That's why it's so important to keep your blood sugars within target range. Check with your doctor immediately if any of the following side effects occur while taking . Check with your doctor immediately if any of the following side effects occur: More common Being forgetful Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Oral route (Tablet; Tablet, Extended Release). Viagra can cause side effects that range from mild to serious. It's a mild tranquilizer and has the ability to calm your nerves and make you feel more relaxed. Rexulti is known to increase blood sugar. It can also temporarily lower your blood pressure. Slower processing of information. Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/ dizziness, difficulty waking up. Several medications can affect the electrical signals in your heart and make your heart . If youre taking Xanax for an off-label use, such as for insomnia, it may help you fall asleep. Reserve concomitant prescribing of these drugs for patients for whom alternative treatment options are inadequate. Our website services, content, and products are for informational purposes only. Decongestant medicines, including Sudafed (pseudoephedrine) and phenylephrine, can increase your blood sugar levels. Before prescribing alprazolam and throughout treatment, assess each patient's risk for abuse, misuse, and addiction.The continued use of benzodiazepines, including alprazolam, may lead to clinically significant physical dependence. Commonly reported side effects of alprazolam include: ataxia, cognitive dysfunction, constipation, depression, difficulty in micturition, drowsiness, dysarthria, fatigue, headache, memory impairment, menstrual disease, nervousness, sedated state, skin rash, tremor, weight gain, weight loss, anxiety, blurred vision, diarrhea, insomnia, decreased . Washington University School of Medicine, and the Department of Veterans' Affairs Medical Center. This effect was not directly related to concomitant changes in anxiety. Pharmacia and Upjohn (2002): 2. (2017). Its important to take Xanax as directed. Continue reading for a comprehensive list of adverse effects. Depending on the formulation of Xanax (immediate release, extended release, or disintegrating tablets), the effects typically last between 2 and 4 hours. Try searching for what you seek or ask your own question. Search for other works by this author on: Address correspondence and reprint requests to PatrickJ. In other words, if you take Xanax before getting your blood pressure tested, your reading might be lower than usual. Other common benzodiazepines include: Although Xanax isnt approved by the Food and Drug Administration (FDA) for the following conditions, its sometimes prescribed off-label for: Xanax slows down essential functions such as your heart rate and breathing. Never stop taking Xanax on your own; it has the most severe withdrawal effects of all benzodiazepines. Endocrine side effects have included improved . A statistically significant reduction in glycated hemoglobin level was observed in patients treated with alprazolam compared with those receiving placebo (1.1 vs. 0.3%, P = 0.04). Risks from Concomitant Use with Opioids; Abuse, Misuse, and Addiction and Dependence and Withdrawal ReactionsConcomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Is it safe to take with other medications? Its a mild tranquilizer and has the ability to calm your nerves and make you feel more relaxed. Your doctor may increase your dose as necessary. Xanax (alprazolam)." To determine the effects of alprazolam on glucose regulation in anxious and nonanxious patients with poor glycemic control and establish whether regulatory benefits are related to anxiolytic effects of the medication. Xanax poses a risk of side effects. You may report them to the FDA. Answers. Compliance behavior was assessed using glucometers and medication monitors equipped with electronic memory. A short course of alprazolam improved glucose regulation in patients with a history of poor diabetes control. Although diabetes can raise your risk for ED, in 95% of cases ED is treatable . Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Suddenly stopping. How Xanax will affect you depends on several factors, including your mental state at the, People taking Xanax often build up a tolerance. "Product Information. A high PSA may be due to the drugs you take, not your prostate | CANCERactive THE COMPLEMENTARY CANCER CHARITY Asthma Medicines. These side effects may go away during treatment as your body adjusts to the medicine. I now have type 2 diabetes. For tablets and oral solution, the adult dosage ranges from: How often you need to take a dose depends on the condition youre taking it for as well as the formulation. O 0, 5. Learn about side effects, dosage, uses, and more. They work by slowing down central nervous system (CNS) activity, causing a sense of calm, slowed breathing, and muscle relaxation. nimh.nih.gov/health/topics/anxiety-disorders/index.shtml, ahajournals.org/doi/10.1161/circ.140.suppl_1.10205, academic.oup.com/ajh/article/31/4/431/4564985, accessdata.fda.gov/drugsatfda_docs/label/2011/018276s045lbl.pdf, pfizermedicalinformation.com/en-us/xanax/clinical-pharmacology, onlinelibrary.wiley.com/doi/abs/10.1111/jep.13254, tandfonline.com/doi/full/10.3109/08037051.2011.553934, What Does Xanax Feel Like? To reduce the risk of withdrawal reactions, use a gradual taper to discontinue alprazolam or reduce the dosage. A short study on 58 patients with poor glycemic control concluded alprazolam (the active ingredient contained in Xanax) improved glucose regulation and the effect was not directly related to changes in anxiety. Although this is more common when you begin taking the medication, it could happen at any time, You may wonder how long Xanax stays in your system. You can learn more about how we ensure our content is accurate and current by reading our. Family Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. A 2017 study reported that among people over the age of 60, long-term use of benzodiazepines was associated with lower blood pressure. Medically reviewed by Drugs.com. Thyroid Medicine. See additional information. This treatment effect was not a function of differences in compliance behaviors. 2023 Healthline Media LLC. Applies to alprazolam: oral solution, oral tablet, oral tablet disintegrating, oral tablet extended release. Memory loss. Glycated hemoglobin levels were used to determine glucose regulation. Anxiety symptoms decreased in both alprazolam- and placebo-treated patients with generalized anxiety disorder, but reduction in glycated hemoglobin level was not dependent on alleviation of anxiety. Xanax is part of a class of sedative drugs called benzodiazepines. Endocrine side effects have included improved glucose regulation. Many medications can be used to treat high blood pressure. More. Although not all of these side effects may occur, if they do occur they may need medical attention. O 0. Along with its needed effects, alprazolam (the active ingredient contained in Xanax) may cause some unwanted effects. Extended-release tablets: The most commonly reported side effects included sedation, tremor, headache, insomnia, and somnolence. Although not all of these side effects may occur, if they do occur they may need medical attention. Healthline Media does not provide medical advice, diagnosis, or treatment. Association of alprazolam with major cardiovascular events in patients with hypertension. Xanax information for Healthcare Professionals. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. It may take longer to feel the effects of Xanax or it may not feel as strong. Antidepressants Selective serotonin reuptake inhibitors (SSRs), like escitalopram (Lexapro), sertraline (Zoloft), and paroxetine (Paxil), can cause excessive sweating. Comparison of alprazolam versus captopril in high blood pressure: A randomized controlled trial. If too much of this medicine is used for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose. A 2011 randomized controlled study followed 53 participants who arrived at a hospital emergency department with elevated blood pressure. Read on. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Available for Android and iOS devices. Your doctor will let you know how much Xanax to take and how often you should take it. Alprazolam treatment of anxious patients with poorly controlled diabetes may result in decreased anxiety and improved glucose regulation through independent mechanisms. Check with your doctor immediately if any of the following side effects occur while taking alprazolam: Get emergency help immediately if any of the following symptoms of overdose occur while taking alprazolam: Some side effects of alprazolam may occur that usually do not need medical attention. (2011). Hypertension is called