Drug and Alcohol
Hydroxyzine Overdose: Symptoms, Prevention, and Treatment
Symptoms of hydroxyzine overdose include drowsiness, nausea, breathing difficulties, and even seizures. Learn how to avoid these risks and how OD is treated.
Hydroxyzine is a commonly used antihistamine for allergy relief, but you may not be aware of its potential for overdose. Signs of hydroxyzine overdose include dry mouth, headaches, confusion, rapid heartbeat, severe drowsiness, and more. By knowing the symptoms, you can seek urgent medical attention when it’s needed.
Learn more about the symptoms, prevention strategies, and treatment options for hydroxyzine overdose, along with side effects and dosage guidelines, so that you can ensure safe usage.
What Is Hydroxyzine?
Hydroxyzine is an antihistamine medication primarily used to treat allergy symptoms such as itching, runny nose, and sneezing. It works by blocking histamine, a substance in the body that causes allergic reactions. Additionally, hydroxyzine has sedative properties, making it effective for managing anxiety and tension. It is available in various forms, including tablets, capsules, and liquid, and is often prescribed for short-term use due to its potential side effects.
What Is Hydroxyzine Used For?
Hydroxyzine is commonly used to alleviate symptoms of allergies, such as itching, hives, and rashes. It is also prescribed to manage anxiety and tension, particularly in situations where a calming effect is needed. In some cases, hydroxyzine is used as a sedative before or after surgical procedures to help patients relax. Additionally, it can be effective in treating nausea and vomiting, as well as providing relief from insomnia due to its sedative effects.
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Can You Overdose on Hydroxyzine?
Yes, it is possible to overdose on hydroxyzine. Signs of an overdose may include dry mouth, difficulty urinating, headaches, confusion, rapid heartbeat, impaired reflexes and coordination, severe drowsiness, seizures, and even coma.
If you suspect an overdose, seek immediate medical attention or contact a poison control center. It’s important to always take medications as prescribed, and never exceed the recommended dosage to avoid the risk of overdose.
Overdose Symptoms
Extreme drowsiness
Nausea and vomiting
Confusion
Rapid heart rate
Difficulty breathing
Seizures
Unresponsiveness
Actions to Take
If you suspect a hydroxyzine overdose, it is crucial to seek immediate medical attention. Call emergency services or go to the nearest emergency room.
While waiting for help, try to keep the person awake and monitor their breathing and heart rate. Do not induce vomiting unless instructed by a healthcare professional. Providing as much information as possible about the dosage and timing of the medication taken can also help medical personnel administer the appropriate treatment.
How to Prevent Hydroxyzine Overdose
Preventing a hydroxyzine overdose involves careful adherence to prescribed dosages and guidelines. As always, closely follow your healthcare provider’s instructions, and avoid taking more than the recommended amount. Store the medication in a secure place out of reach of children and pets, and be aware of potential interactions with other medications and substances that could increase the risk of overdose. Lastly, consider regularly reviewing your medication regimen with your doctor to ensure it remains safe and effective.
Follow prescribed dosages
Store medication securely
Avoid mixing with other substances
Regularly consult your healthcare provider
Treatment for Hydroxyzine Overdose
Treatment for a hydroxyzine overdose involves providing supportive and symptomatic care, as there is no specific antidote. Key measures include monitoring vital signs, ensuring the airway remains open, and managing any seizures that occur.
If the overdose is recent, activated charcoal may be used to reduce drug absorption. Intravenous fluids, medications to address symptoms, and mechanical ventilation in severe cases may be necessary. Immediate medical attention is essential, and contacting emergency services or a poison control center is highly recommended.
Hydroxyzine Brand Names
Atarax
Vistaril
Rezine
Hyzine
Vistazine
ANX
Vistaject-50
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How Does Hydroxyzine Work?
Hydroxyzine works by targeting histamine receptors and modulating neurotransmitter activity to provide relief from various symptoms. By acting as an antihistamine, it blocks the effects of histamine in the body, helping to alleviate allergy symptoms such as itching, hives, and sneezing. Hydroxyzine also has sedative properties that can help with anxiety and tension. By affecting certain neurotransmitters in the brain, it can also have a calming effect, making it useful for treating anxiety disorders and promoting relaxation.
Hydroxyzine Side Effects
While hydroxyzine has its uses, it’s important to be aware of its potential side effects, including:
Common Side Effects
Drowsiness: One of the most frequently reported side effects, making it important to avoid driving or operating heavy machinery.
Dry Mouth: Often experienced by users, which can be alleviated by staying hydrated and using sugar-free gum or candies.
Dizziness: Can occur, especially when standing up quickly. It’s advisable to rise slowly from sitting or lying positions.
Blurred Vision: Temporary vision changes may happen, so caution is advised when performing tasks that require clear vision.
Headache: Some users report mild to moderate headaches, which can usually be managed with over-the-counter pain relievers.
Severe Side Effects
Severe Allergic Reactions: Symptoms like rash, itching, swelling, severe dizziness, and trouble breathing require immediate medical attention.
Heart Issues: Irregular heartbeat or palpitations are serious side effects that should be reported to a healthcare provider immediately.
Mental/Mood Changes: Symptoms such as confusion, hallucinations, or severe mood swings are rare but serious and necessitate prompt medical consultation.
Tremors: Uncontrolled shaking or tremors can occur and should be addressed by a medical professional.
Seizures: Although extremely rare, seizures are a critical side effect that requires emergency medical intervention.
Being informed about these potential side effects can help you use hydroxyzine safely and effectively. If you experience any unusual symptoms, be sure to communicate it to your healthcare provider.
