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Although they were still children, for reasons of state he was married to Iotapa (b. 43 BC), daughter of the king of Media, in 33 B.C.. In the Autumn of 34 BC, at the "Donation of Alexandria", Alexander was crowned ruler of Armenia, Media and Parthia. Those titles were largely nominal, however, because all three thrones were already occupied by others, respectively Artavasdes II of Armenia , Artavasdes I of Media and Phraates IV of Parthia . His parents probably intended that he should succeed to those thrones in due course.

Alexander was probably killed when the Romans, led by Gaius Julius Caesar Octavianus, invaded Egypt in 30 BC and his parents both killed themselves. There is no further mention of him.