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Tancalm (Alprazolam)

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Tancalm is commonly used to treat anxiety and panic disorders. It falls into a category of medications called benzodiazepines. They are known to affect the central nervous system components and produce a calming effect, thus decreasing brain activity.

Other names for this medication:
Acalm, Alpramax, Alpraquil, Alprasan, Alprocontin, Alprogard, Alprop, Alprose, Alproz, Alsert, Altok, Alzokam, Anlzium, Anxorel, Anxyl, Azoslip, Endep, Enxolam, Flunix, Fluxin, Isorest, Pecalm, Poize, Pyrex, Riolam, Romipraz, Tancalm, Visram, Xerodep, Zepro, Zocam, Zolam, Zolar, Zoltweet, Zopax, Zotam

Similar Products:
Furadantin, Pamelor, Ceclor, Zofran, Motrin, Claritin, Maxalt, Zetia, Abhigra, Vomica, Floxator, Calbloc, Natron, Insurol,

Also known as: Alprazolam


Tancalm 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.

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

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


Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.

Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Measure the liquid form of Tancalm with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not swallow the orally disintegrating tablets whole. Allow it to dissolve in your mouth without chewing.

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

You may have seizures or withdrawal symptoms when you stop using Tancalm. Ask your doctor how to avoid withdrawal symptoms when you stop using Tancalm.

Keep track of the amount of medicine used from each new bottle. Tancalm is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.


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 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 Tancalm XR dosage information

Side effects

The most common side effects associated with Tancalm 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 Tancalm 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 Tancalm 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 Tancalm 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. Tancalm XR can cause birth defects in an unborn baby. Do not use Tancalm 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 Tancalm XR without telling your doctor if you are breast-feeding a baby.

The sedative effects of Tancalm 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 Tancalm XR. Do not give this medication to anyone under 18 years old.

Tancalm XR pregnancy and breastfeeding warnings (more detail)

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