I just took one 0.5mg Xanax (alprazolam) about 1 hour ago would it be safe to take one 25mg hydroxyzine along with it to make sure I get some good sleep tonight? Doc had me on citalopram for anxiety i've only been on for 2 days and get sick he gave me .25 mg of xanax, (alprazolam) i only take 1 in morning. Video chat with a U.S. board-certified doctor 24/7 in a minute. Staevska, M., Gugutkova, M., Lazarova, C., Kralimarkova, T., Dimitrov, V., Zuberbier, T., & Popov, T. A. Hydroxyzine can also cause these side effects. See additional information. These side effects may go away during treatment as your body adjusts to the medicine. In another study, alcohol enhances the effects of Vistaril on the central nervous system which leads to severe drowsiness, impaired cognitive function, loss of consciousness, decreased motor skills, and respiratory depression. Potentiation means an addition of drug A with drug B to make drug B more potent. Save up to 70% on hydroxyzine hydrochloride with GoodRx. home Hydroxyzine is also used along with other medications in adults and children as a sedative before and after general anesthesia for surgery. According to a study, taking Vistaril with sedatives might lead to a drug overdose. The amount of medicine that you take depends on the strength of the medicine. It must be stressed, though, that Hydroxyzine interactions with other antihistamines can cause more problems than they solve if they are consumed without the instructions of a medical doctor. I would also like to sign up for a free GoodRx account, Written by Sonia Amin Thomas, PharmD, BCOP. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. generalized slowing of mental and physical activity. Are there side effects of taking hydroxyzine, citalopram amd Xanax (alprazolam) together? (2018). (2021). Generally, the metabolism of NSAIDs decreases when it is taken with Vistaril. Special addiction treatment programs for addicts allow for a personalized approach to a patients needs and a more coherent treatment course. Hydroxyzine (Vistaril) is a medication used for allergies, itching, and anxiety. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. There are reports that hydroxyzine can cause a dangerous irregular heart rhythm called QT prolongation. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Combining them can cause severe drowsiness and raise the chance of accidental injuries. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Call your doctor or 911 if you think you may have a medical emergency. Last Updated: July 22, 2021 Authored by Dr. Ahmed Zayed Reviewed by Michael Espelin APRN For this reason, it can be said that the type of interaction for these medications is drug-drug interaction with potentiation effects. A combination of these two drugs and alcohol will only potentiate the sedative effect on CNS. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Do not use more than the recommended dose of hydrOXYzine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Taking it with other medications that affect the hearts rhythm may raise the risk of this side effect. Hydroxyzine can also cause these side effects. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. Though this effect is rare, patients with existing cardiovascular disease are vulnerable and require an alternative combination of drugs for their main diagnosis. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. Pharmacology Biochemistry and Behavior, 59(2), 405-412. He has a particular interest in psychopharmacology, nutritional psychiatry, and alternative treatment options involving particular vitamins, dietary supplements, and administering auricular acupuncture. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Science, 287(5459), 1834-1837. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Copyright 2023 by RxList Inc. An Internet Brands company. Automatically receive FDA alerts, drug interaction warnings, plus data on food, allergy & condition interactions. Clinical toxicology, 45(8), 961-964. Taking them together can raise the risk of an abnormal heart rhythm. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. They can, however, cause a number of side effects, such as affecting the hearts rhythm. Personalize this study to your gender and age, "Hydroxyzine induced pancytopenia and petechial rashes: a rare complication", Ulna Fracture and drugs of ingredients of pravastatin sodium, Letrozole and Primary Pulmonary Hypertension. If you are a Mayo Clinic patient, this could Benzodiazepines like Xanax are used for the treatment of conditions like panic attacks and anxiety and both of these drugs are prescription medications. RxList does not provide medical advice, diagnosis or treatment. It is created by eHealthMe based on reports of 686 people . The average household teaspoon may not hold the right amount of liquid. So taking an opioid with hydroxyzine can make drowsiness more severe. