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Niravam (Alprazolam)

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Niravam is used to treat anxiety and panic disorders. It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). Niravam is mostly used to treat anxiety disorders, panic disorders, and nausea due to chemotherapy. Niravam may also be indicated for the treatment of generalized anxiety disorder, as well as for the treatment of anxiety conditions with co-morbid depression. The FDA label advises that the physician should periodically reassess the usefulness of the drug.

Other names for this medication:
Alcalm, Alcicalm, Alflux, Alpam, Alpranex, Alzoact, Alzomax, Azolam, Eurolam, Exiten, Exprex, Fluxozam, Fluzolam, Meloprax, Nexlpra, Notence, Ozolam, Plxna, Prazil, Propnix, Prozam, Romipraz, Samprex, Silam, Tenfree, Tenil, Trustin, Unixl, Zenax, Zolark, Zopain, Zopral

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Epivir, Compazine, Elavil, Ceftin, Aldactone, Zetia, Nuvigil, Kamagra, Cedel, Cezine, Richpram, Albenzole, Omcet,

Also known as: Alprazolam


Niravam 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.

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

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


Take Niravam XR exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Niravam XR may be habit-forming and should be used only by the person it was prescribed for. Niravam XR should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Do not crush, chew, or break a Niravam extended-release tablet. Swallow the tablet whole. It is specially made to release alprazolam slowly in the body. Breaking the tablet would cause too much alprazolam to be released at one time.

Contact your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms.

Your symptoms may return when you stop using Niravam XR after using it over a long period of time. You may also have seizures or withdrawal symptoms when you stop using Niravam XR.

Withdrawal symptoms may include blurred vision, trouble concentrating, loss of appetite, diarrhea, muscle twitching, numbness or tingling, or increased sensations.

Do not stop using Niravam XR suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

To be sure this medication is helping your condition, your doctor will need to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.

Store Niravam XR at room temperature away from moisture, heat, and light. Remove any cotton from the bottle of disintegrating tablets, and keep the bottle tightly closed.

Keep track of how many pills have been used from each new bottle of this medicine. Benzodiazepines are drugs of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Detailed Niravam XR dosage information


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Niravam XR can be fatal.

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


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

It is very important to protect the orally disintegrating tablets from moisture. Remove and throw away any cotton packaging from the medicine bottle when you first use the medicine.

Detailed Niravam dosage information

Side effects

The most common side effects associated with Niravam 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.


Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug include: kava, sodium oxybate.Other medications can affect the removal of Niravam from your body, which may affect how Niravam works. Examples include azole antifungals (such as itraconazole, ketoconazole), cimetidine, certain anti-depressants (such as fluoxetine, fluvoxamine, nefazodone), drugs to treat HIV (delavirdine, protease inhibitors such as indinavir), macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John's wort, drugs used to treat seizures (such as carbamazepine, phenytoin), among others.Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (such as diphenhydramine), medicine for sleep or anxiety (such as diazepam, zolpidem), muscle relaxants, narcotic pain relievers (such as codeine), psychiatric medicines (such as chlorpromazine, risperidone, amitriptyline, trazodone).Check the labels on all your medicines (such as cough-and-cold products) because they may contain ingredients which cause drowsiness. Ask your pharmacist about the safe use of those products.Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking.

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In diabetic patients, compatible signs with microaneurysms, capillary dilations, and haemorrhages were less numerous in colour imaging than optimized-FAF and FAF imaging in areas analysed. Cryostat kidney sections were immunohistologically stained for the presence of neutrophils and monocytes (MO) and the expression of adhesion molecules. There was also a drastic reduction in the failure rate for underrepresented minority (URM) students with PLTL, which further resulted in closing the achievement gap between URM and non-URM students. Available data are conflicting, most likely due to different technical approaches. Even when specific instructions were present, care was potentially inconsistent in half of the cases. Functionality of the system by dox was confirmed after in vitro cotransduction of Chinese hamster ovary and human endothelial hybridoma (EAhy926) cells. For that a central data center and data management is mandatory. The contribution of the complement receptor type 3 (CR3) to nitric oxide (NO) production from macrophages stimulated by LPS was investigated. Alterations in stimulus-induced integrin expression in peripheral blood neutrophils of patients with diabetic retinopathy. The utility of such databases is enhanced when the sequences they contain are integrated with such biological information as genomic location, gene function, gene expression and phenotypic variation.

