Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

Noticed that Purepac was bought by Actavis. Up until last

Customer Question
Hi noticed that Purepac was...
Hi noticed that Purepac was bought by Actavis. Up until last month I was receiving Yellow Purepac 2mg Alprazolam tablets from Walgreens. Now they say its been discontinued, and offer a white Actavis in its place. the Actavis brand is not nearly as effective. Are their still yellow P 039 tablets available from Actavis?
Submitted: 2 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 10 minutes by:
10/26/2015
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,153
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Verified

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

The yellow Alprazolam has been discontinued and is replaced by the white tablets. But yellow one may be available at some of the pharmacies till the stock lasts. The ingredients are same so these should be equally effective. Only the coloring agent which is an inactive ingradient differs and that should not make a difference.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

The best way to deal with panic is a comprehensive approach. It can be treated by the following measures by yourself;

1) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT); done by a psychologist but there are internet based approach nowadays too. CBT has higher efficacy and lower relapse rates.

2) Relaxation training and biofeedback.

3) Hypnosis

4) Acupuncture and acupressure

5) Yoga

6) Meditation

7) Group sporting activities

8) St. John's wort

9) Melatonin
10) Valerian root

11) Deep breathing exercises.

A major component of therapy involves understanding and assuring yourself that the symptoms are neither from a serious medical condition nor from a mental deficiency but rather from a chemical imbalance in the fight or flight response. Alprazolam (Xanax) has been widely used for panic disorder, but it is currently discouraged because of its higher dependence potential. Ideally Xanax should be tapered off very gradually in 3-4 weeks time, so a precipitation or rebound panic attack is avoided. CBT helps to understand how automatic thoughts and false beliefs/distortions lead to exaggerated emotional responses, such as panic, and how they can lead to secondary behavioral consequences.Cognitive restructuring involves substituting positive thoughts and getting rid of negative thoughts. Some studies have suggested that high importance to religion and religious practices also improve panic symptoms and prevent recurrences.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

Thank you.

Wishing you all the very best in life.

Ask Your Own Health Question
Customer reply replied 2 years ago
Thank you, ***** ***** looking into alternative methods to manage. However, having switched from Purepac yellow tablets to Actavis White Tablets ( Actavis Bought Purepac), I have noticed a significant differencein the white Actavis, they simply don't work as well. I have read similar comments all over the internet from others with this prescription. I have even called Actavis, and am expecting a call back regarding the chemical makeup difference. If there are so many responses from patients saying the yellow Purepac is stronger, it may not be coincidence..or a matter of a simple coloring agent. I plan to switch to a different manufacturer, I hear Greenstone and Sandoz offer a quality generic. Have you heard the same? Thank You.
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

You are very welcome.

The efficacy may occasionally be affected by the inactive ingredient like coloring agent. So your experience of less efficacy may be right.

It is privilege assisting you.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 years ago

Hope you are doing good.

Let me know, if I can do anything further for you.

Please do not forget to rate the interaction.

Regards,

Ask Your Own Health Question
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,153
36,153 Satisfied Customers
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,083 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

36,153 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

13,902 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
Hgb 5.7 (female) noted today.. I questioned the MD office
Good evening. Hgb 5.7 (female) noted today.. I questioned the MD office today regarding the low hgb. I said the normal for female is 12-14 or so. The office assistance said it was borderline low (5.7)… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,822 satisfied customers
All of a sudden my Mom is talking like she has a mouthful of
All of a sudden my Mom is talking like she has a mouthful of marbles. She 86. Came on suddenly. No history of strokes but has 4 leaking heart valves. She insists nothing is wrong and clims to have no … read more
Dr. Mo
Dr. Mo
Urgent Care
MD
1,239 satisfied customers
I have had pain down the outer side of my knee and
I have had pain down the outer side of my knee and tenderness at the back of my lower thigh for about two weeks. The pain is a burning pain and is sensitive to touch. I have no swelling ..just pain. I… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,153 satisfied customers
Possible diagnosis and means of reducing the pain. Had the
Possible diagnosis and means of reducing the pain. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,153 satisfied customers
I am having chest pain above my left breast but under my
I am having chest pain above my left breast but under my collar bone. It also shoots around to my left shoulder and back occasionally. If I press on it, it hurts more. Almost like it's a bruise I'm pr… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,906 satisfied customers
I have a 3yr old with a post nasal drip for the past 3days.
I have a 3yr old with a post nasal drip for the past 3days. She has been spitting a lot and has been throwing up after eating. I have been giving her claritin for kids but that does not seem to help. … read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,713 satisfied customers
Trying to look into my ALT, AST and Bilibubin scores from my
Trying to look into my ALT, AST and Bilibubin scores from my lab work. … read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,788 satisfied customers
I just got over a yeast in infection I think and the top of
I just got over a yeast in infection I think and the top of my vigan hurts so I looked into mirror and notice some small puss pockets . When I go pea they burn.… read more
Dr. Juran
Dr. Juran
Physician, Partner
Doctoral Degree
183 satisfied customers
I am having a pain in the right side of my upper back. It
I am having a pain in the right side of my upper back. It feels like it's in my shoulder blade. It hurts all the way through to the right side of my chest and the front of my chest feels bruised. It h… read more
Lindie
Lindie
Healthcare Expert
3,144 satisfied customers
Our son is almost 14 months. But he is still not walking. He
Our son is almost 14 months. But he is still not walking. He can stand/cruise with support. He can not stand without any support. And when it comes to walk he folds his knees and doesn't want to walk.… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
243 satisfied customers
I accidentally swallowed a little dime sized piece of a
I accidentally swallowed a little dime sized piece of a steel scrubby like chore boy for dishes. Is there any real danger or should it pass through fine?? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,153 satisfied customers
Earlier today I wiped in my tissue and it was pink red and
Earlier today I wiped in my tissue and it was pink red and now that I wiped it is brown what does this mean ? … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
5,905 satisfied customers
I had ct scan show severe diffuse fatty liver. I have hard
I had ct scan show severe diffuse fatty liver. I have hard pea sized lump on right side over liver area about 1 inch under rib. I am so tired all the time and have headaches and dizziness and brain fo… read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,788 satisfied customers
A prescription reads"Zoloft 50 mg: 25 mg qhs." How would the
A prescription reads"Zoloft 50 mg: 25 mg qhs." How would the directions to the patient read? Take 1 tablet at bedtime. take 1/2 tablet at bedtime take 2 tablet at bedtime take 2 1/2 tablets at bedtime… read more
Dr. German
Dr. German
Self- Employed
Doctoral Degree
3,327 satisfied customers
I'm having problems with the head of my penis always itchy
I'm having problems with the head of my penis always itchy and some time even sore to touch, and leaves a foul smell… read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,788 satisfied customers
Last Wednesday I had allergy reactions on my face from.
Hi Last Wednesday I had allergy reactions on my face from nuts. Since then everytime I eat (nuts free) my temples both side getting swollen and headache. What that can be?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,153 satisfied customers
Do autistic children know it is wrong to steal over and over
Do autistic children know it is wrong to steal over and over again? If so, why do they do it? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
744 satisfied customers
I have been experiencing pain in my left thumb. Not where it
I have been experiencing pain in my left thumb. Not where it connects to the wrist but where it connects to the hand. It also has been popping out of joint … read more
Dr. Sohaib
Dr. Sohaib
Consultant Internal Medicine
Post-Doctoral Fellowship in Medicine
3,285 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x