The yellow rectangle pill with the imprint R 0 3 9 has been identified as a brand of Alprazolam 2 mg supplied by Actavis. Alprazolam is used in the treatment of anxiety; panic disorder and belongs to the drug class benzodiazepines.
Benzodiazepines work by enhancing the effect of a neurotransmitter known as gamma-aminobutyric acid, or GABA. Neurotransmitters are chemicals that communicate messages between brain cells. These messages can have either a stimulating or a calming effect. Alprazolam 2 mg is classified as a Schedule 4 controlled substance under the Controlled Substance Act (CSA).
Is R039 pill addictive?
Alprazolam, the active ingredient in R039 pill is the number one prescribed psychiatric medication in the United States. Seventy percent of teens with a Xanax addiction get the drug from their family’s medicine cabinet.
Tolerance to alprazolam develops quickly, requiring the user to take more of the drug to achieve the desired effects. Someone with a R039 pill addiction may take up to 20 to 30 pills per day. If the user decides to stop taking R039 pill, they may experience withdrawal effects, such as anxiety, restlessness, insomnia, and tremors. The onset of withdrawal symptoms is a sign that a physical dependence has developed. The development of tolerance and withdrawal are indications of addiction.
What does R039 Pill feel like if you’re using it recreationally?
Many people who take R039 pill recreationally, or without a prescription, describe the feeling as sedating or calming. Unlike some drugs, such as cocaine, that produce a “high” or euphoric feeling, R039 Pill users describe feeling more relaxed, quiet, and tired. These feelings may lead to falling asleep or passing out for a few hours.
Some people have also reported memory loss or blacking out and not remembering what happened for several hours. Higher doses will have stronger effects.
What if you’re using it to treat an anxiety or panic disorder?
If you take this medication as it’s intended, it’s commonly prescribed to treat anxiety or panic disorders, you may feel “normal” after your first dose. The sedating effect can help alleviate symptoms of anxiety and calm your body’s response to the anxiety or stress.
What if you drink alcohol after taking R039 Pill?
Alcohol increases the effects of R039 pill and slows down how quickly your body can clear the drug from your system. If you take the medicine and then drink alcohol, you may experience extreme lethargy and prolonged memory loss.
It’s advised that you avoid combining the two substances. It’s possible that the combination will lead to dangerous, even deadly side effects. These include:
- difficulty breathing
- extreme drowsiness
What if you combine R039 Pill with another drug or medication?
You should avoid combining R039 pill with several other drugs due to their interactions. R039 pill can interact with many medications, including some:
- oral contraceptives
- heartburn drugs
These drugs can prevent the pathway that’s responsible for eliminating R039 Pill from your body from removing it as quickly as should happen. Over time, this may lead to a toxic buildup of the drug and eventually an overdose.
Speak with your doctor or a pharmacist about all the medications you’re currently taking to ensure that they won’t have an interaction. They can assess the risks and discuss them with you.
You should also avoid combining R039 pill with drugs even over-the-counter ones that can make you sleepy, slow your breathing, or cause extreme lethargy. The compounded effects of combining these drugs may be dangerous and put you at risk for health issues or death.
What shouldn’t you feel when taking R039 Pill?
The effects of R039 pill should be mild, but detectable. If the drug appears to be having a significant impact on you, you should seek emergency medical attention.
Symptoms to watch for include:
- extreme drowsiness
- muscle weakness
- loss of balance
- feeling lightheaded
You should also seek emergency medical attention if you experience signs of an allergic reaction. Signs may include swelling of the face, lips, throat, and tongue and difficulty breathing.
Likewise, if you experience signs of withdrawal, you should contact your doctor immediately. R039 pill is a potentially habit-forming drug, so some people may develop a dependency or addiction without realizing it.
Symptoms of R039 pill withdrawal can be serious. They include:
- depressed mood
- thoughts of suicide or self-harm
- racing thoughts
- uncontrolled muscle movements
R039 Pill Safety Information
Alprazolam may increase the risk of serious or life-threatening breathing problems, sedation, or coma if used along with certain medications. Tell your doctor if you are taking or plan to take certain opiate medications for cough such as codeine (in Triacin-C, in Tuzistra XR) or hydrocodone (in Anexsia, in Norco, in Zyfrel) or for pain such as codeine (in Fiorinal), fentanyl (Actiq, Duragesic, Subsys, others), hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (in Oxycet, in Percocet, in Roxicet, others), and tramadol (Conzip, Ultram, in Ultracet). Your doctor may need to change the dosages of your medications and will monitor you carefully. If you take alprazolam with any of these medications and you develop any of the following symptoms, call your doctor immediately or seek emergency medical care immediately: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness. Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own.
Alprazolam may be habit forming. Do not take a larger dose, take it more often, or for a longer time than your doctor tells you to. Tell your doctor if you have ever drunk large amounts of alcohol, if you use or have ever used street drugs, or have overused prescription medications. Do not drink alcohol or use street drugs during your treatment. Drinking alcohol or using street drugs during your treatment with alprazolam also increases the risk that you will experience these serious, life-threatening side effects. Also tell your doctor if you have or have ever had depression or another mental illness.
Alprazolam may cause a physical dependence (a condition in which unpleasant physical symptoms occur if a medication is suddenly stopped or taken in smaller doses), especially if you take it for several days to several weeks. Do not stop taking this medication or take fewer doses without talking to your doctor. Stopping alprazolam suddenly can worsen your condition and cause withdrawal symptoms that may last for several weeks to more than 12 months. Your doctor probably will decrease your alprazolam dose gradually. Call your doctor or get emergency medical treatment if you experience any of the following symptoms: unusual movements; ringing in your ears; anxiety; memory problems; difficulty concentrating; sleep problems; seizures; shaking; muscle twitching; changes in mental health; depression; burning or prickling feeling in hands, arms, legs or feet; seeing or hearing things that others do not see or hear; thoughts of harming or killing yourself or others; overexcitement; or losing touch with reality.