2. Hydroxyzine
Introduction
HYDROXYZINE, SOLD UNDER THE
BRAND NAME ATARAX AMONG
OTHERS, IT WAS
FIRST MADE BY UNION CHIMIQUE
BELGE IN 1956 AND WAS APPROVED
FOR SALE BY PFIZER IN
THE US LATER THAT YEAR.
IN THE UNITED KINGDOM 28 DOSES
COST LESS THAN A POUND.
IN THE UNITED STATES THE
WHOLESALE COST IN 2018 WAS
ABOUT 0.05 USD PER DOSE. IN 2017
IT WAS THE 99TH MOST
COMMONLY PRESCRIBED
MEDICATION IN THE UNITED
STATES, WITH MORE THAN SEVEN
MILLION PRESCRIPTIONS..
Hydroxyzine fall under the category of
Tranquilizer but this is not controlled drug
3. Hydroxyzine
Introduction
This is not an over the counter medicine, and must be prescribed by a medical
professional.
Patients are always warned to follow their doctors' guidelines exactly when taking this
medication. It's typically prescribed two to three times a day, however many people
select to only take it at going to bed. It does have sedating qualities.
4. Hydroxyzine
Approved Indications
For symptomatic relief of anxiety and tension associated with psychoneurosis and as
an adjunct in organic disease states in which anxiety is manifested.
Useful in the management of pruritus due to allergic conditions such as chronic
urticaria and atopic and contact dermatoses and in histamine-mediated pruritus.
As a sedative when used as a premedication and following general anesthesia,
hydroxyzine may potentiate meperidine and barbiturates, so their use in pre-anesthetic
adjunctive therapy should be modified on an individual basis
5. Hydroxyzine
ADVERSE REACTIONS
Anticholinergic: Dry mouth
Central Nervous System: Drowsiness, Involuntary motor activity including rare instances of tremor and
convulsions have been reported, usually with doses considerably higher than those recommended.
In postmarketing experience, the following additional undesirable effects have been reported:
Body as a Whole: Allergic reaction.
Nervous System: Headache.
Psychiatric: Hallucination.
Skin and Appendages:
Pruritus, rash, urticaria.
Side effects reported with the administration of hydroxyzine hydrochloride are usually mild and transitory in nature.
6. Hydroxyzine
DOSAGE AND ADMINISTRATION
For symptomatic relief of anxiety and tension associated with psychoneurosis and as an
adjunct in organic disease states in which anxiety is manifested:
adults, 50 to 100 mg children under 6 years, 50 mg daily in divided doses; children over 6
years, 50 to 100 mg daily in divided doses
Management of pruritus due to allergic conditions such as chronic urticaria and atopic
and contact dermatoses and in histamine-mediated pruritus:
adults, 25 mg t.i.d. or q.i.d.; children under 6 years, 50 mg daily in divided doses; children over
6 years, 50 to 100 mg daily in divided doses
As a sedative when used as a premedication and following general anesthesia:
50 to 100 mg for adults and 0.6 mg/kg of body weight in children.
7. Hydroxyzine
Advantages
Atropine and other belladonna alkaloids are not affected by the drug.
Hydroxyzine is not known to interfere with the action of digitalis in any
way and it may be used concurrently with this agent.