doxylamine)/ Co codamol (paracetamol and codeine)/ ibuprofen?
With tramadol there is an increased risk of hypertension, amitriptyline may possibly change the blood levels of fluoxetine, and alcohol may alter the effect of fluoxetine. No clinically observed drug interaction has been reported with diazepam, Co codamol, Nyquil, ibuprofen and mirtazapine. Please consult your doctor when using concomitantly

Q.

How long can I take sertraline/ Can I take sertraline forever?
It is advisable to take this drug only till prescribed by the doctor

Q.

Does sertraline expire?
Yes, like all drugs, sertraline has an expiry date. Please refer to the package insert or the information on the tablet strip to find out when your medicine expires.

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Content on this page was last updated on 08 March, 2017, by Dr. Varun Gupta (MD Pharmacology)