What is Rlam 1mg?

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Rlam 1mg

Rlam 1mg /[Alprazolam]

By:-logical pharmacy 

Rlam 1mg /Alprazolam, sold under the brand name Xanax, among others, is a fast-acting tranquilliser of medium duration in the triazolobenzodiazepine (TBZD) class, which are benzodiazepines (BZDs) fused with a triazole ring. It is most commonly used in short-term management of anxiety disorders, specifically panic disorder or generalised anxiety disorder (GAD).Other uses include the treatment of chemotherapy-induced nausea, together with other treatments.GAD improvement occurs generally within a week. Alprazolam is generally taken by mouth.

Rlam 1mg

Buy :- Rlam 1mg

What is Rlam 1mg?

Xanax bars are used for managing anxiety disorders and short term relief of symptoms of anxiety in adults. They are also used to treat panic disorders in adults with or without a fear of situations that might cause the attacks, embarrassment, or helplessness.  

SIDE EFFECTS

Common side effects include sleepiness, depression, headaches, feeling tired, dry mouth, and memory problems. Some of the sedation and tiredness may improve within a few days. Due to concerns about misuse, some do not recommend alprazolam as an initial treatment for panic disorder. Withdrawal or rebound symptoms may occur if use is suddenly decreased; gradually decreasing the dose over weeks or months may be required. Other rare risks include suicide and a twofold increased risk of all-cause mortality. Alprazolam, like other benzodiazepines, acts through the GABAA receptor.  

Alprazolam was patented in 1971 and approved for medical use in the United States in 1981. Alprazolam is a Schedule IV controlled substance and is a common drug of abuse. It is available as a generic medication. In 2019, it was the 41st-most-commonly-prescribed medication in the United States, with more than 17 million prescriptions.

Panic disorder

Alprazolam is effective in the relief of moderate to severe anxiety and panic attacks. However, it is not a first-line treatment since the development of selective serotonin reuptake inhibitors. Alprazolam is no longer recommended in Australia for the treatment of panic disorder because of concerns regarding tolerance, dependence, and abuse. Most evidence shows that the benefits of alprazolam in treating panic disorder last only four to ten weeks. However, people with panic disorder have been treated on an open basis for up to eight months without apparent loss of benefit.

Anxiety disorders

Anxiety associated with depression is responsive to alprazolam. Clinical studies have shown that the effectiveness is limited to 4 months for anxiety disorders. However, the research into antidepressant properties of alprazolam is poor and has only assessed its short-term effects against depression. In one study, some long term, high-dosage users of alprazolam developed reversible depression.In the US, alprazolam is FDA-approved for the management of anxiety disorders (a condition corresponding most closely to the APA Diagnostic and Statistical Manual DSM-IV-TR diagnosis of generalised anxiety disorder) or the short-term relief of symptoms of anxiety. In the UK, alprazolam is recommended for the short-term treatment (2–4 weeks) of severe acute anxiety.

Side effects

Side effects from alprazolam

Sedative drugs, including alprazolam, have been associated with an increased risk of death.

Possible side effects include:

  • Anterograde amnesia and concentration problems
  • Ataxia, slurred speech
  • Disinhibition
  • Drowsiness, dizziness, lightheadedness, fatigue, unsteadiness, and impaired coordination, vertigo
  • Dry mouth (infrequent)
  • Hallucinations (rare)
  • Jaundice (very rare)
  • Seizures (less common)
  • Skin rash, respiratory depression, constipation
  • Suicidal ideation or suicide
  • Urinary retention (infrequent)
  • Muscle weakness

Overdose

 

The maximum recommended daily dose is 10 milligrams per day.

Overdoses of alprazolam can be mild to severe depending on the quantity ingested and if other drugs are taken in combination.

Alprazolam overdoses cause excess central nervous system (CNS) depression and may include one or more of the following symptoms:

  • Coma and death if alprazolam is combined with other substances.
  • Fainting
  • Hypotension (low blood pressure)
  • Hypoventilation (shallow breathing)
  • Impaired motor functions
    • Dizziness
    • Impaired balance
    • Impaired or absent reflexes
    • Muscle weakness
  • Orthostatic hypotension (fainting while standing up too quickly)
  • Somnolence (drowsiness)

Pharmacology

Alprazolam is a positive allosteric modulator of the gamma-aminobutyric acid (GABA) type A receptor. When it binds to the receptor, effects of GABA are enhanced leading to inhibition of neurons in the brain. This results in effects including reduced anxiety, muscle relaxant, antidepressant and anticonvulsant activity. The activity of alprazolam in the central nervous system is dose dependent.

Mechanism of action

Alprazolam is classed as a high-potency triazolobenzodiazepine, a benzodiazepine with a triazole ring attached to its structure. As a benzodiazepine, alprazolam produces a variety of therapeutic and adverse effects by binding to the GABAA benzodiazepine receptor site and modulating its function; GABA receptors are the most prolific inhibitory receptor within the brain. The GABA chemical and receptor system mediates inhibitory or calming effects of alprazolam on the nervous system. Binding of alprazolam to the GABAA receptor, a chloride ion channel, enhances the effects of GABA, a neurotransmitter. When GABA binds the GABAA receptor the channel opens and chloride enters the cell which makes it more resistant to depolarisation. Therefore, alprazolam has a depressant effect on synaptic transmission to reduce anxiety.

The GABAA receptor is made up of 5 subunits out of a possible 19, and GABAA receptors made up of different combinations of subunits have different properties, different locations within the brain, and, importantly, different activities with regard to benzodiazepines. Alprazolam and other triazolobenzodiazepines such as triazolam that have a triazole ring fused to their diazepine ring appear to have antidepressant properties .This is perhaps due to the similarities shared with tricyclic antidepressants, as they have two benzene rings fused to a diazepine ring. Alprazolam causes a marked suppression of the hypothalamic-pituitary-adrenal axis. The therapeutic properties of alprazolam are similar to other benzodiazepines and include anxiolytic, anticonvulsant, muscle relaxant, hypnotic and amnesic; however, it is used mainly as an anxiolytic.

Giving alprazolam, as compared to lorazepam, has been demonstrated to elicit a statistically significant increase in extracellular dopamine D1 and D2 concentrations in the striatum.

Availability

Alprazolam is available in English-speaking countries under the following brand names:

  • Alprax
  •  Alprocontin
  • Alzam
  •  Alzolam 
  • Anzilum 
  • Apo-Alpraz
  •  Helex
  • Kalma
  • Mylan-Alprazolam
  •  Niravam
  •  Novo-Alprazol
  •  Nu-Alpraz
  •  Pacyl, Restyl
  •  Tranax
  •  Trika
  •  Oxycalm 
  • Xanax, Xanor
  •  Zolam
  •  Zopax

In December 2013, in anticipation of the rescheduling of alprazolam to Schedule 8 in Australia, Pfizer Australia announced they would be discontinuing the Xanax brand in Australia as it was no longer commercially viable.

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