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

Premedication With Alprazolam and Midazolam for Upper Gastrointestinal Endoscopy

Phase 2
Completed
Conditions
Diagnostic Esophagogastroduodenoscopy
Interventions
First Posted Date
2017-04-27
Last Posted Date
2017-04-27
Lead Sponsor
Isfahan University of Medical Sciences
Target Recruit Count
136
Registration Number
NCT03130842
Locations
🇮🇷

Department of Gastroenterology, Alzahra Hospital, Isfahan, Iran, Islamic Republic of

The Effects of Lasmiditan on Simulated Driving Performance - Healthy Participants

Phase 1
Completed
Conditions
Migraine
Interventions
First Posted Date
2017-01-06
Last Posted Date
2020-01-10
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
90
Registration Number
NCT03012334
Locations
🇨🇦

Algorithme Pharma, Mount Royal, Quebec, Canada

Pharmacovigilance in Gerontopsychiatric Patients

Phase 3
Terminated
Conditions
Dementia
Depression
Schizophrenia
Psychosomatic Disorders
Anxiety Disorders
Interventions
First Posted Date
2015-03-02
Last Posted Date
2018-02-28
Lead Sponsor
Hannover Medical School
Target Recruit Count
407
Registration Number
NCT02374567
Locations
🇩🇪

Bezirkskrankenhaus Augsburg, Augsburg, Germany

🇩🇪

Krankenhaus Hedwigshöhe, Berlin, Germany

🇩🇪

Hannover Medical School, Hannover, Germany

and more 2 locations

Staccato Alprazolam and Photoparoxysmal Response

Phase 2
Completed
Conditions
Epilepsy
Interventions
First Posted Date
2015-01-30
Last Posted Date
2021-08-10
Lead Sponsor
Alexza Pharmaceuticals, Inc.
Target Recruit Count
5
Registration Number
NCT02351115
Locations
🇺🇸

New York University Epilepsy Center, New York, New York, United States

🇺🇸

Consultants in Epilepsy & Neurology, PLLC, Boise, Idaho, United States

🇺🇸

University of Pennsylvania - Penn Epilepsy Center, Philadelphia, Pennsylvania, United States

Alprazolam as Conscious Sedation for Upper Gastrointestinal Endoscopy

Phase 2
Completed
Conditions
Diagnostic Esophagogastroduodenoscopy
Interventions
Drug: Sublingual placebo
Drug: Oral placebo
First Posted Date
2013-09-24
Last Posted Date
2013-10-18
Lead Sponsor
Isfahan University of Medical Sciences
Target Recruit Count
220
Registration Number
NCT01949038
Locations
🇮🇷

Private Outpatient Clinic of Gastroenterology, Isfahan, Iran, Islamic Republic of

Bioequivalence Trial of Alprazolam 0.25 mg Tablets

Phase 1
Completed
Conditions
Anxiety Disorders
Interventions
First Posted Date
2013-05-15
Last Posted Date
2017-06-14
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
28
Registration Number
NCT01853956

Imaging the Effects of Zolpidem and Alprazolam in Healthy Volunteers at 3T

Early Phase 1
Conditions
Psychotropic Drugs Effects
Interventions
First Posted Date
2012-12-11
Last Posted Date
2012-12-11
Lead Sponsor
Mclean Hospital
Target Recruit Count
12
Registration Number
NCT01747590
Locations
🇺🇸

McLean Hospital, Belmont, Massachusetts, United States

Bioequivalence Trial of Alprazolam 2 mg Tablets

Phase 1
Completed
Conditions
Anxiety Disorders
Interventions
First Posted Date
2012-12-10
Last Posted Date
2017-06-20
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
26
Registration Number
NCT01745575

Bioequivalence Trial of Alprazolam 0.5 mg Tablets

Phase 1
Completed
Conditions
Anxiety Disorders
Interventions
First Posted Date
2012-12-10
Last Posted Date
2017-06-14
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
28
Registration Number
NCT01745562

Spectroscopic Imaging at 4T: A Drug Challenge Study

Not Applicable
Terminated
Conditions
AOD Effects and Consequences
Interventions
First Posted Date
2012-04-16
Last Posted Date
2017-04-04
Lead Sponsor
Mclean Hospital
Target Recruit Count
7
Registration Number
NCT01577706
Locations
🇺🇸

McLean Imaging Center, McLean Hospital, Belmont, Massachusetts, United States

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