Alltop-S

Dosage and administration

Individual. It is recommended to use the minimum effective dose of Alltop-S Aurobindo. The dose is corrected in the treatment process depending on the achieved effect and tolerability. If necessary, increase the dose should be increased gradually, first in the evening and then in the daytime reception.

The initial dose of Alltop-S (Alprazolam) is 250-500 mcg 3 times / day, if necessary, it gradually increases to 4.5 mg / day.

For elderly or debilitated patients the initial dose is 250 mcg 2-3 / day, maintenance doses - 500-750 mcg / day, if necessary, taking into account the tolerance dose can be increased.

Cancellation or reduction of the dose of Alltop-S (Alprazolam) should be done gradually by reducing the daily dose of no more than 500 mcg every 3 days; sometimes can needed even more slowly cancelling.

Alltop-S (Alprazolam) side effects, adverse reactions

CNS: at the beginning of treatment (especially in elderly patients) drowsiness, fatigue, dizziness, decreased ability to concentrate, ataxia, disorientation, unsteady gait, slowing of mental and motor responses; rare - headache, euphoria, depression, tremors, memory loss, impaired coordination of movements, depressed mood, confusion, extrapyramidal dystonic reactions (involuntary movements, including for eyes), weakness, myasthenia gravis, dysarthria; in some cases - paradoxical reactions (aggressive flare, confusion, psychomotor agitation, fear, suicidal tendencies, muscle spasms, hallucinations, agitation, irritability, anxiety, insomnia).

Digestive system: possible dry mouth or excessive salivation, heartburn, nausea, vomiting, decreased appetite, constipation or diarrhea, abnormal liver function, elevated liver transaminases and alkaline phosphatase, jaundice.

Hematopoietic system: possible leukopenia, neutropenia, agranulocytosis (chills, pyrexia, sore throat, extreme tiredness or weakness), anemia, thrombocytopenia.

Urinary tract: possible urinary incontinence, urinary retention, renal failure, decreased or increased libido, dysmenorrhea.

Endocrine system: possible change in body weight, disturbances in libido, menstrual irregularities.

Cardiovascular system: possible decrease in blood pressure, tachycardia.

Allergic reactions: possible skin rash, itching.

Contraindications

Coma, shock, myasthenia gravis, angle-closure glaucoma, acute alcohol poisoning (with the weakening of the vital functions), narcotic analgesics, hypnotics and psychotropic drugs, chronic obstructive airways disease with incipient respiratory failure, acute respiratory failure, severe depression (suicidal tendencies may occur), pregnancy (especially the I trimester), lactation, childhood and adolescence to 18 years, increased sensitivity to benzodiazepines.

Using during pregnancy and breastfeeding

Alltop-S (Alprazolam) has a toxic effect on the fetus and increases the risk of birth defects when used in the I trimester of pregnancy. The constant use during pregnancy can cause physical dependence with the development of withdrawal syndrome in the newborn. Reception at therapeutic doses in the later stages of pregnancy can cause neonatal CNS depression. Using of Alltop-S (Alprazolam) immediately before birth or during labor can cause neonatal respiratory depression, decreased muscle tone, hypotension, hypothermia and a weak act of sucking (sucking flaccid syndrome baby).

It is possible to excretion of the benzodiazepines in breast milk that can cause drowsiness in the newborn and hinder feeding.

In experimental studies have been shown that Alltop-S (Alprazolam) and its metabolites are excreted in breast milk.

Special instructions

Keep in mind that anxiety or conditions related to everyday stress usually does not require treatment with anxiolytics.

If you experience paradoxical reactions then stop taking the drug. During the period of treatment is unacceptable to use of alcoholic drinks. With caution use Alltop-S for drivers of vehicles and people whose profession is associated with increased concentration.

Alltop-S (Alprazolam) drug interactions

The simultaneous use of Alltop-S (Alprazolam) with psychotropic, anticonvulsant medications and ethanol is observed enhancement inhibitory action Alltop-S (Alprazolam) on the CNS.

The simultaneous use with blockers of histamine H2-receptor reduce the clearance of Alltop-S (Alprazolam) and increase the inhibitory effect of Alltop-S (Alprazolam) on the CNS; macrolide antibiotics reduce the clearance of Alltop-S (Alprazolam).

The simultaneous use with hormonal oral contraceptives increased T1/2 of Alltop-S (Alprazolam).

Simultaneous administration of Alltop-S (Alprazolam) with dextropropoxyphene observed a more pronounced CNS depression than in combination with other benzodiazepines, as may increase the concentration of Alltop-S (Alprazolam) in blood plasma.

