What should I discuss with my healthcare provider before taking Xanax?
• Do not take Xanax if you have narrow-angle glaucoma. Xanax may worsen this condition.
• Before taking this medication, tell your doctor if you
� have kidney disease;
� have liver disease;
� have a history of alcohol or drug abuse;
� have asthma, bronchitis, emphysema, or another respiratory disease;
� are depressed or have suicidal thoughts; or
� have mania, bipolar disorder, or another psychiatric condition (other than anxiety or panic disorder).
• You may not be able to take Xanax, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Xanax is in the FDA pregnancy category D. This means that Xanax is known to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• It is not known whether Xanax passes into breast milk. Do not take Xanax without first talking to your doctor if you are breast-feeding a baby.
• If you are over 65 years of age, you may be more likely to experience side effects from Xanax. Your doctor may prescribe a lower dose of the medication.


How should I take Xanax?
• Take Xanax exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Do not crush, chew, or break the extended-release form Xanax XR. Swallow them whole. These tablets are specially formulated to release the medication slowly in the body.
• Do not take more of the medication than is prescribed for you.
• Xanax is habit forming. You can become physically and psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Xanax is stopped suddenly after several weeks of continuous use. Seizures may be a side effect of sudden discontinuation of the medication. Your doctor may recommend a gradual reduction in dose.
• Store Xanax at room temperature away from moisture and heat.


What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication. A double dose could be dangerous.


What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of an Xanax overdose include sleepiness, dizziness, confusion, a slow heart beat, difficulty breathing, difficulty walking and talking, an appearance of being drunk, and unconsciousness.


What should I avoid while taking Xanax?
• Use caution when driving, operating machinery, or performing other hazardous activities. Xanax will cause drowsiness and may cause dizziness. If you experience drowsiness or dizziness, avoid these activities.
• Avoid alcohol while taking Xanax. Alcohol may increase drowsiness and dizziness caused by Xanax.
• Xanax may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any other medicine without first talking to your doctor.


What are the possible side effects of Xanax?
• If you experience any of the following serious side effects, stop taking Xanax and seek emergency medical attention or contact your doctor immediately:
� an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives);
� sores in the mouth or throat;
� yellowing of the skin or eyes;
� a rash;
� hallucinations or severe confusion; or
� changes in vision.
• Other, less serious side effects may be more likely to occur. Continue to take Xanax and talk to your doctor if you experience
� drowsiness, dizziness, or clumsiness;
� depression;
� nausea, vomiting, diarrhea, or constipation;
� difficulty urinating;
� vivid dreams;
� headache;
� dry mouth;
� decreased sex drive; or
� changes in behavior.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.


What other drugs will affect Xanax?
• Do not take ketoconazole (Nizoral) or itraconazole (Sporanox) during treatment with Xanax without first talking to your doctor.
• Xanax may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
• Antacids may decrease the effects of Xanax. Separate doses of an antacid and Xanax by several hours whenever possible.
• Drugs other than those listed here may also interact with Xanax. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.