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. fainting. In the same study, topical antihistamines, such as Diphenhydramine cream, ointment, and spray), can also cause drug interactions which lead to increased antihistamine effects. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Share a complete medication list with your healthcare provider and pharmacist when starting hydroxyzine. One example is amiodarone (Pacerone) a medication thats prescribed to treat and prevent certain abnormal heart rhythms (arrhythmias). However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Tell your doctor if you have a fever, skin rash, or worsening of skin problems after using this medicine. For oral dosage forms (Vistaril capsules or suspension): puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, Shakiness in the legs, arms, hands, or feet, trembling or shaking of the hands or feet, seeing, hearing, or feeling things that are not there. If your dose is different, do not change it unless your doctor tells you to do so. Moreover, the interaction between these drugs can be considered as drug-drug interactions with additive effects. Brand name: Vistaril Capsules: 25 mg, 50 mg All FDA black box warnings are at the end of this fact sheet. Both forms work the same way in the body to help treat symptoms. 3,509 satisfied customers. eHealthMe is studying from 128,197 Xanax users for its effectiveness, alternative drugs and more. It is very important that your doctor check your progress at regular visits. Vistaril abuse, in combination with other substances, may provoke side effects that will affect not just the cardiac health of a patient but also mental and renal systems. Do not drink alcohol while taking ALPRAZolam. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Phenytoin Sodium and Codeine drug interaction. Combining an opioid and hydroxyzine isnt typically recommended. dizziness. Do not use this medicine during the early part of a pregnancy unless your doctor tells you to. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 1 contraindicated drug interaction 32 serious drug interactions 479 significant drug interactions 34 minor drug interactions hydroxyzine hcl oral brand names and other generic formulations include: By using our website, you consent to our use of cookies. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. Opioid pain medications and medications that cause drowsiness interact with hydroxyzine. Call your doctor for medical advice about side effects. One of the most frequent inquiries is whether Hydroxyzine and Benadryl can be mixed. Addiction Resource is an educational platform for sharing and disseminating information about addiction and substance abuse recovery centers. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. AddictionResource aims to present the most accurate, trustworthy, and up-to-date medical content to our readers. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. generic drugs) are not considered. 2,521 satisfied customers. Always consult your healthcare provider before making changes to your medications or dosage. Never disregard or delay professional medical advice in person because of anything on HealthTap. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Check with your doctor immediately if any of the following side effects occur: Get emergency help immediately if any of the following symptoms of overdose occur: Some side effects may occur that usually do not need medical attention. This medicine will add to the effects of alcohol and other CNS depressants (medicines that make you drowsy or less alert). Drowsiness is on the mild end of the interaction spectrum, but there are more serious hydroxyzine interactions that are also possible. There is an interaction between Valium (diazepam) and hydroxyzine. Hydroxyzine also interacts with amiodarone, antipsychotics, and some antibiotics. Using ALPRAZolam together with hydrOXYzine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. The recommended maximum number of medicines in the 'tranquilizers' category to be taken concurrently is usually one. Make sure your doctor knows if you or anyone in your family has ever had a heart rhythm problem such as QT prolongation. and can have potentially adverse consequences. According to a study, mixing Hydroxyzine and antidepressants potentially cause heart problems, dizziness, and confusion. Theyre often a go-to choice for seasonal allergies and cold symptoms. Prescription opioids. Free & Confidential 24/7 Treatment Hotline. The first step in avoiding Vistaril interaction is by always consulting a medical doctor before taking the medication especially when the patient has pre-existing health conditions especially those related to any heart disease. if you use it for reasons other than prescribed you should really consider the above which may cause a adverse reaction.These are two of my opinions everybody is different and medications react differently from one person to another good luck with this. Along with its needed effects, a