Simultaneous treatment with digoxin increases the risk of intoxication by cardiac glycosides.

Alltop-S (Alprazolam) increases the concentration of imipramine in plasma.

Simultaneous administration with itraconazole, ketoconazole increases the effects of Alltop-S (Alprazolam).

Simultaneous administration with paroxetine may increases the effects of Alltop-S (Alprazolam) due to the inhibition of its metabolism.

Fluvoxamine increases the concentration of Alltop-S (Alprazolam) in plasma and risk of its side effects.

Simultaneous administration of Alltop-S (Alprazolam) with fluoxetine may increase the concentration of Alltop-S (Alprazolam) in plasma by decreasing its metabolism and clearance under the influence of fluoxetine which is accompanied by psychomotor disorders.

It can not be exclude the possibility of strengthening effect of Alltop-S (Alprazolam) for simultaneous administration with erythromycin.

Alltop-S in case of emergency / overdose

Symptoms: Varying degrees of CNS oppression (from sleepiness to coma) - drowsiness, confusion; in more severe cases (especially in patients receiving other drugs depressing the central nervous system or alcohol) - ataxia, decreased reflexes, hypotension, coma.

Treatment: induction of vomiting, gastric lavage, symptomatic therapy, monitor vital signs. In severe hypotension prescribed an injection of norepinephrine. Specific antidote is benzodiazepine receptor antagonist flumazenil (administration only in a hospital).

This medication may also be used for other medical purposes not stated herein.

Dosage and administration

When you order Alltop-S Sanis Health, it should be taken exactly as prescribed by your doctor. Each tablet must be taken with a full glass of water.

For the oral concentrate of this medicine, it must be diluted before taking a dose. A dropper must adequately measure the amount of liquid to be diluted on the oral concentrate.

Each dose of Alltop-S (Sertraline) should be taken at around the same time each day.

This drug can be taken with or without food.

Alltop-S (Sertraline) is usually taken once a day and at the same time of each day. For the complete and exact dosage, refer to your doctor as other factors may also be considered such as body weight, age and the degree of illness.

When a dose of Alltop-S (Sertraline) is missed, it is advisable to skip that dose and proceed to the next one. However, if the next dosage is many hours away, you could take the missed dose. It is not advisable to take the missed dose of this medication if you are near the time for the next dose, it is best if you entirely skip that dose and wait for the schedule of the next one.

Alltop-S (Sertraline) side effects

The intake of Alltop-S (Sertraline) depression medication may entail side effects depending on the susceptibility of the person. Some of the serious side effects tied to Alltop-S (Sertraline) medication are:

Other less serious side effects of this medication include:

Contraindications

Concomitant use in patients taking monoamine oxidase inhibitors is contraindicated. Concomitant use in patients taking pimozide is contraindicated.

Alltop-S (Sertraline) is contraindicated in patients with a hypersensitivity to Alltop-S (Sertraline) or any of the inactive ingredients in this drug.

Alltop-S (Sertraline) oral concentrate is contraindicated with ANT ABUSE (disulfiram) due to the alcohol content of the concentrate.

Using during pregnancy and breastfeeding

Before you buy Alltop-S (Sertraline) online, understand that it belongs to the Pregnancy Category X type of drugs, which means that it is harmful to the unborn child. Taking Alltop-S (Sertraline), especially during the last trimester of pregnancy, may cause birth defects and other medical complications for the mother. The active ingredient Alltop-S (Sertraline) has not been tested to see if it passes through breast milk. Before deciding to breastfeed you should first consult your doctor.

Special instructions

While on Alltop-S anti-depression medication, mental conditions may worsen - especially at the start of treatment due to the initial introduction of the medicine to your nervous system.

Expect the following conditions to worsen, especially at the first intake of Alltop-S (Sertraline):

Your general mental condition should be monitored before, during and after treatment of Alltop-S (Sertraline) as some undesired effects may occur when on Alltop-S (Sertraline) medication.

Before taking Alltop-S (Sertraline) Sanis Health, you should first tell your doctor if you any of the following medical conditions as taking this medicine may worsen it:

Alltop-S (Sertraline) drug interactions

Never take Alltop-S (Sertraline) if you are taking:

Alltop-S in case of emergency / overdose

When symptoms of overdose are suspected, seek medical attention immediately. The symptoms of overdose may be characterized by: nausea; vomiting; tremors; seizures; extreme drowsy feeling; hyperactivity; enlarged and dilated pupils.