MedPath

Alprazolam

Generic Name
Alprazolam
Brand Names
Niravam, Xanax
Drug Type
Small Molecule
Chemical Formula
C17H13ClN4
CAS Number
28981-97-7
Unique Ingredient Identifier
YU55MQ3IZY
Background

Alprazolam is a triazolobenzodiazepine indicated for the treatment of anxiety and panic disorders. It is mainly metabolized by CYP3As and so is contraindicated with CYP3A inhibitors like ketoconazole and itraconazole. Benzodiazepine treatment should be stopped gradually by tapering down a patient's dose to avoid withdrawal symptoms. Alprazolam's adverse effects are generally related to the sedation it can cause. Alprazolam has been mixed with alcohol as a drug of abuse to potentiate the sedative effects of the drug which may lead to coma and death. Alprazolam was given FDA approval on October 16, 1981.

Indication

Alprazolam is indicated for the acute treatment of generalized anxiety disorder in adults. Alprazolam is also indicated, either as a standard or extended-release formulation, for the treatment of panic disorder with or without agoraphobia in adults.

Alprazolam may also be prescribed off-label for insomnia, premenstrual syndrome, and depression.

Associated Conditions
Generalized Anxiety Disorder, Panic Disorder

Efficacy and Safety Study of a IMSS Developed Phytopharmaceutical for the Treatment of Anxiety.

Phase 2
Conditions
Generalized Anxiety Disorder
Interventions
Dietary Supplement: Galphimia glauca standardized extract
First Posted Date
2018-10-11
Last Posted Date
2020-07-14
Lead Sponsor
Coordinación de Investigación en Salud, Mexico
Target Recruit Count
122
Registration Number
NCT03702803
Locations
🇲🇽

Regional General Hospital Number 1 at Cuernavaca, Morelos. Mexican Insitute of Social Security, Cuernavaca, Morelos, Mexico

Evaluation of Safety and Diabetes Status Upon Oral Treatment With GABA in Patients With Longstanding Type-1 Diabetes

Phase 1
Completed
Conditions
Type 1 Diabetes Mellitus
Interventions
Drug: Gamma-Aminobutyric Acid (GABA)
First Posted Date
2018-08-17
Last Posted Date
2022-11-02
Lead Sponsor
Per-Ola Carlsson
Target Recruit Count
35
Registration Number
NCT03635437
Locations
🇸🇪

Uppsala University Hospital, Uppsala, Sweden

Sedative Premedication in Coronary Angiography

Not Applicable
Conditions
Sedative Premedication
Coronary Angiography
Interventions
Drug: Placebo Oral Tablet
First Posted Date
2018-07-03
Last Posted Date
2018-10-12
Lead Sponsor
Universitair Ziekenhuis Brussel
Target Recruit Count
264
Registration Number
NCT03576456
Locations
🇧🇪

Adriaan Wilgenhof, Brussels, Jette, Belgium

A Study of the Abuse Liability Potential of Cenobamate in Recreational Drug Users

Phase 1
Completed
Conditions
Healthy Volunteer
Interventions
First Posted Date
2018-04-26
Last Posted Date
2024-11-07
Lead Sponsor
SK Life Science, Inc.
Target Recruit Count
53
Registration Number
NCT03509285
Locations
🇺🇸

Vince & Associates Clinical Research, Inc, Overland Park, Kansas, United States

🇨🇦

INC Research, Inc., Toronto, Ontario, Canada

Inpatient, Dose-Ranging Study of Staccato Alprazolam in Epilepsy With Predictable Seizure Pattern

Phase 2
Completed
Conditions
Epilepsy
Interventions
First Posted Date
2018-03-27
Last Posted Date
2021-02-03
Lead Sponsor
Engage Therapeutics, Inc.
Target Recruit Count
156
Registration Number
NCT03478982
Locations
🇦🇺

The Alfred, Melbourne, Victoria, Australia

🇺🇸

Lewis Katz School of Medicine at Template University, Philadelphia, Pennsylvania, United States

🇺🇸

Hoag Hospital, Newport Beach, California, United States

and more 64 locations

Opiates and Benzodiazepines on Driving

Phase 4
Completed
Conditions
Driving Behavior
Interventions
First Posted Date
2018-02-27
Last Posted Date
2018-09-27
Lead Sponsor
Timothy L. Brown
Target Recruit Count
18
Registration Number
NCT03447353
Locations
🇺🇸

National Advanced Driving Simulator, Iowa City, Iowa, United States

Evaluation of the Effects of Cannabidiol (CBD) Compared to Delta-9-Tetrahydrocannabinol (THC) and Alprazolam

Phase 1
Completed
Conditions
Cannabis Use Disorder
Interventions
Drug: Placebo oral capsule
First Posted Date
2018-01-12
Last Posted Date
2018-06-14
Lead Sponsor
National Institute on Drug Abuse (NIDA)
Target Recruit Count
42
Registration Number
NCT03398083
Locations
🇺🇸

Debra Kelsh, MD, Overland Park, Kansas, United States

Preoperative Hypnosis Versus Premedication in Gynecological Surgery

Phase 4
Conditions
Anxiety Disease
Gynecologic Disease
Interventions
First Posted Date
2017-10-31
Last Posted Date
2021-02-23
Lead Sponsor
Central Hospital, Nancy, France
Target Recruit Count
128
Registration Number
NCT03327506
Locations
🇫🇷

Florence Vial, Nancy, France

Sedative-Anxiolytic Effects on Simulated Driving Performance

First Posted Date
2017-09-29
Last Posted Date
2020-01-29
Lead Sponsor
Marion Coe
Target Recruit Count
15
Registration Number
NCT03297944
Locations
🇺🇸

Center on Drug and Alcohol Research, Lexington, Kentucky, United States

A Study of the Abuse Potential of Lasmiditan in Participants Who Are Recreational Drug Users

Phase 1
Completed
Conditions
Recreational Drug Use
Prescription Drug Abuse (Not Dependent)
Interventions
First Posted Date
2017-09-18
Last Posted Date
2020-01-10
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
96
Registration Number
NCT03286218
Locations
🇺🇸

Vince & Associates Clinical Research, Inc., Overland Park, Kansas, United States

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