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The conditioned stimulus (CS) saccharin was paired with the unconditioned stimulus (UCS) LPS over a five (CONDl) or four (COND2) days learning trial. We studied the loss and stabilization of dihydrofolate reductase genes in clones of a methotrexate-resistant murine S-180 cell line. The activation of the renal MCR was elevated in the SHR strain even at the age of six weeks when the tail arterial pressure was statistically identical to that of the WKY strain. Previous studies have highlighted the diversity of levels of nutrition teaching in European Dental Schools, ranging from extensive courses in Scandinavia and the Netherlands to little or none in some other countries. Besides the structures of the naked DNAs, their interactions with water, polyamines, and metal ions have attracted considerable attention. opioid and/or local anesthetic), and type of infusion system (externalized vs. Molecular dissection of GTP exchange and hydrolysis within the ternary complex of tubulin heterodimers and Op18/stathmin family members. In this article a blended learning concept in continuing medical education is evaluated over a broad range of ages, as there is little data on this topic so far. Genetic transformation and mutagenesis via single-stranded DNA in the unicellular, diazotrophic cyanobacteria of the genus Cyanothece.

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Risk factors for cotton-wool spots and for cytomegalovirus retinitis in patients with human immunodeficiency virus infection. In an open circuit with gravity siphon venous drain, angled cannulae drain more than straight ones regardless the amount of suction applied to the venous line (16 Fr straight cannula (S) drains 90 ml/min less than a 16 Fr angled (A) with a siphon gravity). Successful deformable image registration is an essential component of both dose accumulation and plan adaptation in radiotherapy. This paper describes the optimum operation conditions for nitrogen and phosphorus removal using this system. Our data suggest that IFN-gamma inhibits Th2 proliferation through an IL-1-dependent mechanism, and furthermore, that the costimulatory pathways used by APCs may be critical for subsequent Th cell responses to cytokines. This paper repositions the approved drugs resulting from virtual screening and discusses the relocation-based drug discovery methods, screening antihypertensive drugs with L-type calcium channel function from TCMD. The highly nonrandom character of genomic DNA can confound attempts at modeling DNA sequence variation by standard stochastic processes (including random walk or fractal models). The active translation factor facilitates the sequence-specific translation of polyproline sequences that otherwise cause ribosome stalling.

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Synthesis and anti-inflammatory and analgesic activities of 2,4-di-n-butyl-3,5-diarylimino-1,2,4-thiadiazolidines. The prefrontal cortex and nucleus accumbens are primary recipients of medial thalamic inputs, prominently including projections from the thalamic paraventricular nucleus. DDAVP test for assessment of renal concentrating capacity in infants and children. Differential activation requirements associated with stimulation of T cells via different epitopes of CD3. We report here a unique case of a sudden loss of vision as the first symptom of an advanced chronic nephropathy. Samples from 43 patients with sickle cell disease (SCD) were examined for evidence of platelet activation using fluorescent-labelled monoclonal antibodies and flow cytometry.

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Imaging visual recognition: PET and fMRI studies of the functional anatomy of human visual recognition. It is challenging but imperative to merge together specific inorganic nanomaterials with macromolecular and small-molecule therapeutics into one nanoentity for all-in-one theranostic/remedy. Hydrolysis of only the peptide bonds of alanyl, aspartyl, or asparaginyl residues was confirmed by the action of the enzyme on oxidized bovine ribonuclease A- and B- chain insulin. A case of liposarcoma associated with chronic tuberculous empyema. Application of these methods have allowed discovery of new principles of topographic organization in the rat pontine nuclei. The cases consulted their GPs significantly more often during the preceding half year, had more drug prescriptions, and had more specialist referrals than the controls. The long term secular decline in fertility has leveled off, at least temporarily. Filtration of active fractions with function of expelling water retention with drastic purgative from Kansui Radix stir-baked with vinegar. Innovative activity of dental faculty staff of Omsk State Medical University: results, problems and prospects.

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We have cloned and analysed a gene from the insect parasite, Crithidia fasciculata, with homology to the gp63 metalloendoproteinase gene of Leishmania. Comparison of CiZic and AmphiZic expression with vertebrate Zic expression leads to two main conclusions. The partially purified tobacco-alphaLA was fully active in the synthesis of lactose when combined with galactosyltransferase. This optimal screw position gave a better prognostication of reduced risk of early fracture failure compared with the usual sectional division of the femoral head as indicator of screw position. Differences in the second internal transcribed spacer of four species of Nematodirus (Nematoda: cost of motrin 600 mg Molineidae). Cancer Related Fatigue and Quality of Life in Patients with Advanced Prostate Cancer Undergoing Chemotherapy.