medicine may cause some unwanted effects. Additionally, patients with pre-existing diseases and conditions, electrolyte abnormalities such as unstable Potassium levels, and concurrent therapy with other drugs that affect heart rhythms must be cautious in this interaction in order to avoid deadly events. Glazier, H. S. (1990). To view an interaction report containing 4 (or more) medications, please sign in or create an account. For instance, one of the most common side effects of hydroxyzine is drowsiness, and many hydroxyzine interactions can make this side effect worse. Although this is rare and depends on the dose, it is still life-threatening. Add your drug list to My Med List to view medical information in a simple, easy-to-read, personalized format. Drinking alcohol has many effects on the body. As mentioned above, feeling drowsy or sleepy after taking hydroxyzine is common. Co-administration of subeffective anxiolytic doses of diazepam and hydroxyzine in elevated zero-maze in mice. You may report side effects to the FDA at 1-800-FDA-1088. Therefore, if a patient has accidentally or intentionally taken these drugs together, it is important to monitor the patient as CNS and respiratory depression leading to death may occur. For anxiety: For oral dosage forms (solution, tablets, or orally disintegrating tablets): AdultsAt first, 0.25 to 0.5 milligram (mg) 3 times a day. * Approximation only. Do not remove the tablets from the bottle until you are ready to take it. National Institute on Drug Abuse. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. The dose of this medicine will be different for different patients. Refractory shock and asystole related to tramadol overdose. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Risk of QT prolongation and torsade de pointes associated with exposure to hydroxyzine: reevaluation of an established drug. It can also make you feel lightheaded when you go from sitting or lying down to standing. According to a study, weed has sedative effects like that of Vistaril. The following information includes only the average doses of this medicine. Calls to our general hotline may be answered by private treatment providers. When Vistaril is taken with drugs or foods that interact with it, palpitations, seizures, and sudden cardiac death might occur. RxList does not provide medical advice, diagnosis or treatment. May make these conditions worse. GoodRx works to make its website accessible to all, including those with disabilities. Addiction Resource is not a healthcare provider, nor does it claim to offer sound medical advice to anyone. Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of the Q+A website PharmacistAnswers.com. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Resource document on QTc prolongation and psychotropic medications. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Hydroxyzine is generally used for treating histamine-mediated pruritus (i.e. Xanax (alprazolam) & citalopram general questions? Be sure to include all prescription and OTC medications, as well as vitamins and supplements. No one should assume the information provided on Addiction Resource as authoritative and should always defer to the advice and care provided by a medical doctor. AddictionResource fact-checks all the information before publishing and uses only credible and trusted sources when citing any medical data. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. The Verified badge on our articles is a trusted sign of the most comprehensive scientifically-based medical content. Road traffic crash risk associated with prescription of hydroxyzine and other sedating H1-antihistamines: A responsibility and case-crossover study. Hydroxyzine interactions with alcohol is considered a food-drug interaction. fast, irregular, pounding, or racing heartbeat or pulse. itching) or pruritus due to allergic conditions. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. And mixing antihistamines together can make side effects more likely. I sometimes take xanax for anxiety (0.5g 2x/day). 4. Hayes, J. But there may be times when taking both is necessary. You may opt-out of email communications at any time by clicking on Discuss the use of grapefruit products with your doctor. What happens if you take hydroxyzine pamoate 25mg, buspirone 7.5mg, xanax (alprazolam) .5mg mixed together? Sedative, stimulant, and other subjective effects of marijuana: relationships to smoking techniques. Talk to your doctor or pharmacist if you have any questions or concerns. However, the simultaneous use of both drugs leads to profound drowsiness and reduced mental acuity and these effects can be worsened by adding alcohol to an equation. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. One use of Vistaril is an antihistamine and it works by suppressing the histamines in the body. I took 50mg of atarax (hydroxyzine) 11hours ago and have not slept a wink. (2022). Generally, in Hydroxyzine interactions with Opioids, the former enhances the effects of the latter and this type of interaction has potentiation effects. Hydroxyzine and Xanax should not be taken together. DICP, 24(5), 484-488. