Generic name: Alprazolam orally disintegrating tabletBrand names: Niravam
Niravam is used to treat anxiety disorder, panic disorder (with or without a fear of crowds or being in small places), and to provide short-term relief of anxiety symptoms.
Niravam may cause dependence. If taken at certain dosages, dependence becomes more likely. Dependence on Niravam has a greater chance of occurrence if you have a history of drug or alcohol abuse.
With clean, dry hands, place a Niravam tablet on your tongue. It will begin to dissolve within seconds. You may take it with or without water.
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Niravam.
Do not take Niravam if you have acute narrow-angle glaucoma (increased eye pressure), are taking a potent antifungal medication such as ketoconazole or itraconazole.
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.
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 or plan to become pregnant.
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:
AlcoholAnticonvulsantsAntihistaminesDesipramineFluoxetineImipramineOral contraceptivesPropoxyphenePsychiatric medications
It is not recommended to take Niravam while pregnant. If you are pregnant, planning to become pregnant, or are breastfeeding, talk to your doctor about the best therapy for you. Niravam may pass into breast milk.
Anxiety DisorderThe initial dose is usually 0.25 to 0.5 milligrams (mg) taken 3 times a day. The dosage may be increased every 3 to 4 days to a maximum of 4 mg per day. Elderly patients may need to take a lower dose.
Panic DisorderThe initial dose is usually is 0.5 mg taken 3 times a day. The dosage may be increased every 3 to 4 days to a maximum of 4 mg per day.
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.