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Descripción (Español)
El Alprazolam es un fármaco que pertenece a la clasificación farmacológica de las benzodiazepinas y por su acción se clasifica como ansiolítico.
Historia
El Alprazolam fue sintetizado por el investigador Jackson B. Hester de los antiguos Laboratorios Upjohn, que hoy son parte del conglomerado Pfizer. Posee la patente número 3,987,052, y puesto a la venta desde 1981. Al principio, el fármaco fue indicado para casos de crísis de angustia (ataques de pánico), pero posteriormente, el psiquiatra David Sheehan sugirió que el medicamento se dirigiera a los desordenes de ansiedad.
Farmacología
El Alprazolam es una triazolobenzodiazepina, es decir, posee un anillo triazolo unido a su estructura. Está indicado en el tratamiento de la ansiedad (neurosis de ansiedad), ansiedad con síntomas de depresión y crísis de angustia.
Farmacocinética y mecanismo de acción
El Alprazolam deprime el sistema nervioso central El Alprazolam se une al receptor GABAA que es responsable de mediar los efectos de ácido gamma-aminobutírico (GABA) en el cerebro sobre el sitema activador reticular ascendente bloqueando la excitación tanto cortical como límbica. El receptor GABAA está constituído por hasta 5 subunidades de 19 posibles y los receptores GABAA con diferentes combinaciones de subunidades poseen diferentes propiedades, así mismo diferentes ubicaciones en el cerebro, y lo más importante, diferentes actividades en lo que respecta a las acciones de las benzodiazepinas.
Clínicamente, todas las benzodiazepinas causan una depresión del sistema nervioso central dependiendo de la dosis variando desde las mínimas alteraciones hasta la hipnosis.
— Absorción: Tras una dosis, el fármaco es rápidamente absorbido alcanzando picos en suero entre 1 y 2 horas después de la administración oral.
— Distribución: Se distribuye ampliamente en todo el cuerpo. Cerca del 80-90% de la dosis se une a proteínas plasmáticas.
— Metabolismo: El Alprazolam se metaboliza en el hígado para ser transformado en alfa-hidroxiAlprazolam y en otros metabolitos inactivos.
— Eliminación: La vida media de eliminación del Alprazolam es de 12 a 15 horas. El tracto urinario es la principal vía de eliminación y se excreta en forma de alfa-hidroxiAlprazolam y metabolitos sin actividad farmacológica.
Indicaciones
El Alprazolam está indicado en los estados de ansiedad simple, que pueden incluir ansiedad, tensión, temores, aprensión, dificultad de concentración, insomnio y/o hiperactividad autonómica, irritabilidad. Y también puede prescribirse en ansiedad asociada a otros padecimientos, como la fase crónica de la abstinencia alcohólica, en padecimientos orgánicos o funcionales, como en procesos gastrointestinales, cardiovasculares y algunos padecimientos dermatológicos.
Así mismo, el médico tratante puede elegir el fármaco en casos agudos de crisis de angustia (ataques de pánico) en agorafobia o en ataques de pánico sin fobia asociada.
Precauciones y advertencias
Las personas con hipersensibilidad a las benzodiazepinas deben evitar tomar este medicamento. Tampoco lo deben tomar personas con glaucoma de ángulo estrecho o miastenia gravis. Al igual que con las demás benzodiazepinas, el Alprazolam se excreta por la leche materna y atraviesa la barrera placentaria. Tiene potencial teratógeno. Como regla general se recomienda a las mujeres no amamantar mientras se está bajo tratamiento con Alprazolam. Las personas menores de 18 años deben evitar la toma. El uso continuado produce dependencia física y psíquica, debiendo luego acogerse a un programa de reducción controlada por especialistas por el riesgo de ataques convulsivos si se suspende bruscamente el tratamiento.
Interacciones
El Alprazolam potencia los efectos depresores de las fenotiacinas, barbitúrico, alcohol, psicotrópicos, anticonvulsivantes, antihistamínicos y otros fármacos que por su naturaleza misma producen depresión del sistema nervioso central.
