mirror-epstein-docs/results/IMAGES012/DOJ-OGR-00032234.json

{
  "document_metadata": {
    "page_number": "3",
    "document_number": "17-295",
    "date": "07/26/17",
    "document_type": "Drug Information",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Xanax, Alprazolam, side effects, drug interactions, overdose, dosage Page 3 of 6 Possible food and drug interactions when taking Xanax Xanax may intensify the effect of alcohol. Do not drink alcohol while taking Xanax. Never combine Xanax with Sporanox or Nizoral. These drugs cause a buildup of Xanax in the body. If Xanax is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is important to check with your doctor before combining Xanax with the following: Amiodarone (Cordarone) Antihistamines such as Benadryl and Tavist Carbamazepine (Tegretol) Certain antibiotics such as Biaxin and erythromycin Certain antidepressant drugs, including Elavil, Norpramin, and Tofranil Cimetidine (Tagamet) Cyclosporine (Neoral, Sandimmune) Digoxin (Lanoxin) Diltiazem (Cardizem) Disulfiram (Antabuse) Ergotamine Fluoxetine (Prozac) Fluvoxamine Grapefruit juice Isoniazid (Rifamate) Major tranquilizers such as Mellaril and chlorpromazine Nefazodone Nicardipine (Cardene) Nifedipine (Adalat, Procardia) Oral contraceptives Other central nervous system depressants such as Valium and Demerol Paroxetine (Paxil) Propoxyphene (Darvon) Sertraline (Zoloft) Special information if you are pregnant or breastfeeding Do not take Xanax if you are pregnant or planning to become pregnant. There is an increased risk of respiratory problems and muscular weakness in your baby. Infants may also experience withdrawal symptoms. Xanax may appear in breast milk and could affect a nursing infant. If Xanax is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with Xanax is finished. Recommended dosage for Xanax ADULTS Anxiety disorder The usual starting dose of Xanax is 0.25 to 0.5 milligram taken 3 times a day. The dose may be increased every 3 to 4 days to a maximum daily dose of 4 milligrams, divided into smaller doses. Panic disorder The usual starting dose of regular Xanax is 0.5 milligram 3 times a day. This dose can be 07/26/17 Page 44 of 95 Public Records Request No.: 17-295 http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/xan1491.shtml 7/19/2006 DOJ-OGR-00032234",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Xanax, Alprazolam, side effects, drug interactions, overdose, dosage",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Page 3 of 6",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Possible food and drug interactions when taking Xanax",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Xanax may intensify the effect of alcohol. Do not drink alcohol while taking Xanax. Never combine Xanax with Sporanox or Nizoral. These drugs cause a buildup of Xanax in the body. If Xanax is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is important to check with your doctor before combining Xanax with the following: Amiodarone (Cordarone) Antihistamines such as Benadryl and Tavist Carbamazepine (Tegretol) Certain antibiotics such as Biaxin and erythromycin Certain antidepressant drugs, including Elavil, Norpramin, and Tofranil Cimetidine (Tagamet) Cyclosporine (Neoral, Sandimmune) Digoxin (Lanoxin) Diltiazem (Cardizem) Disulfiram (Antabuse) Ergotamine Fluoxetine (Prozac) Fluvoxamine Grapefruit juice Isoniazid (Rifamate) Major tranquilizers such as Mellaril and chlorpromazine Nefazodone Nicardipine (Cardene) Nifedipine (Adalat, Procardia) Oral contraceptives Other central nervous system depressants such as Valium and Demerol Paroxetine (Paxil) Propoxyphene (Darvon) Sertraline (Zoloft)",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Special information if you are pregnant or breastfeeding",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Do not take Xanax if you are pregnant or planning to become pregnant. There is an increased risk of respiratory problems and muscular weakness in your baby. Infants may also experience withdrawal symptoms. Xanax may appear in breast milk and could affect a nursing infant. If Xanax is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with Xanax is finished.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Recommended dosage for Xanax",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ADULTS Anxiety disorder The usual starting dose of Xanax is 0.25 to 0.5 milligram taken 3 times a day. The dose may be increased every 3 to 4 days to a maximum daily dose of 4 milligrams, divided into smaller doses. Panic disorder The usual starting dose of regular Xanax is 0.5 milligram 3 times a day. This dose can be",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "07/26/17 Page 44 of 95 Public Records Request No.: 17-295 http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/xan1491.shtml 7/19/2006 DOJ-OGR-00032234",
      "position": "footer"
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  ],
  "entities": {
    "people": [],
    "organizations": [],
    "locations": [],
    "dates": [
      "07/26/17",
      "7/19/2006"
    ],
    "reference_numbers": [
      "17-295",
      "DOJ-OGR-00032234"
    ]
  },
  "additional_notes": "The document appears to be a printed page from a drug information source, discussing Xanax (Alprazolam) interactions, pregnancy and breastfeeding considerations, and recommended dosages. The page includes a public records request number and a URL."
}