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Assessment of micronuclei frequency and its response to chemopreventive agents has been incorporated into studies of upper aerodigestive tract and lung cancer chemoprevention. Neurofibromatosis type 2 with multiple primary brain tumors in monozygotic twins. When faced with children with severe refractory diarrhea, clinicians should entertain the possibility of IPEX. Secondary malignancies diagnosed using kidney needle core biopsies: a clinical and pathological study of 75 cases. (Protozoa: Eimeriidae) from a snake and a tree shrew in South Vietnam. The Building Bridges Initiative (BBI) provides a framework for achieving positive outcomes for youth and families served in residential and community programs. With mutants lacking one stem oligosaccharide, fusion was reduced to a lesser extent.

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Also, we observed tissue-specific estrogen regulation of the CYP3A9 message. An asthma severity score and inhaled beta2-agonist requirement (puffs/day) were also assessed for the asthmatic patients. Development of a gene therapy strategy for the restoration of survival motor neuron protein expression: implications for spinal muscular atrophy therapy. The aim of this study was to investigate the influence of hand and body dimensions on hand grip strength and to define a reference scale for talent identification in basketball players. With early diagnosis, conservative therapy is often successful in the treatment of common disorders of the forefoot. Because neuroinflammation is observed in autistic spectrum disorders (ASD), a neurologic condition of childhood resulting in a complex behavioural impairment, we analyzed the inflammasomes activity in ASD. This finding demonstrates the earlier detection of change in risk behaviour among the general population by the sex-ratio from annual case reports, compared to the ratio from the cumulative number of cases. Enhanced photocatalytic properties in well amaryl 2mg tablets -ordered mesoporous WO3. The main feature noted was that of orbital fat atrophy with no evidence of an orbital mass. The obtained results are helpful for the design of novel Chk1 inhibitors with improved activities.

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Our case indicates that outcome of EPM can be good even with prolonged periods of severe neurologic impairment. Authors report on a case of emphysematous pyelonephritis in a woman affected with diabetes and renal failure. This paper reviews the literature concerning the meaning of insight in clinical psychiatry. Fresh milk samples stored at ambient temperatures became unacceptable for somatic cell counting by 16 hours while those stored in the refrigerator were acceptable zyrtec generic 4h2 for up to three days. This article describes how sedation can help to overcome some of the problems associated with the use of local anaesthesia for dentistry. Injuries in elderly patients: maximal management versus minimal osteosynthesis depending on active life style and economic resources. Potential for internal loading by phosphorus based on sequential extraction of surficial sediment in a shallow Egyptian Lake. Some chemicals were examined for their effects on the germination of resting spores of the clubroot pathogen Plasmodiophora brassicae, and on the control of clubroots in Chinese cabbage.

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It is an uncommon but well-recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum between the aorta and the superior mesenteric artery. catHDL forms a stable discoidal-shape complex with PA (catHDL/PA) (ca. Six regional meetings were held in Spain (East, Catalonia, Andalusia-Extremadura, Madrid, North-east, and North of Spain). These fibers have been shown by biochemical and ultrastructural analysis to be composed of two distinct components, a more abundant amorphous component and a 10-12 nm microfibrillar component, which is located primarily around the periphery of the amorphous component. In this study, the amino acid sequences of the large (cybL) and small (cybS) subunits of cytochrome b in human liver complex II were deduced from cDNAs isolated by homology probing with mixed primers for the polymerase chain reaction. Insulin resistance is a common phenomenon in non-diabetic patients. In the present study, the effect of HTLV-I encoded Tax on the exogenously expressed NF-kappa B p105, which encodes a precursor of p50, was investigated using a COS-7 expression system.

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The content of ascorbic acid in tissues of swine fetuses and newborn piglets and in the blood plasma and tissue of swine of different ages with regard to the effect of the restriction of suckling time. The availability of an etiologic diagnosis enables the clinician to make appropriate therapeutic decisions and to avoid the indiscriminate use of antibiotics. Moreover, when interposed between the HML alpha genes and the E silencer, certain segments of these promoters block the repression effect of the silencer on the alpha genes. A retrospective study of 118 patients with renal cancer, treated at the University Urologic Clinic in Rostock, Germany, for the period Jan. Survey participants were selected randomly from licensed nursing employees at both hospitals.

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