Niravam

Generic name: Alprazolam

What is Niravam?

Niravam is used to treat anxiety disorder, panic disorder, and to provide short-term relief of anxiety symptoms.

What is the most important information I should know about Niravam?

Niravam may cause dependence. The risk of developing a dependency on Niravam is greater if you have a history of drug or alcohol abuse.

Until you experience how this medication affects you, do not drive a car or operate potentially dangerous machinery.

Do not increase the dose of this medication without consulting your physician.

Who should not take Niravam?

You should not take Niravam if you have a known sensitivity to this drug or other benzodiazepines.

If you have acute narrow-angle glaucoma (increased eye pressure), or are taking a potent antifungal medication such as ketoconazole or itraconazole, you should not take Niravam.

What should I tell my doctor before I take the first dose of Niravam?

Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Niravam. Also, talk to your doctor about your complete medical history, especially if you have kidney or liver problems, or if you are pregnant, plan to become pregnant, or are breastfeeding.

What is the usual dosage?

The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

Anxiety Disorder

Adults: Initial dosage is 0.25 to 0.5 milligrams (mg) three times a day; dosage may increase every three to four days to a maximum of 4 mg/day.

Elderly: Initial dosage for the elderly is 0.25 mg, two to three times per day; dosage may increase as needed and tolerated.

Panic Disorder

Adults: Initial dosage is 0.5 mg, three times a day; dosage may increase every three to four days to a maximum of 10 mg/day. The average effective dose is approximately 5 to 6 mg daily.

How should I take Niravam?

With clean, dry hands, place a Niravam tablet on your tongue. It will begin to dissolve within seconds with or without water.

What should I avoid while taking Niravam?

Until you know how Niravam affects you, do not drive a car or operate heavy machinery.

Do not change or stop taking your prescribed dose of Niravam without talking to your doctor first.

Avoid alcohol and other medications that may have a depressant effect on your central nervous system.

What are possible food and drug interactions associated with Niravam?

If Niravam is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Niravam with the following: alcohol, anticonvulsants, antifungals, antihistamines, cimetidine, desipramine, fluoxetine, fluvoxamine, imipramine, nefazodone, oral contraceptives, propoxyphene, and psychotropic medications.

What are the possible side effects of Niravam?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

Side effects may include: drowsiness, fatigue, headache, impaired coordination, insomnia, irritability, lightheadedness, memory impairment

Can I receive Niravam if I am pregnant or breastfeeding?

It is not recommended to take Niravam while pregnant. If you are pregnant, planning to become pregnant, or are breastfeeding, talk to your doctor.

How should I store Niravam?

Store at room temperature, away from moisture.