Drugplain

Alprazolam 2 mg/1

Alprazolam · TABLET · Aurobindo Pharma Limited

10 Recalls on Record
Plain English

Alprazolam is a tablet containing alprazolam at 2 mg/1, taken oral. Manufactured by Aurobindo Pharma Limited.

Key Facts

Brand Name
Alprazolam
Generic Name
Alprazolam
NDC Code (Product)
65862-679
Manufacturer
Aurobindo Pharma Limited
Strength
2 mg/1
Dosage Form
TABLET
Route
ORAL
Marketing Status
DEA Schedule
Schedule IV (Controlled)
Application #
ANDA203346
Drug Class
Benzodiazepine [EPC]
Marketing Start
07/31/2015

Recall History

10 Recalls on Record
Class II03/22/2023

Direct Rx

CGMP Deviations: Repackaging firm recalling due to potential product cross contamination concerns at the manufacturer.

OngoingVoluntary: Firm initiated
Class II04/28/2022

Viatris Inc

Failed Dissolution Specifications: low out-of-specification dissolution test results observed.

TerminatedVoluntary: Firm initiated
Class II03/04/2022

Direct Rx

CGMP Deviations: The Recall is due to the potential cross-contamination at the contract manufacturer (Ultra Tab Laboratories Inc.)

TerminatedVoluntary: Firm initiated
Class II02/15/2022

ANI Pharmaceuticals, Inc.

cGMP Deviations

TerminatedVoluntary: Firm initiated
Class III09/15/2016

Mckesson Packaging Services

Labeling: Missing Label-Primary packaging label (i.e. blister card) is blank and contains no product information (e.g. product name, strength, lot number, expiry).

TerminatedVoluntary: Firm initiated
Class II02/22/2022

Preferred Pharmaceuticals, Inc.

CGMP deviations

TerminatedVoluntary: Firm initiated
Class II03/22/2023

Direct Rx

CGMP Deviations: Repackaging firm recalling due to potential product cross contamination concerns at the manufacturer.

OngoingVoluntary: Firm initiated
Class II02/04/2014

Actavis Elizabeth LLC

Failed Dissolution Specifications: Product did not meet specification requirements for dissolution.

TerminatedVoluntary: Firm initiated
Class II03/27/2023

Preferred Pharmaceuticals, Inc.

CGMP Deviations: Downstream recall from Breckenridge Pharmaceuticals, Inc due to potential risk of Cross Contamination.

TerminatedVoluntary: Firm initiated
Class II07/30/2014

Mckesson Packaging Services

Presence of Foreign Substance; tablets may contain stainless steel metal particulates

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

drug abuse8,775 reports
toxicity to various agents7,823 reports
completed suicide7,264 reports
drug ineffective7,000 reports
nausea5,710 reports
fatigue5,420 reports
death5,076 reports
headache4,530 reports
pain4,444 reports
anxiety4,295 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Alprazolam tablets are indicated for the: acute treatment of generalized anxiety disorder (GAD) in adults. treatment of panic disorder (PD), with or without agoraphobia in adults. Alprazolam is a benzodiazepine indicated for the: Acute treatment of generalized anxiety disorder in adults. ( 1 ) Treatment of panic disorder with or without agoraphobia in adults. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Generalized Anxiety Disorder : ( 2.1 ) Recommended starting oral dosage is 0.25 mg to 0.5 mg three times daily. Dosage may be increased, at intervals of every 3 to 4 days, to a maximum recommended daily dose of 4 mg, given in divided doses. Use the lowest possible effective dose and frequently assess the need for continued treatment. Panic Disorder : Recommended starting oral dosage is 0.5 mg three times daily. The dosage may be increased at intervals of every 3 to 4 days in increments of no more than 1 mg per day. ( 2.2 ) When tapering, decrease dosage by no more than 0.5 mg every 3 days. Some patients may require an even slower dosage reduction. ( 2.3 , 5.2 ) See the Full Prescribing Information for the recommended dosage in geriatric patients, patients with hepatic impairment, and with use with ritonavir. ( 2.4 , 2.5 , 2.6 ) 2.1 Dosage in Generalized Anxiety Disorder The recommended starting oral dosage of alprazolam tablets for the acute treatment of patients with GAD is 0.25 mg to 0.5 mg administered three times daily. Depending upon the response, the dosage may be adjusted at intervals of every 3 to 4 days. The maximum recommended dosage is 4 mg da

