Alprazolam
Alternative Medicine The following information is specific for alternative and complementary medicine. For additional evidence-based information on diseases, conditions, symptoms, diagnosis, treatment and wellness issues, continue searching the Healthwise Knowledgebase.
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Also indexed as: Xanax
Alprazolam is used to treat anxiety and panic disorder, and is in a family of drugs known as benzodiazepines. Herbs
Summary of Interactions for Alprazolam | Depletion or interference | None known | | Adverse interaction | Kava* Alcohol | | Side effect reduction/prevention | None known | | Supportive interaction | None known | | Reduced drug absorption/bioavailability | None known |
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An asterisk (*) next to an item in the summary
indicates that the interaction is supported only by weak, fragmentary,
and/or contradictory scientific evidence. Interactions with Supplements
Vinpocetine In a preliminary trial, an extract of periwinkle called vinpocetine was shown to produce minor improvements in short-term memory among people taking flunitrazepam, a benzodiazepine.1 Further study is needed to determine if vinpocetine would be a helpful adjunct to use of benzodiazepines, or alprazolam specifically. Interactions with Herbs
Kava (Piper methysticum) Kava is an herb used to treat anxiety disorder. One individual who took alprazolam and kava together, along with two other medications (cimetidine and terazosin) was hospitalized in a lethargic and disoriented condition.2 Further research is needed to determine whether the combination of kava and alprazolam produces an adverse interaction. However, individuals should not take alprazolam and kava together unless supervised by a doctor. Other Interactions
Alcohol Drinking alcoholic beverages while taking alprazolam may increase side effects such as drowsiness, confusion, and dizziness.3 Consequently, people taking alprazolam should avoid drinking alcohol, especially when they must stay alert. References
- Bhatti JZ, Hindmarch I. Vinpocetine effects on cognitive impairments produced by flunitrazepam. Int Clin Psychopharmacol 1987;2:325-31.
- Almeida JC. Coma from the health food store: Interaction between kava and alprazolam. Ann Intern Med 1996;125:940-1.
- Sifton DW, ed. Physicians' Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 2492-6.
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