Alert

alprazolam

Pronunciation: al PRAY zoe lam

Brand: Xanax, Xanax XR

Xanax

slide 1 of 78, Xanax,

0.5 mg, oval, orange, imprinted with XANAX 0.5

Image of Xanax
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Xanax XR

slide 2 of 78, Xanax XR,

0.5 mg, pentagonal, white, imprinted with X, 0.5

Image of Xanax XR
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Xanax

slide 3 of 78, Xanax,

2 mg, rectangular, white, imprinted with X A N A X, 2

Image of Xanax
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Alprazolam

slide 4 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with 029, R

Image of Alprazolam
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Alprazolam

slide 5 of 78, Alprazolam,

2 mg, rectangular, yellow, imprinted with R 0 3 9

Image of Alprazolam
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ALPRAZolam ER

slide 6 of 78, ALPRAZolam ER,

0.5 mg, round, white

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 7 of 78, ALPRAZolam ER,

1 mg, round, yellow

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 8 of 78, ALPRAZolam ER,

3 mg, round, green

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 9 of 78, ALPRAZolam ER,

2 mg, round, pink

Image of ALPRAZolam ER
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Alprazolam

slide 10 of 78, Alprazolam,

0.25 mg, round, white, imprinted with logo, 019

Image of Alprazolam
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Alprazolam

slide 11 of 78, Alprazolam,

0.5 mg, round, white, imprinted with logo, 022

Image of Alprazolam
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Alprazolam

slide 12 of 78, Alprazolam,

1 mg, round, yellow, imprinted with logo, 024

Image of Alprazolam
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Alprazolam

slide 13 of 78, Alprazolam,

2 mg, round, white, imprinted with logo, 025

Image of Alprazolam
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Alprazolam

slide 14 of 78, Alprazolam,

1 mg, round, blue, imprinted with MYLAN A1

Image of Alprazolam
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Alprazolam

slide 15 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with GG 256

Image of Alprazolam
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Alprazolam

slide 16 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with GG 257

Image of Alprazolam
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Alprazolam

slide 17 of 78, Alprazolam,

1 mg, elliptical, blue, imprinted with GG 258

Image of Alprazolam
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Alprazolam

slide 18 of 78, Alprazolam,

2 mg, rectangular, white, imprinted with GG 249

Image of Alprazolam
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ALPRAZolam ER

slide 19 of 78, ALPRAZolam ER,

1 mg, square, yellow, imprinted with G, 1

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 20 of 78, ALPRAZolam ER,

2 mg, round, blue, imprinted with G, 2

Image of ALPRAZolam ER
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Alprazolam

slide 21 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with G 3719

Image of Alprazolam
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Alprazolam

slide 22 of 78, Alprazolam,

0.5 mg, oval, peach, imprinted with G3720

Image of Alprazolam
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Alprazolam

slide 23 of 78, Alprazolam,

1 mg, oval, blue, imprinted with G3721

Image of Alprazolam
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Alprazolam

slide 24 of 78, Alprazolam,

2 mg, rectangular, white, imprinted with G 3722

Image of Alprazolam
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Alprazolam

slide 25 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with S 900

Image of Alprazolam
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Alprazolam

slide 26 of 78, Alprazolam,

0.5 mg, oval, yellow, imprinted with S 901

Image of Alprazolam
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Alprazolam

slide 27 of 78, Alprazolam,

1 mg, oval, green, imprinted with S 902

Image of Alprazolam
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Alprazolam

slide 28 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with S 900

Image of Alprazolam
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Alprazolam

slide 29 of 78, Alprazolam,

0.5 mg, oval, yellow, imprinted with S 901

Image of Alprazolam
slide 29 of 78
    

Alprazolam

slide 30 of 78, Alprazolam,

1 mg, oval, green, imprinted with S 902

Image of Alprazolam
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Alprazolam

slide 31 of 78, Alprazolam,

2 mg, rectangular, green, imprinted with S 90 3

Image of Alprazolam
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Alprazolam

slide 32 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with GG 256

Image of Alprazolam
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Alprazolam

slide 33 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with GG 257

Image of Alprazolam
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Alprazolam

slide 34 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with N A, 0.25

Image of Alprazolam
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Alprazolam

slide 35 of 78, Alprazolam,

0.25 mg, round, white, imprinted with 027, R

Image of Alprazolam
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Alprazolam

