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Xanax is used in the treatment of anxiety; panic disorder; depression and belongs to the drug class benzodiazepines. There is positive evidence of human fetal risk during pregnancy. Xanax 2 mg is classified as a Schedule 4 controlled substance under the Controlled Substance Act (CSA).

Alprazolam dosing information

Usual Adult Dose for Anxiety:

Immediate-release tablets, orally disintegrating tablets, oral concentrate: Initial dose: 0.25 to 0.5 mg orally 3 times a day This dose may be gradually increased every 3 to 4 days if needed and tolerated. Maintenance dose: May increase up to maximum daily dose of 4 mg in divided doses

Usual Adult Dose for Panic Disorder:

Immediate-release tablets, orally disintegrating tablets: Initial dose: 0.5 mg orally 3 times a day This dose may be gradually increased every 3 to 4 days if needed and tolerated. Maintenance dose: 1 to 10 mg per day in divided doses Mean dose employed: 5 to 6 mg per day in divided doses

Extended-release tablets:

Initial dose: 0.5 to 1 mg once a day The daily dose may be gradually increased by no more than 1 mg every 3 to 4 days if needed and tolerated. Maintenance dose: 1 to 10 mg once a day Mean dose employed: 3 to 6 mg once a day

Usual Adult Dose for Depression:

Immediate-release tablets, orally disintegrating tablets, oral concentrate: Initial dose: 0.5 mg orally 3 times a day The daily dose may be gradually increased by no more than 1 mg every 3 to 4 days. Average Dose: Studies in the treatment of depression have reported an average effective dose of 3 mg orally daily in divided doses Maximum Dose: Studies in the treatment of depression have reported to have used 4.5 mg orally daily in divided doses as a maximum.

Usual Geriatric Dose for Anxiety:

Immediate-release tablets, orally disintegrating tablets, oral concentrate: Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients

This dose may be gradually increased if needed and tolerated.

Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

Usual Geriatric Dose for Depression:

Immediate-release tablets, orally disintegrating tablets, oral concentrate: Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients

This dose may be gradually increased if needed and tolerated.

Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.

Usual Geriatric Dose for Panic Disorder:

Immediate-release tablets, orally disintegrating tablets: Initial dose: 0.25 mg orally 2 to 3 times a day in elderly or debilitated patients

This dose may be gradually increased if needed and tolerated.

Extended-release tablets:

Initial dose: 0.5 mg once a day preferably in the morning This dose may be gradually increased if needed and tolerated. Because of increased sensitivity to benzodiazepines in elderly patients, alprazolam at daily doses greater than 2 mg meets the Beers criteria as a medication that is potentially inappropriate for use in older adults. Smaller doses may be effective as well as safer. Total daily doses should rarely exceed suggested maximums.