How it works
This medicine binds to the chloride channels and facilitates the influx of chloride ions, thus causes hyperpolarization and stabilization of the neuronal membrane, preventing further excitation of the cell.
Side effects
Major & minor side effects for Nervin tablet 0.25 mg 3×10’s(Alprazolam)
- Changes in pattern of speech 1 severe
- Unsteadiness severe
- Loss of coordination severe
- Drowsiness severe
- Blurred vision severe
- Abdominal pain severe
- Difficult or painful urination severe
- Headache severe
- Chest pain severe
- Sleeplessness severe
- Irregular menstrual periods
- Decreased appetite
- Weight loss
- Double vision
- Sudden sweating
- Acid or sour stomach
- Heartburn
Uses of Nervin tablet 0.25 mg 3×10’s(Alprazolam)
What is it prescribed for?
- Anxiety
Nervin tablet 0.25 mg 3×10’s(Alprazolam) is used in the treatment of anxiety disorders. Uneasiness, difficulty in sleeping, sweating of hands and feet are some of the symptoms of an anxiety disorder.
- Panic disorder
Nervin tablet 0.25 mg 3×10’s(Alprazolam) is used in the treatment of panic disorder. Sweating, breathing problem, weakness and numbness in hands are some of the symptoms of a panic disorder.
Concerns
Frequently asked questions
- Onset of action
The peak effect of this medicine can be observed in 1 to 2 hours for an immediate release tablet, 1.5 to 2 hours for a disintegrating tablet, and 9 hours for an extended release tablet.
- Duration of Effect
The effect of this medicine lasts for an average duration of 44 hours for an immediate release tablet and 52 hours for an extended release tablet / disintegrating tablet.
- Safe with Alchohol?
Consumption of alcohol with this medicine is not recommended as it increases the risk of severe respiratory depression and breathlessness.
- Is it habit forming?
Habit forming tendency has been reported.
- Usage in pregnancy?
This medicine is not recommended for use in pregnant women unless absolutely necessary and only under the supervision of the doctor.
- Usage while breast-feeding?
This medicine is known to be excreted into human breast milk and may cause undesired effects in the breastfed infants. Hence, it is not recommended for use in breastfeeding women.
When not to use?
Allergy
This medicine is not recommended for use if you have a known allergy to Nervin tablet 0.25 mg 3×10’s(Alprazolam) or other benzodiazepines.
Azole antifungal agents
Co-administration of Nervin tablet 0.25 mg 3×10’s(Alprazolam) and azole antifungal agents like Ketoconazole and Itraconazole should be done with extreme caution. Azole antifungal agents will increase the concentration of Nervin tablet 0.25 mg 3×10’s(Alprazolam) by increasing its availability in the body. This may result in serious side effects.
Warnings
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary and only under the supervision of the doctor.
Breast-feeding
This medicine is known to be excreted into human breast milk and may cause undesired effects in the breastfed infants. Hence, it is not recommended for use in breastfeeding women.
Drug dependence
Nervin tablet 0.25 mg 3×10’s(Alprazolam) has the tendency to cause dependency and abuse, particularly after a prolonged use or excessive dosages. Individuals with a history of alcohol or substance abuse should be monitored closely when they are on Nervin tablet 0.25 mg 3×10’s(Alprazolam). The dosage of this medicine should be tapered off gradually to avoid withdrawal symptoms.
Interdose symptoms
The symptoms of early morning anxiety have been reported in patients who are on maintenance doses of Nervin tablet 0.25 mg 3×10’s(Alprazolam). It could be due to the development of tolerance or insufficient dose to maintain the concentration of medicine in the body. In these situations, the same dose can be divided into multiple doses and administered more frequently.
Suicidal tendency
Use of benzodiazepines in depression conditions may increase the risk of suicide. Therefore, this medicine should be used with caution and prescription size should be limited in patients with depression or suicidal tendencies.
Age less than 18 years
Use of Nervin tablet 0.25 mg 3×10’s(Alprazolam) is not recommended in individuals who are less than 18 years of age.
Elderly population
This medicine should be used with extreme caution in individuals who are 60 years old and above due to the increased risk of sedation and muscle weakness.
Impaired kidney and liver function
This medicine should be used with caution in individuals with impaired kidney function and liver function.
Dosage
- Missed Dose
If you miss a dose of Nervin tablet 0.25 mg 3×10’s(Alprazolam), take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
- Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
Interactions
Interaction with Medicines
- Cetirizine moderate
- Metoclopramide moderate
- Opioids severe
- Azole antifungal agents severe
- Antihypertensives moderate
Disease interactions
- severe
Nervin tablet 0.25 mg 3×10’s(Alprazolam) is known to increase the fluid pressure inside the eye in some cases. Hence, it is contraindicated in patients with acute narrow-angle glaucoma which is an eye disorder.
- severe
This medicine should be used with extreme caution in patients with a known history of seizure disorders. This medicine may increase the risk of seizures. Also, suddenly stopping Nervin tablet 0.25 mg 3×10’s(Alprazolam) may cause withdrawal effects and can precipitate seizures. Hence, the dose should be reduced gradually. Do not stop taking this medicine without consulting your doctor.
Food interactions
Consumption of grapefruit juice with this medicine is not recommended as it may lead to serious side effects.
General Instructions
Take Nervin tablet 0.25 mg 3×10’s(Alprazolam) with or without food. Do not take in larger amounts than advised. Consult the doctor if you experience any undesirable effects. Do not stop taking the medicine without consulting your doctor as it may cause withdrawal symptoms.
Other details
- Can be taken with or without food, as advised by your doctor
- To be taken as instructed by doctor
- Causes sleepiness
References
- practo.com – Alprazolam [Internet]. Available from: https://www.practo.com/medicine-info/alprazolam-10-api [cited 14 september 2019]. 4 Jul 2017
- drugs.com – Alprazolam [Internet]. Available from: https://www.drugs.com/alprazolam.html [cited 14 september 2019]. Dec 28, 2018
- medlineplus.gov – AlprazolamAlprazolam [Internet]. Available from: https://medlineplus.gov/druginfo/meds/a684001.html [cited 14 september 2019]. 11 September 2019
what are the adverse effects of Nervin tablet 0.25 mg 3×10’s(Alprazolam)?
Insomnia, restlessness, headache, dizziness, akathisia, somnolence, tremor, blurred vision, GI upset, asthaenia. Stroke, TIA in elderly demented patients.
What happens if I miss a dose of Nervin tablet 0.25 mg 3×10’s(Alprazolam)?
Adults: Anxiety: Initial: 0.25-0.5 mg three times daily. Titrate: May increase every 3-4 days. Max: 4 mg/day.
Panic Disorder: Initial: 0.5-1 mg daily, preferably in the morning. Titrate: Increase by 1 mg/day every 3-4 days. Maintenance: 1-10 mg/day. Usual: 3-6 mg/day.
Children: Not recommended.
One of the following licensed pharmacy from the nearest location will deliver Nervin tablet 0.25 mg 3×10’s(Alprazolam). The details of the licensed pharmacy shall be shared once you request the drugs and the respective pharmacy accepts your request based on valid prescription and availability.
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