slide 36 of 78, Alprazolam,

0.25 mg, oval, white, imprinted with GG 256

Image of Alprazolam
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Alprazolam

slide 37 of 78, Alprazolam,

0.25 mg, round, white, imprinted with MYLAN A

Image of Alprazolam
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Alprazolam

slide 38 of 78, Alprazolam,

0.25 mg, round, white, imprinted with MYLAN A

Image of Alprazolam
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Alprazolam

slide 39 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with N A, 0.5

Image of Alprazolam
slide 39 of 78
    

Alprazolam

slide 40 of 78, Alprazolam,

0.5 mg, oval, orange, imprinted with GG 257

Image of Alprazolam
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Alprazolam

slide 41 of 78, Alprazolam,

0.5 mg, oval, peach, imprinted with G3720

Image of Alprazolam
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Alprazolam

slide 42 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with MYLAN A3

Image of Alprazolam
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Alprazolam

slide 43 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with MYLAN A3

Image of Alprazolam
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Alprazolam

slide 44 of 78, Alprazolam,

0.5 mg, round, peach, imprinted with 029, LOGO

Image of Alprazolam
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Alprazolam

slide 45 of 78, Alprazolam,

1 mg, oval, blue, imprinted with N A, 1.0

Image of Alprazolam
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Alprazolam

slide 46 of 78, Alprazolam,

1 mg, round, blue, imprinted with 031, R

Image of Alprazolam
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Alprazolam

slide 47 of 78, Alprazolam,

1 mg, elliptical, blue, imprinted with GG 258

Image of Alprazolam
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Alprazolam

slide 48 of 78, Alprazolam,

1 mg, round, blue, imprinted with MYLAN A1

Image of Alprazolam
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Alprazolam

slide 49 of 78, Alprazolam,

2 mg, oblong, white, imprinted with 2

Image of Alprazolam
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Alprazolam

slide 50 of 78, Alprazolam,

2 mg, rectangular, white, imprinted with GG 249

Image of Alprazolam
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Alprazolam

slide 51 of 78, Alprazolam,

2 mg, round, white, imprinted with MYLAN A4

Image of Alprazolam
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ALPRAZolam ER

slide 52 of 78, ALPRAZolam ER,

0.5 mg, round, green, imprinted with IP 9

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 53 of 78, ALPRAZolam ER,

1 mg, round, yellow, imprinted with IP 10

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 54 of 78, ALPRAZolam ER,

1 mg, round, orange, imprinted with M, A22

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 55 of 78, ALPRAZolam ER,

2 mg, round, blue, imprinted with IP 12

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 56 of 78, ALPRAZolam ER,

2 mg, round, purple, imprinted with M, A23

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 57 of 78, ALPRAZolam ER,

3 mg, round, white, imprinted with IP 13

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 58 of 78, ALPRAZolam ER,

3 mg, round, pink, imprinted with M, A24

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 59 of 78, ALPRAZolam ER,

0.5 mg, round, white, imprinted with E 195

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 60 of 78, ALPRAZolam ER,

0.5 mg, pentagonal, peach, imprinted with G, 0.5

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 61 of 78, ALPRAZolam ER,

0.5 mg, round, white, imprinted with A21, M

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 62 of 78, ALPRAZolam ER,

1 mg, round, yellow, imprinted with b 492, 1

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 63 of 78, ALPRAZolam ER,

1 mg, oblong, yellow, imprinted with E196

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 64 of 78, ALPRAZolam ER,

2 mg, round, blue, imprinted with b 493, 2

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 65 of 78, ALPRAZolam ER,

2 mg, oblong, blue, imprinted with E197

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 66 of 78, ALPRAZolam ER,

3 mg, round, yellow, imprinted with E 198

Image of ALPRAZolam ER
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ALPRAZolam ER

slide 67 of 78, ALPRAZolam ER,

3 mg, triangular, green, imprinted with G, 3

Image of ALPRAZolam ER
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Niravam