the silent killer because there are often no symptoms as it progresses, leading to more serious disease. Alprazolam (Xanax): How Long It Stays in Your System, Oral Estrogen May Raise Your Risk of Hypertension by 19% Compared to Other Forms of Hormone Replacement Therapy, Hypertension Is Known as the Silent Killer, and Heres What You Need to Know, What Parents Need to Know About Persistent Pulmonary Hypertension of the Newborn, 0.25 to 2 milligrams (mg) for oral disintegrating tablets, 1 milligram per milliliter (mg/mL) for oral solution, 1 to 2 hours for immediate release formulation, 1.5 to 2 hours for disintegrating tablets. We discuss how long Xanax takes to work, how long it's effective, how long it may be detected by, New research suggests the risk of developing high blood pressure may be higher for women taking oral forms of estrogen than those who take non-oral. Abrupt discontinuation or rapid dosage reduction of alprazolam after continued use may precipitate acute withdrawal reactions, which can be life-threatening. https://www.drugs.com/sfx/xanax-side-effects.html. Does Abilify increase blood sugar levels. "Product Information. The recommended dosage can vary from person to person. Weight gain or weight loss. If it continues for a long time, the heart and arteries may not function properly. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. sertraline, fluoxetine, escitalopram, duloxetine, clonazepam, alprazolam, Lexapro, Zoloft, Xanax, Cymbalta. Unlike other psychotropic drugs, Xanax isnt associated with a euphoric high, although it may leave you with a general sense of well-being. Both are . Xanax is a common anti-anxiety drug with the generic name alprazolam. Increased anxiety and depression. Still looking for answers? They were given either alprazolam (the generic form of Xanax) or captopril, a high blood pressure drug, as treatment. Changes in appetite and weight can happen when taking Xanax. What are the typical effects of Xanax and how long do these effects last? I take Xanax ( alprazolam) and no it does not cause an increase in blood sugar. Pfizer U.S. Pharmaceuticals Group (2005): 4. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Dont take more than the recommended dose. By continuing to use our website, you are agreeing to, Justice, Equity, Diversity, and Inclusion, Institutional Subscriptions and Site Licenses, https://doi.org/10.2337/diacare.18.8.1133, Copyright American Diabetes Association. Alprazolam is a popular benzodiazepine used to treat anxiety and panic attacks and is commonly prescribed with amphetamine salt combo for ADHD and hydrocodone/acetaminophen for pain. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. If you experience any of these, contact your healthcare provider immediately. It's only available with a. Xanax alleviates symptoms of anxiety, such as restlessness, racing thoughts, and muscle tension. Xanax (alprazolam) can cause sexual side effects, including low libido (sex drive) and erectile dysfunction (ED). Immediate-release formulations: The most commonly reported side effects included drowsiness/sedation, fatigue and tiredness, impaired coordination, memory impairment, and irritability. Men with diabetes are about three times more likely to experience ED than men without diabetes, and both conditions become more common as men age. You may gain or lose weight, but Xanax is not a weight loss drug. "Product Information. Follow patients for signs and symptoms of respiratory depression and sedation.The use of benzodiazepines, including alprazolam, exposes users to risks of abuse, misuse, and addiction, which can lead to overdose or death. 1. Xanax is used to treat anxiety and panic disorders. F furball64801 D.D. Learn about diuretics, beta-blockers, ACE inhibitors, calcium channel blockers, and others, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. https://doi.org/10.2337/diacare.18.8.1133. changes in patterns and rhythms of speech, unsteadiness, trembling, or other problems with muscle control or coordination, confusion about identity, place, and time, increased blinking or spasms of the eyelid, muscle aches, cramps, pain, stiffness, or weakness, seeing, hearing, or feeling things that are not there, twitching, twisting, or uncontrolled repetitive movements of the tongue, lips, face, arms, or legs, uncontrolled twisting movements of the neck, trunk, arms, or legs, unusual dullness or feeling of