Hydroxyzine Oral Tablets 2025: Price, Uses, Side Effects & Dosage Guide

Understanding Hydroxyzine: What Is It?

Hydroxyzine oral tablets are a prescription medication commonly recommended for adults and children over one year old to manage anxiety, allergic itching, and to promote sedation before or after surgical procedures.

Belonging to the antihistamine class, hydroxyzine works by blocking histamine receptors, producing calming effects and alleviating symptoms related to allergies and anxiety.

Forms and Brand Names

While hydroxyzine oral tablets contain hydroxyzine hydrochloride, the medication also comes in capsules, syrups, and injectable solutions. The tablet form is a generic equivalent of the former brand-name drug Atarax, which is no longer available. Capsules, however, may still be found under brand names.

Common and Serious Side Effects of Hydroxyzine

Like all medications, hydroxyzine may cause side effects. Mild reactions often include dry mouth, headache, fatigue, constipation, and sleepiness. These symptoms typically diminish with continued use.

Serious side effects are rare but require immediate medical attention. These include abnormal heart rhythms, severe allergic reactions, and dangerous skin conditions such as Stevens-Johnson syndrome.

Important Safety Notes

Patients should avoid alcohol during hydroxyzine treatment as it can intensify dizziness and drowsiness. Those with heart issues or taking medications that affect heart rhythm should consult their doctor, as hydroxyzine may exacerbate these conditions.

Hydroxyzine is not recommended for pregnant or breastfeeding individuals due to potential risks to the baby.

Approved Uses of Hydroxyzine Oral Tablets

• Anxiety Relief: Provides short-term management of anxiety symptoms by inducing a calming effect.
• Itching Treatment: Effective against itching caused by allergies, eczema, dermatitis, and hives.
• Sedation: Used to promote relaxation and sleepiness before or after anesthesia in surgical procedures.

Dosage Recommendations for 2024

Hydroxyzine tablets come in 10 mg, 25 mg, and 50 mg strengths. Dosages vary depending on the condition being treated.

• Anxiety: Typically 50-100 mg daily in divided doses (12.5-25 mg two to four times a day).
• Itching: Starting at 25 mg once nightly, with possible increases based on response.
• Sedation: Up to 100 mg in divided doses, administered per healthcare provider instructions.

Always follow your healthcare provider’s prescribed dosage and consult them before making any changes.

How Hydroxyzine Works and Duration

Hydroxyzine inhibits histamine receptors responsible for allergic reactions and anxiety symptoms. Its calming effects can last for several hours after ingestion. The drug’s half-life is approximately 14 hours, meaning it takes about 70 hours to be fully cleared from the body.

Frequently Asked Questions

Is Hydroxyzine Used for Sleep?

Although not officially approved for sleep aid, hydroxyzine is sometimes prescribed off-label to help with sleep disturbances. Effects vary; some experience drowsiness while others may have insomnia.

Does Hydroxyzine Cause Weight Gain?

Weight gain is not commonly associated with hydroxyzine use based on current studies.

Is Hydroxyzine Addictive or a Controlled Substance?

Hydroxyzine is not classified as a controlled substance and does not cause euphoria or addiction like benzodiazepines.

How Does Hydroxyzine Compare to Other Medications?

Unlike over-the-counter antihistamines like Benadryl, hydroxyzine is prescription-only and also treats anxiety and induces sedation. Compared to antidepressants or benzodiazepines, it has a different mechanism and safety profile.

Precautions Before Taking Hydroxyzine

• Discuss all existing health conditions, especially heart, liver, kidney, or respiratory issues.
• Avoid use if allergic to hydroxyzine or related antihistamines such as cetirizine or levocetirizine.
• Do not combine with monoamine oxidase inhibitors (MAOIs) or medications causing irregular heart rhythms.
• Older adults should use hydroxyzine cautiously due to increased risk of confusion and sedation.

Drug Interactions

Hydroxyzine may interact with blood pressure medications, central nervous system depressants (like opioids and barbiturates), certain antidepressants, seizure medications, and others. Always inform your healthcare provider about all medications and supplements you take.

Cost of Hydroxyzine in 2024

The price of hydroxyzine oral tablets varies widely based on insurance coverage and pharmacy choice. Generic versions typically cost less than brand-name options. Assistance programs such as Medicine Assistance Tool and NeedyMeds may help reduce out-of-pocket expenses.

Overdose Information

Taking more than the prescribed dose can lead to serious complications including severe drowsiness, abnormal heart rhythms, and low blood pressure. In case of overdose, seek immediate medical attention or call poison control.

Tips for Discussing Hydroxyzine with Your Doctor

• Ask about the duration of treatment and alternatives.
• Discuss potential side effects and how to manage them.
• Clarify if hydroxyzine is suitable with your current medications.
• Inquire about what to do if you miss a dose.

Open communication with your healthcare provider ensures safe and effective use of hydroxyzine.

Consult a Pharmacist

Pharmacists can provide valuable insights about hydroxyzine, including differences from over-the-counter antihistamines, potential side effects, and how to take the medication properly.

Note: This information is for educational purposes and not a substitute for professional medical advice. Always consult your healthcare provider for personalized guidance.

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