slide 68 of 78, Niravam,

0.25 mg, round, yellow, orange, imprinted with SP 321

Image of Niravam
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Niravam

slide 69 of 78, Niravam,

0.5 mg, round, yellow, orange, imprinted with SP 322, 0.5

Image of Niravam
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Niravam

slide 70 of 78, Niravam,

1 mg, round, white, orange, imprinted with SP 323, 1

Image of Niravam
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Niravam

slide 71 of 78, Niravam,

2 mg, round, white, orange, imprinted with SP 324, 2

Image of Niravam
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Xanax

slide 72 of 78, Xanax,

0.25 mg, oval, white, imprinted with XANAX 0.25

Image of Xanax
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Xanax

slide 73 of 78, Xanax,

0.5 mg, oval, orange, imprinted with XANAX 0.5

Image of Xanax
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Xanax

slide 74 of 78, Xanax,

1 mg, oval, blue, imprinted with XANAX 1.0

Image of Xanax
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Xanax

slide 75 of 78, Xanax,

2 mg, rectangular, white, imprinted with X A N A X, 2

Image of Xanax
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Xanax XR

slide 76 of 78, Xanax XR,

1 mg, square, yellow, imprinted with X, 1

Image of Xanax XR
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Xanax XR

slide 77 of 78, Xanax XR,

2 mg, round, blue, imprinted with X, 2

Image of Xanax XR
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Xanax XR

slide 78 of 78, Xanax XR,

3 mg, triangular, green, imprinted with X, 3

Image of Xanax XR
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What is the most important information I should know about alprazolam?

Fatal side effects can occur if you take alprazolam with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing.

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

What is alprazolam?

Alprazolam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen) that is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

It is dangerous to purchase alprazolam on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.

Alprazolam may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking alprazolam?

You should not take alprazolam if:

  • you also take itraconazole or ketoconazole (antifungal medicines); or
  • you have a history of allergic reaction to any benzodiazepine (diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Valium, Versed, Xanax, and others).

Tell your doctor if you have ever had:

  • breathing problems such as COPD (chronic obstructive pulmonary disease) or sleep apnea (breathing that stops during sleep);
  • drug or alcohol addiction;
  • depression, mood problems, or suicidal thoughts or behavior;
  • a seizure; or
  • kidney or liver disease (especially alcoholic liver disease).

Do not use alprazolam if you are pregnant. This medicine can cause birth defects, and your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.

You should not breastfeed while using alprazolam.

Alprazolam is not approved for use by anyone younger than 18 years old.

How should I take alprazolam?

Follow the directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of this medicine.

Alprazolam may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Swallow the extended-release tablet whole and do not crush, chew, or break it.

Do not swallow the orally disintegrating tablet whole. Allow it to dissolve in your mouth without chewing.

Alprazolam is usually taken for no longer than 4 months to treat anxiety disorder, and for no longer than 10 weeks to treat panic disorder. Follow your doctor's dosing instructions very carefully.

Call your doctor if your symptoms do not improve, or if they get worse.

If you use this medicine long-term, you may need frequent medical tests.

Do not stop using alprazolam suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using alprazolam.

Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

Throw away any alprazolam liquid not used within 90 days.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of alprazolam can be fatal.

Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

What should I avoid while taking alprazolam?

Avoid drinking alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

Grapefruit may interact with alprazolam and lead to unwanted side effects. Avoid the use of grapefruit products.

What are the possible side effects of alprazolam?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • a light-headed feeling, like you might pass out;
  • a seizure;
  • hallucinations, risk-taking behavior;
  • increased energy, decreased need for sleep;
  • racing thoughts, being agitated or talkative;
  • double vision; or
  • jaundice (yellowing of the skin or eyes).

The sedative effects of alprazolam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury.

Common side effects may include:

  • drowsiness; or
  • feeling light-headed.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect alprazolam?

Taking alprazolam with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, prescription cough medicine, or medicine for depression or seizures.

Tell your doctor about all your other medicines, especially:

  • cimetidine;
  • digoxin;
  • birth control pills or hormone replacement therapy;
  • an antidepressant --fluoxetine, fluvoxamine, nefazodone;
  • an antibiotic --clarithromycin, telithromycin;
  • antifungal medicine --fluconazole, voriconazole; or
  • antiviral medicine to treat HIV/AIDS --indinavir, nelfinavir, ritonavir, saquinavir.

This list is not complete. Other drugs may affect alprazolam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Your pharmacist can provide more information about alprazolam.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2020 Cerner Multum, Inc. Version: 11.01. Revision date: 2/27/2020.

Your use of the content provided in this service indicates that you have read, understood and agree to the End-User License Agreement, which can be accessed by End-User License Agreement, which can be accessed by clicking on this link.

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