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Alfresh (Alprazolam)

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Alfresh is commonly used to treat anxiety and panic disorders. It falls into a category of medications called benzodiazepines. They are known to affect the central nervous system components and produce a calming effect, thus decreasing brain activity.

Other names for this medication:
Acalm, Alamflu, Aldep, Alpra, Alpraday, Alpram, Alprax, Alprine, Alprogard, Alrif, Alzex, Alzopam, Ambulax, Anlzium, Anxigo, Anxitab, Apsolam, Azolam, Calmtec, Depflu, Deproz, Depser, Elflu, Emcalm, Esteem, Flunix, Himzolam, Maxorest, Mediprex, Niravam, Nucalm, Paxor, Plxna, Poize, Pronext, Rescalm, Restyl, Selam, Sinaday, Sowel, Texidep, Welnorm, Xycalm, Zedep, Zolar, Zolark, Zolorest

Similar Products:
Wellbutrin, Detrol, Duphaston, Adipex, Kemadrin, Valtrex

Also known as: Alprazolam


Alfresh is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). Alprazolam affects chemicals in the brain that may be unbalanced in people with anxiety. Alfresh is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

You should not use Alfresh if you have narrow-angle glaucoma, if you also take itraconazole or ketoconazole, or if you are allergic to Alfresh or similar medicines (Valium, Ativan, Tranxene, and others).

Alprazolam may be habit-forming. Misuse of habit-forming medicine can cause addiction, overdose, or death.

Do not drink alcohol while taking Alfresh. This medication can increase the effects of alcohol. Alprazolam may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it.


This section provides information on the proper use of a number of products that contain alprazolam. It may not be specific to Alfresh XR. 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 Alfresh 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 Alfresh 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.


Do not use Alfresh XR if you have:

narrow-angle glaucoma; if you are also taking itraconazole (Sporanox) or ketoconazole (Nizoral); or if you are allergic to alprazolam or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

Before taking Alfresh XR, tell your doctor if you are allergic to any drugs, or if you have:

asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems; glaucoma; kidney or liver disease (especially alcoholic liver disease); a history of depression or suicidal thoughts or behavior; or a history of drug or alcohol addiction.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

It is dangerous to try and purchase Alfresh XR on the Internet or from vendors outside of the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. Samples of alprazolam purchased on the Internet have been found to contain haloperidol (Haldol), a potent antipsychotic drug with dangerous side effects. For more information, contact the U.S. Food and Drug Administration (FDA) or visit

FDA pregnancy category D. Alfresh XR can cause birth defects in an unborn baby. Do not use Alfresh XR without your doctor's consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Alprazolam can pass into breast milk and may harm a nursing baby. Do not use Alfresh XR without telling your doctor if you are breast-feeding a baby.

The sedative effects of Alfresh XR may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking Alfresh XR. Do not give this medication to anyone under 18 years old.

Alfresh XR pregnancy and breastfeeding warnings (more detail)

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A novel class I cytokine receptor was identified in a human infant brain cDNA library and was named WSX-1. Effect of simvastatin and/or pioglitazone on insulin resistance, insulin secretion, adiponectin, and proinsulin levels in nondiabetic patients at cardiovascular risk--the PIOSTAT Study. Serosurvey for selected infectious disease agents in free-ranging black and white rhinoceros in Africa. This study demonstrates that FTT provides a promising reconstructive option in the setting of NF without adversely affecting patient outcome. Importance of adherence in the outcome of juvenile idiopathic arthritis. The dynamics of some laboratory indices in anemia in premature infants. HDL participated in the transcriptional regulation of cell cycle by affecting the regulatory proteins such as cyclin D1. A cross-sectional study of blood thiamine and thiamine ester concentrations. Clonal diversity within the obligate parthenogens is extremely high and has been attributed to the polyphyletic origin of asexuality.

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Genes significantly over-expressed after ERG induction strongly resembled adhesive mesenchymal-like genes that included integrins (ITGA10, ITGB5, ITGB3, ITGA2B), CD44, and CD24. AOFAS forefoot clinical rating score averaged 70 points (max 90 after first MTP arthrodesis) at an average follow-up of 22 months (range 5-70). In ligand blotting assays, very weak binding of mutant UPA to human UPAR could be observed. Vocational rehabilitation what is the maximum daily dose of celebrex programs have been developed to improve employability. The observation of such an adhesion threshold implicates spatial fluctuations in patch arrangement.

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A spatial model figures the superiority of source derivation in detection and discrimination of local effects. These results suggest the non-invasive monitoring of urea and potassium to diagnose renal failure and during hemodialysis is feasible, and that in vivo measurements are warranted. Further characterization of the loop structure of platelet glycoprotein IIIa: partial mapping of functionally significant glycoprotein IIIa epitopes. Bilateral carotid artery occlusion followed by reperfusion produced cerebral infarction and impaired short-term memory, motor co-ordination and lateral push response. Multifactorial mechanisms associated with broad cross-resistance of ovarian carcinoma cells selected by cyanomorpholino doxorubicin. qPCR provides approximately 3.6 times more precision in estimating A. Both cytokines exerted a cytolytic activity on the trypomastigotes, yet the trypanolytic activity of rmTNF-alpha was more effective than that of rmGM-CSF. Part I of this paper discussed the applicators used with electronic brachytherapy sources. These issues include applicability of proportional hazards assumptions, whether the correct model has been specified, and whether there is parallelism between treatments for relationships with covariates.

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This paper presents non-clinical evaluation of the KAIST-Ewha Colonoscopy Simulator II. In bigger or central tumors, additionally suturing over Surgicel bolsters, the most popular technique is to secure the suture by means of clips. This study was designed to evaluate the medium-term results of surgical treatment of penile curvature by tunica albuginea plication of tunica albuginea resection-prosthetic graft. Microglia and astrocytes, two glial cell populations of the central nervous system, present Ag and stimulate T cell proliferation, but it is unclear whether they preferentially activate Th1 or Th2 responses. Endogenous SPARC status is somewhat uncorrelated with response to ABX in NSCLC. Longitudinal genetic analysis of menstrual flow, pain, and limitation in a sample of Australian twins. We have generated a polyclonal antibody against myosin II from a neuronally derived cell line in order to assess potential roles for myosin II in growth cone movement and synaptic transmission. Pharmacists levels of emotionality and career success correlates: an exploratory study. Eight patients achieved a partial pulmonary remission, and 5 patients experienced stabilization of their disease.

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One of these issues is how electric fields associated with the activity of spinal neurons influence the operation of spinal neuronal networks and how effects of these field potentials are combined with other means of modulating neuronal activity. The gene defective in dt, dystonin (Dst), encodes a cytoskeletal linker protein that forms the bridge between F-actin and intermediate filaments. The approach described here provides methodology for capturing phospholipid-protein interactions in their native environment of the biomembrane using modern proteomics techniques. Non-invasive evaluation of central motor tract excitability zantac 75 dosage instructions changes following peripheral nerve stimulation in healthy humans. Partial luxation of deciduous upper central incisors: root apices in the labial sulcus. Epo expression was noted only when 2 x 10(11) or more particles were injected.

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