Contraindications

4 CONTRAINDICATIONS Alprazolam tablets are contraindicated in patients: with known hypersensitivity to alprazolam or other benzodiazepines. Angioedema has been reported [see Adverse Reactions (6.2) ] . taking strong cytochrome P450 3A (CYP3A) inhibitors (e.g., ketoconazole, itraconazole), except ritonavir [see Dosage and Administration (2.6) , Warnings and Precautions (5.5) , Drug Interactions (7.1) ] Known hypersensitivity to alprazolam or other benzodiazepines. ( 4 ) Concomitant use with strong cytochrome P450 3A (CYP3A) inhibitors, except ritonavir. ( 4 , 5.5 , 7.1 )

Drug Interactions

7 DRUG INTERACTIONS Use with Opioids: Increase the risk of respiratory depression. ( 7.1 ) Use with Other CNS Depressants: Produces additive CNS depressant effects. ( 7.1 ) Use with Digoxin: Increase the risk of digoxin toxicity. ( 7.1 ) Use with CYP3A Inhibitors (except ritonavir): Increase the risk of adverse reactions of alprazolam. ( 4 , 5.5 , 7.1 ) Use with CYP3A Inducers: Increase the risk of reduced efficacy of alprazolam. ( 7.1 ) 7.1 Drugs Having Clinically Important Interactions with Alprazolam Table 4 includes clinically significant drug interactions with alprazolam [see Clinical Pharmacology (12.3) ] . Table 4: Clinically Significant Drug Interactions with Alprazolam Opioids Clinical implication The concomitant use of benzodiazepines and opioids increases the risk of respiratory depression because of actions at different receptor sites in the CNS that control respiration. Benzodiazepines interact at gamma-aminobutyric acid(GABA A ) sites and opioids interact primarily at mu receptors. When benzodiazepines and opioids are combined, the potential for benzodiazepines to significantly worsen opioid-related respiratory depression exists. Prevention or management Limit dosage

Adverse Reactions

6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in the labeling: Risks from Concomitant Use with Opioids [see Warnings and Precautions (5.1) ] Abuse, Misuse, and Addiction [see Warnings and Precautions (5.2) ] Dependence and Withdrawal Reactions [see Warnings and Precautions (5.3) ] Effects on Driving and Operating Machinery [see Warnings and Precautions (5.4) ] Patients with Depression [see Warnings and Precautions (5.6) ] Neonatal Sedation and Withdrawal Syndrome [see Warnings and Precautions (5.8) ] Risks in Patients with Impaired Respiratory Function [see Warnings and Precautions (5.9) ] The most common adverse reactions reported in clinical trials for generalized anxiety disorder and panic disorder (incidence > 5% and at least twice that of placebo) include: impaired coordination, hypotension, dysarthria, and increased libido. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Aurobindo Pharma USA, Inc. at 1-866-850-2876 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical tria

Frequently Asked Questions

What is Alprazolam used for?

Alprazolam contains Alprazolam. It is a tablet taken oral. Consult your doctor for specific uses.

Is Alprazolam a controlled substance?

Yes, Alprazolam is classified as CIV under the DEA Controlled Substances Act.

What is the generic name for Alprazolam?

The generic name for Alprazolam is Alprazolam. There are 1 other brand versions of Alprazolam.

What is the NDC code for Alprazolam 2 mg/1?

The NDC (National Drug Code) for Alprazolam 2 mg/1 is 65862-679, listed by Aurobindo Pharma Limited.