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Blue Pill Round 031: A Complete Guide to Identification, Uses, and Safety

Blue Pill Round 031: A Complete Guide to Identification, Uses, and Safety

Table of Contents

The blue pill marked “031 R” is a 1mg alprazolam tablet manufactured by Actavis, commonly prescribed for treating anxiety and panic disorders1. This comprehensive guide provides essential information about this medication’s identification, uses, and important safety considerations.

Physical Identification

The 031 R pill is blue in color, round in shape, and measures approximately 7mm in diameter. Its distinctive blue coloring comes from FD&C Blue No. 2, an inactive ingredient used in the manufacturing process.

Medical Uses and Effects

Alprazolam belongs to the benzodiazepine class of medications and works by enhancing the effects of GABA in the brain. Its primary uses include:
• Treatment of anxiety disorders
• Management of panic disorders
• Relief from acute anxiety symptoms
The medication typically begins working within 15-60 minutes after ingestion, with peak blood concentration occurring within two hours.

Proper Usage and Dosage

Standard Dosing Guidelines

Healthcare providers typically start with low doses, often 0.25mg, which can be gradually increased based on individual response. The maximum daily starting dosage is usually capped at 4mg, divided across multiple doses.

Administration Instructions

• Take exactly as prescribed by your healthcare provider
• Never share this medication with others
• Store in a secure location away from others
• Do not crush or break extended-release tablets

Safety Considerations

Important Warnings

This medication carries several serious risks that require careful consideration:
• Can cause addiction, overdose, or death if misused
• May cause life-threatening breathing problems
• Should never be combined with alcohol or opioids
• Requires medical supervision for discontinuation

Side Effects

Common Side Effects:

• Drowsiness
• Dizziness
• Memory problems
• Difficulty with coordination
• Changes in appetite
• Dry mouth
Severe Side Effects:
• Breathing difficulties
• Severe drowsiness
• Liver problems
• Hallucinations
• Seizures

Risk Management

Addiction Prevention

The medication has significant potential for dependence and abuse. Users should:
• Follow prescribed dosages strictly
• Never increase doses without medical supervision
• Avoid long-term use when possible
• Report any unusual urges to take more than prescribed

Pregnancy and Breastfeeding

Alprazolam poses risks during pregnancy and breastfeeding:
• Can cause birth defects and withdrawal symptoms in newborns
• Passes into breast milk and may affect nursing infants
• Requires careful medical consultation before use during pregnancy

Professional Support

Always consult your healthcare provider before:
• Making any changes to your dosage
• Stopping the medication
• Combining it with other substances
• Starting treatment if you have a history of substance abuse

Emergency Situations

Seek immediate medical attention if you experience:

• Severe allergic reactions
• Difficulty breathing
• Extreme drowsiness
• Unusual behavioral changes
• Signs of overdose

Remember that this medication is a controlled substance and should only be used under proper medical supervision. Your healthcare provider is the best source for personalized advice about using this medication safely and effectively.


Misusing prescription medications like the blue pill marked “031” (alprazolam) can lead to serious health risks, including dependency and addiction. At Asana Recovery, we provide compassionate, evidence-based treatment programs designed to help individuals regain control and achieve long-term recovery. Whether you’re managing anxiety, concerned about dependency, or seeking help for a loved one, our team is here to support you every step of the way. Contact Asana Recovery today to start your journey toward a healthier, safer future.

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