sluggishness, continuing ringing or buzzing or other unexplained noise in the ears, fast, irregular, pounding, or racing heartbeat or pulse, generalized slowing of mental and physical activity, numbness of the feet, hands, and around mouth, shakiness in the legs, arms, hands, or feet, talking, feeling, and acting with excitement, unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness, Absent, missed, or irregular menstrual periods, decreased sexual performance or desire abnormal ejaculation, difficulty having a bowel movement (stool), increased in sexual ability, desire, drive, or performance, loss in sexual ability, desire, drive, or performance, Blistering, crusting, irritation, itching, or reddening of the skin, change in taste bad unusual or unpleasant (after) taste, redness of the face, neck, arms, and occasionally, upper chest, bigger, dilated, or enlarged pupils (black part of the eye), feeling of constant movement of self or surroundings, increased sensitivity of the eyes to sunlight, Blistering, peeling, or loosening of the skin, red skin lesions, often with a purple center, sores, ulcers, or white spots in the mouth or on the lips, swelling of the breasts or breast soreness in both females and males, unexpected or excess milk flow from the breasts. Mendelson N, et al. Abuse and misuse of benzodiazepines commonly involve concomitant use of other medications, alcohol, and/or illicit substances, which is associated with an increased frequency of serious adverse outcomes. It is also sometimes used to treat insomnia, muscle spasms, and seizures. Dangerous combinations It's hard to imagine that people would be prescribed drugs that have dangerous interactions. 2. Weight changes may also be a symptom of . Here's what you need to, Xanax can cause a withdrawal or hangover effect. Cerner Multum, Inc. "Australian Product Information." Patrick J Lustman, Linda S Griffith, Ray E Clouse, Kenneth E Freedland, Seth A Eisen, Eugene H Rubin, Robert M Carney, Janet B McGill; Effects of Alprazolam on Glucose Regulation in Diabetes: Results of double-blind, placebo-controlled trial. Cough, Cold, and Allergy Medicines. Ask your. For instance, it can take: Other factors such as your age, body mass, metabolism, and other medications youre taking can also influence how long it takes Xanax to work. Celebrex - Is there any increase in blood sugar level with Celebrex? XANAX® CIV clinical pharmacology. High blood pressure may also increase the risk of heart attacks. Antidepressants. Yeh CB, et al. These events include heart attacks and strokes. Some medicines that treat HIV and hepatitis C OTC medicines that can raise your blood sugar include: Pseudoephedrine, a decongestant in some cold and flu medicines Cough syrup. Lustman, PhD, Department of Psychiatry, Washington University School of Medicine, 4940 Children's PI., St. Louis, MO 63110. I take Xanax ( alprazolam) and no it does not cause an increase in blood sugar. Its only available with a prescription from a doctor. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Applies to alprazolam: compounding powder, oral concentrate, oral solution, oral tablet, oral tablet disintegrating, oral tablet extended release. Poor reaction time. Was taken by surprise when my morning fasting bs was 155 (one hour after taking Viagra) when it is normally 100 - 110 at this time of the morning. Factors such as the dose taken, your weight, age, and gender can also affect how long the drug works in your system. You should seek immediate medical attention if you or someone you know experiences the following symptoms after taking Xanax: If youre concerned that you or someone you know may have taken too much Xanax, call Poison Control at 1-800-222-1222. Xanax may have similar effects over the long term. We comply with the HONcode standard for trustworthy health information. After taking Xanax, youll typically feel calmer and more relaxed. Last updated on May 14, 2023. How long Xanax takes to work depends on the formulation. Loss of sex drive. Has this happened to anyone? Available for Android and iOS devices. Antibiotics. The researchers found that alprazolam was as effective as captopril at lowering blood pressure. Ativan vs Xanax - What is the difference? Taking both together could increase your risk for serious side effects, including overdose. Its not unusual to feel drowsy or tired after taking it. Never take a different dose without first speaking to your doctor. All rights reserved. Niravam (alprazolam)." Understand kidney cysts, including what different sizes could mean and how to treat them. