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Hydroxyzine

Generic name: Hydroxyzine hydrochloride

Other brand names: Vistaril ,Atarax

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Why is Hydroxyzine prescribed?

Hydroxyzine is an antihistamine used to relieve the symptoms of common anxiety and tension and, in combination with other medications, to treat anxiety that results from physical illness. It also relieves itching from allergic reactions and can be used as a sedative before and after general anesthesia. Antihistamines work by decreasing the effects of histamine, a chemical the body releases that narrows air passages in the lungs and contributes to inflammation. Antihistamines reduce itching and swelling and dry up secretions from the nose, eyes, and throat.

Most important fact about Hydroxyzine

Hydroxyzine is not intended for long-term use (more than 4 months). Your doctor should re-evaluate the prescription periodically.

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How should you take Hydroxyzine?

Take Hydroxyzine exactly as prescribed by your doctor.

If you miss a dose of Hydroxyzine

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

Storage instructions for Hydroxyzine

Store tablets and syrup away from heat, light, and moisture. Keep the syrup from freezing.

What side effects may occur with Hydroxyzine?

Side effects of Hydroxyzine cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Hydroxyzine.

Drowsiness, the most common side effect of Hydroxyzine, is usually temporary and may disappear in a few days or when dosage is reduced. Other side effects include dry mouth, twitches, tremors, and convulsions. The last two usually occur with higher than recommended doses of Hydroxyzine.

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Why should Hydroxyzine not be prescribed?

Hydroxyzine should not be taken in early pregnancy or if you are sensitive to or have ever had an allergic reaction to it. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Hydroxyzine

Hydroxyzine increases the effects of drugs that depress the activity of the central nervous system. If you are taking narcotics, non-narcotic analgesics, or barbiturates in combination with Hydroxyzine, their dosage should be reduced.

Hydroxyzine can cause drowsiness. Driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended until you know how you react to Hydroxyzine.

Possible food and drug interactions when taking Hydroxyzine

Hydroxyzine may increase the effects of alcohol. Avoid alcohol while taking Hydroxyzine.

If Hydroxyzine is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

It is especially important to check with your doctor before combining Hydroxyzine with the following:

Barbiturates such as Seconal and Phenobarbital
Narcotics such as Demerol and Percocet
Non-narcotic analgesics such as Motrin and Tylenol

Special information if you are pregnant or breastfeeding

Although the effects of Hydroxyzine during pregnancy have not been adequately studied in humans, birth defects have appeared in animal studies with this medication. You should not take Hydroxyzine in early pregnancy. If you are pregnant or plan to become pregnant, inform your doctor immediately. Hydroxyzine may appear in breast milk and could affect a nursing infant. If Hydroxyzine is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

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Recommended dosages for Hydroxyzine

When treatment begins with injections, it can be continued in tablet form.

Your doctor will adjust your dosage based on your response to the drug. Due to an increased risk of drowsiness, older adults usually start at the low end of the dosage range.

FOR ANXIETY AND TENSION

Adults
The usual dose is 50 to 100 milligrams 4 times per day.

Children under Age 6

The total dose is 50 milligrams daily, divided into several smaller doses.

Children over Age 6

The total dose is 50 to 100 milligrams daily, divided into several smaller doses.

FOR ITCHING DUE TO ALLERGIC CONDITIONS

Adults
The usual dose is 25 milligrams 3 or 4 times a day.

Children under Age 6

The total dose is 50 milligrams daily, divided into several smaller doses.

Children over Age 6

The total dose is 50 to 100 milligrams daily, divided into several smaller doses.

BEFORE AND AFTER GENERAL ANESTHESIA

Adults
The usual dose is 50 to 100 milligrams.

Children

The usual dose is 0.6 milligram per 2.2 pounds of body weight.

Overdosage of Hydroxyzine

Any medication taken in excess can have serious consequences. If you suspect an overdose of Hydroxyzine, seek medical attention immediately.

The most common symptom of Hydroxyzine overdose is excessive calm; your blood pressure may drop, although it is not likely.

 

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