Zanapam Tablet 0.25 mg (Alprazolam)

Adult dose

To achieve the greatest benefit, determine the dose for each individual. The usual daily doses listed below are suitable for most patients, but higher doses may be required. In such cases, increase the dose gradually to avoid adverse effects. The risk of dependence may increase with the dose and duration of treatment. Therefore, administer the lowest effective dose for the shortest possible period and frequently reassess the need to continue treatment. 1. As the initial dose, administer 0.25-0.5㎎ of alprazolam per dose 3 times daily, with a maximum dose of 4㎎ per day. For elderly patients, patients with hepatic impairment, and debilitated patients, the initial dose is 0.25㎎ per dose 2-3 times daily. Reduce the dose if adverse effects occur at the initial dose. 2. Psychosomatic disorders Administer 1.2㎎ of this medicine per day orally in 3 divided doses. If increasing the dose, increase it gradually up to a maximum of 2.4㎎ per day and administer orally in 3-4 divided doses. For elderly patients, the initial dose is 0.4㎎ per dose 1-2 times daily, with a maximum dose of 1.2㎎ per day. 3. Panic disorder Start with an initial dose of 0.5㎎ of this medicine and, depending on the patient's response to treatment, increase the dose by no more than 1㎎ at intervals of 3-4 days, to an average total daily dose of 5-6㎎ administered in 3-4 divided doses. When discontinuing treatment, reduce the dose by no more than 0.5㎎, usually at 3-day intervals; a slower reduction may be necessary in some cases.

This drug can be very dangerous when used with narcotics. Taking both medications together can lead to severe drowsiness, respiratory arrest, loss of consciousness, and even death, so it should only be used in necessary cases at the minimum dose and for a short duration. This drug acts as a central nervous system depressant, and taking it with alcohol or other sedatives can enhance its effects and increase risks. Therefore, such medications or alcohol should be avoided. There is a risk of abuse or misuse of this drug, so it should be taken exactly as directed by a physician, and any remaining medications should be stored safely or discarded properly. This drug should not be used in patients with certain conditions. For example, it should not be taken by individuals allergic to this drug or similar medications, those with acute angle-closure glaucoma, severe myasthenia gravis, severe respiratory distress, severe liver dysfunction, severe psychotic depression, sleep apnea, those with alcohol or drug dependency, late-stage pregnant women, and individuals with hereditary lactose intolerance. Patients with heart, liver, or kidney issues, those with brain injuries, elderly individuals, frail patients, moderate respiratory failure patients, and those allergic to specific dyes should use this medication cautiously. Abruptly stopping this medication can lead to withdrawal symptoms such as insomnia, tremors, and seizures, so dosage should be gradually reduced under a physician's direction. Drowsiness, decreased concentration, and slowed reflexes may occur during treatment, so driving or operating hazardous machinery should be avoided. Long-term use may require regular blood tests and liver function tests. This drug may interact with several other medications, so if you are taking other medications, it is essential to inform your doctor or pharmacist, especially when taking antifungal agents, certain antidepressants, narcotic analgesics, anticonvulsants, and some antibiotics. Pregnant or breastfeeding women should consult a physician before taking this medication and should avoid it, especially during the late stages of pregnancy. For children under 18 years, the safety and efficacy of this drug have not been adequately established, so it is advisable not to use it. In case of overdose, severe drowsiness, impaired motor coordination, coma, and respiratory depression may occur; therefore, immediate contact with a medical facility is required for appropriate treatment. This drug should be kept out of reach of children and stored in its original container to prevent misuse.

• Mild discomfort
• insomnia
• abdominal and muscle cramps
• vomiting
• sweating
• tremors
• convulsions
• seizures
• excitement
• increased muscle rigidity

This drug is sensitive to light and should be stored in a container that blocks light. Additionally, it is important to store the medication at a temperature between 1 to 30 degrees Celsius to maintain its effectiveness.

Appearance

White oval tablet

Package unit

30 tablets/bottle, 200 tablets/bottle