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Similarly, a 2020 study involving participants with a median age of 63.6 reported that alprazolam use was associated with a slightly reduced risk of major adverse cardiovascular events among people who had high blood pressure. The team led by Bruno Guiard, Ph.D., an associate professor of neuroscience and pharmacology at the University of Toulouse found that metformin reduced anxiety-like behaviors in the mice . Xanax XR (alprazolam)." Xanax (alprazolam) is a prescription tablet for generalized anxiety disorder and panic disorder. 1. Alprazolam treatment of anxious patients with poorly controlled diabetes may result in decreased anxiety and improved glucose regulation through independent mechanisms. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. (2011). Other side effects include: depersonalization, hyperventilation, hypoesthesia, hypotension, paresthesia, sexual disorder, sialorrhea, muscle twitching, and increased libido. Commonly reported side effects of alprazolam include: ataxia, cognitive dysfunction, constipation, depression, difficulty in micturition, drowsiness, dysarthria, fatigue, headache, memory impairment, menstrual disease, nervousness, sedated state, skin rash, tremor, weight gain, weight loss, anxiety, blurred vision, diarrhea, insomnia, decreased libido, increased appetite, irritability, and decreased appetite. #1 Am also curious as to whether Viagra can cause a higher-than-normal blood sugar reading if all other factors (meals, sweets, etc) are eliminated. Although there aren't any studies that link Xanax to erectile dysfunction, some research shows that Xanax and other benzodiazepines may cause certain sexual performance issues. XANAX® alprazolam tablets, USP. [Ref], Very common (10% or more): Sedation (up to 77%), drowsiness (up to 76.8%), impaired coordination (up to 40.1%), memory impairment (up to 33.1%), dizziness (up to 29.8%), lightheadedness (up to 29.8%), headache (up to 29.2%), cognitive disorder (up to 29%), dysarthria (up to 23.3%), abnormal voluntary movement (up to 17.3%), Common (1% to 10%): Abnormal coordination, akathisia, ataxia, attention disturbance, balance disorder, hypersomnia, lethargy, paresthesia, somnolence, syncope, tremor, vasomotor disturbances, Uncommon (0.1% to 1%): Amnesia, autonomic manifestations, coordination disorders, intellectual impairment, stimulation, Frequency not reported: Concentration difficulties, convulsions, dystonia, loss of coordination, seizures, sleepiness, slurred speech, taste alterations, transient amnesia, withdrawal seizures, Postmarketing reports: Autonomic nervous system imbalance, psychomotor hyperactivity, Very common (10% or more): Sedation (up to 45.2%), tremor (up to 28.2%), headache (up to 26.5%), somnolence (up to 23%), memory impairment (up to 15.4%), dysarthria (up to 10.9%), Common (1% to 10%): Abnormal coordination, ataxia, balance impaired, disturbance in attention, dizziness, dyskinesia, hypersomnia, hypoesthesia, lethargy, mental impairment, paresthesia, vertigo, Uncommon (0.1% to 1%): Amnesia, clumsiness, depressed level of consciousness, hangover, hypotonia, stupor, syncope, Frequency not reported: Stimulation, withdrawal seizures[Ref], Very common (10% or more): Fatigue and tiredness (up to 49%), Common (1% to 10%): Feeling warm, tinnitus, weakness, Frequency not reported: Rebound phenomena, Very common (10% or more): Fatigue (up to 13.9%), Common (1% to 10%): Malaise, road traffic accident, weakness, Uncommon (0.1% to 1%): Asthenia, ear pain, fall, feeling drunk, feeling hot and cold, feeling jittery, feeling of relaxation, increased energy, loss of control of legs, pyrexia, rigors, sluggishness, tinnitus, Frequency not reported: Paradoxical reactions[Ref], Very common (10% or more): Irritability (up to 33.1%), insomnia (up to 29.5%), anxiety (up to 19.2%), decreased libido (up to 14%), depression (up to 13.9%), confusional state (up to 10.4%), Common (1% to 10%): Agitation, change in libido (not specified), confusion, derealization, disinhibition, disorientation, dream abnormalities, fear, increased libido, nervousness, talkativeness, Uncommon (0.1% to 1%): Adverse behavioral effects, altered mood, concentration difficulties, hallucinations, Rare (0.01% to 0.1%): Hypomania, mania, other adverse behavioral effects, Frequency not reported: Abuse, aggressive or hostile behavior, aggressiveness/aggression, anterograde amnesia, delusion, depersonalization, dysphoria/mild dysphoria, hostility, inappropriate behavior, intrusive thoughts, nightmares, physical dependence, primary/secondary major depressive disorders, psychic dependence, psychoses, rage, restlessness, suicide, withdrawal symptoms, Postmarketing reports: Abnormal thinking, anger, libido disorder, Very common (10% or more): Insomnia (up to 24.2%), nervousness (up to 21.8%), depression (up to 12.1%), Common (1% to 10%): Agitation, anxiety, confusion, depersonalization, depressed mood, derealization, disorientation, irritability, libido decreased/increased, nightmare, restlessness, Uncommon (0.1% to 1%): Abnormal dreams, aggression, anger, apathy, bradyphrenia, euphoric mood, hallucination, homicidal ideation, hypomania, impulse control, logorrhea, mania, mood swings, psychomotor retardation, sleep talking, suicidal ideation, Frequency not reported: Adverse behavioral effects, aggressive/hostile behavior, hostility, intrusive thoughts, other adverse behavioral effects, sleep disturbances, rage, withdrawal syndrome[Ref], Very common (10% or more): Decreased salivation (up to 32.8%), constipation (up to 26.2%), nausea (up to 22%), vomiting (up to 22%), diarrhea (up to 20.6%), abdominal distress (up to 18.3%), dry mouth (up to 15%), Uncommon (0.1% to 1%): Gastrointestinal symptoms/various gastrointestinal symptoms, Postmarketing reports: Gastrointestinal disorder, Very common (10% or more): Diarrhea (up to 12.1%), dry mouth (up to 10.2%), Common (1% to 10%): Abdominal pain, constipation, dyspepsia, nausea, vomiting, Uncommon (0.1% to 1%): Dysphagia, salivary hypersecretion, Postmarketing reports: Gastrointestinal disorder[Ref], Very common (10% or more): Increased appetite (up to 33%), decreased appetite (up to 28%), weight gain (up to 27%), weight loss (up to 23%), Common (1% to 10%): Anorexia, appetite decreased/increased, weight decreased/increased, Very common (10% or more): Tachycardia (up to 15.4%), chest pain (up to 10.6%), Common (1% to 10%): Edema, hypotension, palpitations, Common (1% to 10%): Chest pain, hot flush, palpitations, Uncommon (0.1% to 1%): Chest tightness, edema, hypotension, sinus tachycardia, Postmarketing reports: Peripheral edema[Ref], Very common (10% or more): Micturition difficulties (up to 12.2%), menstrual disorders (up to 10.4%), Common (1% to 10%): Incontinence, sexual dysfunction, Frequency not reported: Menstrual irregularities, urinary retention, Common (1% to 10%): Difficulty in micturition, dysmenorrhea, premenstrual syndrome, sexual dysfunction, Uncommon (0.1% to 1%): Urinary frequency, urinary incontinence, Very common (10% or more): Sweating (up to 15.1%), rash (up to 11%), Postmarketing reports: Photosensitivity reaction, Stevens-Johnson syndrome, Common (1% to 10%): Pruritus, sweating increased, Uncommon (0.1% to 1%): Clamminess, rash, urticaria, Postmarketing reports: Stevens-Johnson syndrome[Ref], Very common (10% or more): Nasal congestion (up to 17.4%), Common (1% to 10%): Hyperventilation, upper respiratory tract infection, Common (1% to 10%): Allergic rhinitis, dyspnea, hyperventilation, nasal congestion, pharyngolaryngeal pain, upper respiratory tract infections, Uncommon (0.1% to 1%): Choking sensation, dysphonia, epistaxis, rhinorrhea, sleep apnea syndrome[Ref], Very common (10% or more): Blurred vision (up to 21%), Rare (0.01% to 0.1%): Increased intraocular pressure, Uncommon (0.1% to 1%): Mydriasis, photophobia[Ref], Common (1% to 10%): Muscle stiffness, muscle tone disorders, muscular cramps, muscular twitching, rigidity, Frequency not reported: Musculoskeletal weakness, Common (1% to 10%): Arthralgia, back pain, muscle cramps, muscle twitching, myalgia, pain in limb, Frequency not reported: Increased muscle spasticity[Ref], Rare (0.01% to 0.1%): Abnormal hepatic function tests, jaundice, Frequency not reported: Elevated bilirubin, elevated hepatic enzymes, Postmarketing reports: Hepatic failure, hepatitis, Postmarketing reports: Hepatic failure, hepatitis, liver enzyme elevations[Ref], Postmarketing reports: Gynecomastia, hyperprolactinemia, Postmarketing reports: Gynecomastia, hyperprolactinemia[Ref], Xanax, Xanax XR, Alprazolam Intensol, Niravam. 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