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Altok (Alprazolam)

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Altok is a potent, short-acting benzodiazepine anxiolytic—a minor tranquilizer. It is commonly used for the treatment of anxiety disorders, especially of panic disorder. It's also used in the treatment of generalized anxiety disorder (GAD) or social anxiety disorder. It was the 12th most prescribed medicine in the United States in 2010. Altok, like other benzodiazepines, binds to specific sites on the GABAA receptor. It possesses anxiolytic, sedative, hypnotic, skeletal muscle relaxant, anticonvulsant, amnestic, and antidepressant properties. Altok is available for oral administration as compressed tablets (CT) and extended-release capsules (XR).

Other names for this medication:
Aderta, Alcalm, Aldep, Almee, Alprax, Alprazan, Alprine, Alpron, Alprotame, Alproz, Alwe, Alzex, Alzorix, Alzotime, Anquil, Anxofit, Aryalam, Axizox, Cardilax, Depflu, Depsolam, Dexolam, Elzopam, Erazol, Flunix, Himzolam, Mcalm, Mediprex, Nitril, Ozolam, Pacyl, Parazolam, Prazolam, Pronil, Rescalm, Rezolam, Riolam, Setlan, Sowel, Tensfree, Zeftra, Zepro, Zoldac, Zolorest, Zolran

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Azulfidine, Floxin, Lanoxin, Viagra, Antivert, Diamox, Vermox, Temovate, Diovan, Cotriatec, Precold, Ranlozar, Varmin, Sinact, Dospin, Cutum, Claritab, Theoder,

Also known as: Alprazolam


Altok XR (alprazolam) is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Alprazolam affects chemicals in the brain that may become unbalanced and cause anxiety.

Altok XR is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

Altok XR may also be used for other purposes not listed in this medication guide.


Take Altok exactly as prescribed by your doctor. Follow all directions on your prescription label. Never use Altok in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in treating your symptoms.

Altok may be habit-forming. Never share Altok with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Misuse of habit-forming medicine can cause addiction, overdose, or death. Selling or giving away this medicine is against the law.

Do not crush, chew, or break a Altok extended-release tablet. Swallow the tablet whole. Call your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms. Do not stop using Altok suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.


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.


Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details.

Side effects

The most common side effects associated with Altok are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not use Altok XR if you have:

narrow-angle glaucoma; if you are also taking itraconazole (Sporanox) or ketoconazole (Nizoral); or if you are allergic to alprazolam or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

Before taking Altok XR, tell your doctor if you are allergic to any drugs, or if you have:

asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems; glaucoma; kidney or liver disease (especially alcoholic liver disease); a history of depression or suicidal thoughts or behavior; or a history of drug or alcohol addiction.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

It is dangerous to try and purchase Altok XR on the Internet or from vendors outside of the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. Samples of alprazolam purchased on the Internet have been found to contain haloperidol (Haldol), a potent antipsychotic drug with dangerous side effects. For more information, contact the U.S. Food and Drug Administration (FDA) or visit

FDA pregnancy category D. Altok XR can cause birth defects in an unborn baby. Do not use Altok XR without your doctor's consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Alprazolam can pass into breast milk and may harm a nursing baby. Do not use Altok XR without telling your doctor if you are breast-feeding a baby.

The sedative effects of Altok XR may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking Altok XR. Do not give this medication to anyone under 18 years old.

Altok XR pregnancy and breastfeeding warnings (more detail)

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