Other Potential Risks
Some studies have found a link between the prevalence of mental disorders and use of hydroxyzine in preschool children, but controlled studies are needed to establish a causal connection. The same studies suggest alternative therapies while the safety of hydroxyzine is reassessed, such as local antihistamines or corticosteroids for atopic dermatitis and nocturnal itching.
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How Does Hydroxyzine Make You Feel?
Hydroxyzine generally induces a sense of calm and relaxation due to its sedative properties. Many users report feeling drowsy or sleepy after taking it, which can be helpful for those dealing with insomnia or anxiety. However, some individuals might experience side effects like dry mouth, mild skin rashes, or headaches. What Can You Not Take With Hydroxyzine?
What Can You Not Take With Hydroxyzine?
When taking hydroxyzine, it’s important to be aware of potential interactions with other substances that could enhance side effects or reduce the effectiveness of the medication. Combining hydroxyzine with certain drugs or substances can lead to increased drowsiness, confusion, or even more serious health risks.
Here are some things you should avoid while taking hydroxyzine:
Opioids: These pain medications can cause severe drowsiness and increase the risk of accidental injuries.
Other medications that cause drowsiness: This includes sedatives, tranquilizers, and other antihistamines.
Alcohol: Drinking alcohol can amplify the sedative effects of hydroxyzine, leading to excessive drowsiness or impaired motor skills.
Amiodarone: This heart medication can increase the risk of an abnormal heart rhythm when taken with hydroxyzine.
Certain antibiotics: Some antibiotics can interact with hydroxyzine, raising the risk of heart-related side effects.
Antipsychotic medications: These can also increase the risk of heart rhythm problems when combined with hydroxyzine.
Antidepressants like Lexapro and Celexa: These medications can interact with hydroxyzine, potentially leading to serious side effects.
Always consult with your healthcare provider before starting or stopping any medications while taking hydroxyzine to ensure your safety and well-being.
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How Long Does Hydroxyzine Take to Work?
Hydroxyzine typically starts to work within 30 minutes to an hour after taking it. However, the full effects may not be felt until a few hours after ingestion. The duration of action of hydroxyzine can last anywhere from 4 to 6 hours, depending on the individual's metabolism and dosage. It is essential to follow the prescribed dosing instructions and consult with a healthcare provider for personalized guidance on how long hydroxyzine will take to work for a specific condition.
How Long Does Hydroxyzine Last?
The effects of hydroxyzine typically last for about 4 to 6 hours after taking a dose. However, the drug may stay in your system for longer, with a half-life of around 20 hours. This means that it can take several days for hydroxyzine to completely clear from your body. It's essential to follow your doctor's instructions regarding dosing and frequency to ensure the medication is effective and safe for you. If you have any concerns about how long hydroxyzine stays in your system or its effects, consult with your healthcare provider for personalized advice.
How Long Does Hydroxyzine Stay In Your System?
Hydroxyzine has a half-life of around 20 hours, meaning it can take approximately 4-5 days for the medication to be fully eliminated from your system.
Factors such as age, liver function, and dosage can affect how long hydroxyzine stays in your body. Be sure to consult with your doctor if you have any concerns about how long hydroxyzine may stay in your system.
Is Hydroxyzine Addictive?
Hydroxyzine doesn't typically cause strong physiological dependence or cravings, and is generally not considered addictive or habit-forming like opioids or benzodiazepines, though it can be misused. However, some individuals might misuse it for its calming effects, potentially leading to psychological dependence. It’s crucial to use hydroxyzine as prescribed and consult a healthcare professional to avoid any potential misuse.
Closing Thoughts: Hydroxyzine Overdose
Hydroxyzine is a versatile antihistamine that effectively treats allergy symptoms, anxiety, and tension. While it offers significant benefits, it is crucial to use this medication responsibly and follow your doctor’s prescription to prevent the risk of overdose. Safe usage and adherence to medical advice are key to avoiding adverse effects and ensuring the medication’s effectiveness.
On another note — hydroxyzine is not typically addictive, but prescription drug addiction remains a serious concern. If you or a loved one feels dependent on any medication, know that you’re not alone, and help is available.
Prescription Drug Addiction Is Worryingly Common. Are You Seeking Support?
At The Edge Treatment Center in Santa Ana, CA, we offer comprehensive treatment for prescription drug addiction. Our team of experts provides a range of proven therapies to help you heal and recover.
Call us today to learn more about hydroxyzine or how we can support your journey to recovery.
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If you or a loved one is struggling with addiction, there is hope. Our team can guide you on your journey to recovery. Call us today.
Written by
Content Writer
Reviewed by
Chief Clinical Officer
Drug and Alcohol
September 4, 2024
FAQ
Frequently Asked Questions
Yes, it is possible to overdose on hydroxyzine. Symptoms of an overdose may include drowsiness, confusion, seizures, and difficulty breathing. Seek immediate medical attention if you suspect an overdose.
Hydroxyzine can cause drowsiness, relaxation, and a sense of calmness. It is commonly used to treat anxiety and allergic reactions due to its sedative effects.
While taking hydroxyzine, avoid consuming alcohol as it can increase the risk of side effects such as extreme drowsiness and dizziness. Avoid driving or operating machinery until you know how hydroxyzine affects you.
Hydroxyzine is not considered addictive as it does not produce a "high" typically associated with addictive substances. However, it is essential to take the medication as prescribed by your healthcare provider to minimize any risks.
The half-life of hydroxyzine is around 20 hours, meaning it takes about a day for half of the drug to be eliminated from your system. Factors like age, liver function, and dosage can affect how long hydroxyzine stays in your body.