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Note: Actual product
may differ from
the image above
Other brand names of Xanax are Alprazolam, Aceprax, Alplax, Alpralid, Alprax, Alviz, Alzolam, Apo-Alpraz, Apraz, Calmax, Constan, Frontal XR, Frontal, Frontin, Helex, Kalma, Kinax, Ksalol, Manorest, Misar, Neurol, Niravam, Paxal, Prazolex, Ralozam, Restyl, Sedipral, Solanax, Tafil AP, Tafil, Trankimazin, Tranquinal, Xanax XR, Xanor, Zamhexal, Zolarem, Zoldac.Why do some drugs have different names?
These are trade or brand names registered by the manufacturer. In different countries manufacturers will often use different trade names. The medications have the same active ingredients, but may look different and have a different trade name.
Note:
SR = sustained release
XR = extended release
IR = instant release
Usage of Xanax
Alprazolam affects brain chemicals that may become unbalanced and may cause anxiety. Alprazolam is usually used to relieve anxiety, nervousness, and tension connected with anxiety disorders. It is also used to treat panic disorders and purposes other than those listed here.
How to Take Xanax
Take the medicine exactly as directed by your doctor. Each dose is to be taken with a full glass of water. Never take more than is prescribed for you. Alprazolam is habit forming. It is easy to become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication and don`t take it for longer term than is directed by your doctor. Withdrawal effects may occur in case alprazolam is stopped suddenly after being used for several weeks. Doctors may recommend a gradual reduction in dose.
Side Effects of Xanax
Stop taking alprazolam and seek emergency medical help or contact your doctor right away in such cases as: sores in the mouth or throat; a rash; yellowing of the skin or eyes; an allergic reaction (difficulty breathing; swelling of your lips, face, or tongue; or hives; closing of your throat); hallucinations or severe confusion; or changes in your vision. Less serious side effects may be often to occur. Continue taking alprazolam and talk to your doctor if you have got vomiting, nausea, diarrhea, or constipation; dry mouth; depression (or changes in behavior); drowsiness, dizziness, or clumsiness; difficulty urinating; vivid dreams; headache; decreased sex drive. Other side effects may also occur. Tell your doctor about any side effect that seems unusual or that is bothersome.
Precautions
Alprazolam is not to be taken if you have narrow-angle glaucoma. The medicine may even worsen this condition. Before taking this medication, tell your doctor if you have such health problems as: kidney disease, liver disease, asthma, bronchitis, emphysema, or another respiratory disease, or if you are depressed or have suicidal thoughts. Never take this medication without talking to your doctor if you are pregnant or breast-feeding a baby. If you are over 65 years old, you are more likely to experience side effects of alprazolam. Maybe you require a lower dose of alprazolam. Alprazolam is not approved for use by people under 18 years of age.
Drug Compatibility
Alprazolam is not to be taken with ketoconazole (Nizoral) or itraconazole (Sporanox) without first talking to your doctor. Alprazolam may increase the effects of other medications that cause drowsiness, such as antidepressants, , antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, muscle relaxants and alcohol. Inform your doctor about all medicines you are currently taking, and do not take any drug without first talking to your doctor. The effects of alprazolam may be decresed by antacids. In such cases, separate doses of an antacid and alprazolam by several hours whenever it is possible. Medications other than those listed here may also interact with alprazolam. Talk to your doctor before taking any prescription or over-the-counter medicines (including herbal products).
Missed Dose Of Xanax
Take the missed dose as soon as it possible. However, if it is almost time for the next dose, skip the one you missed and take the next scheduled dose. Never take a double dose of the medication, because it is dangerous for your health.
Storage Of Xanax
Keep at room temperature away from moisture and heat. Keep out of the reach of children.
Notes
Be careful when driving, operating machinery, or performing other hazardous activities. Alprazolam may cause drowsiness and dizziness. If you experience these symptoms, avoid these activities. Avoid alcohol while taking the medication, because it may increase drowsiness and dizziness caused by alprazolam. Remember that alprazolam is habit forming. . It is easy to become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication and don`t take it for longer term than is directed by your doctor. Withdrawal effects may occur in case alprazolam is stopped suddenly after being used for several weeks. Doctors may recommend a gradual dose reduction.
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