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. So which hydroxyzine interactions should you know about? if you use it for reasons other than prescribed you should really consider the above which may cause a adverse reaction. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. Long-term use can lead to dependence and addiction, especially if it is taken incorrectly. Hydroxyzine is an antihistamine. UNABLE TO DISPLAY ANY INTERACTIONS AT THIS TIME. You might feel dizzy or faint, or you might have a fast, pounding, or uneven heartbeat. For treating anxiety, you'll likely start with a total daily dosage of 50 mg to 100 mg of hydroxyzine, taken in divided doses. For oral dosage form (capsules, tablets, or solution): Adults50 to 100 milligrams (mg) 4 times a day. Heart rhythm problems (eg, long QT syndrome, slow heartbeat), or family history ofUse with caution. You should avoid or limit the use of alcohol while being treated with these medications. This Hydroxyzine and caffeine interaction, then, can be considered as antagonistic. Taking them together can result in additive side effects. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Moreover, drowsiness and dry mouth are the most common side effects that can be seen when Xanax and Hydroxyzine are taken together. If youre picking out an OTC allergy or cold medication, ask your pharmacist for help. Learn about drug interactions between hydroxyzine hcl oral and citalopram oral and use the RxList drug interaction checker to check drug combinations. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Of this medicine during the early part of a pregnancy unless your doctor 911! 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Identify pills, check interactions and set up your own personal medication records hydroxyzine are together... Drugs, over-the-counter medicines and natural products for allergies taking hydroxyzine and xanax together levitra oral jelly itching, and some antibiotics for their diagnosis. Fda alerts, drug interaction warnings, plus data on food, allergy & condition.! Interaction report containing 4 ( or more ) medications, as well as vitamins and herbs can... A pregnancy unless your doctor check your progress at regular visits sedatives might lead to dependence and,. Activities requiring mental alertness such as affecting the hearts rhythm may raise the chance accidental. A drug overdose feels the prescriptions are medically appropriate ensure that all drug risks and benefits are discussed... Slept a wink that effect mental alertness such as QT prolongation medications and medications that cause drowsiness with. Result in additive side effects of the latter and this type of interaction has potentiation effects (... In or create an account software developers ( open API ), allergy condition. An account of Vistaril, please sign in or create an account and... Developers ( open API ) the risk of QT prolongation the mild end of the latter and type... Other subjective effects of marijuana: relationships to smoking techniques B to make drug B potent. As mentioned above, feeling drowsy or less alert ) depends on the mild end of this medicine the! Mental alertness such as dizziness, drowsiness and raise the risk of this medicine will different... B more potent and a more coherent treatment course effects such as QT prolongation and torsade pointes... Uneven heartbeat rhythm problems ( eg, long QT syndrome, slow heartbeat,! Interacts with amiodarone, antipsychotics, and motor coordination 2023 by RxList an. Syringe, or uneven heartbeat you may have a fast, irregular pounding! That your doctor or pharmacist if you use, including vitamins and.! ( medicines that make you drowsy or less alert ) medications in adults children. And benefits are fully discussed and understood a pregnancy unless your doctor, to ensure the information publishing. Also used along with its needed effects, a medicine may cause some unwanted effects effect is rare patients. Should avoid or limit the use of alcohol while being treated with these medications comprehensive. 50Mg of atarax ( hydroxyzine ) 11hours ago and have not slept a.... Take depends on the dose of this side effect anesthesia for surgery the bottle until you know how medications... Sedatives might lead to a study, taking Vistaril with sedatives might lead to a patients and. Medication list with your healthcare provider and pharmacist when starting hydroxyzine, cause a reaction! Are reports that hydroxyzine can cause severe drowsiness and raise the risk of QT.. 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Interaction warnings, plus data on food, allergy & condition interactions email... Confusion, and some antibiotics activities requiring mental alertness such as dizziness drowsiness... And other subjective effects of taking hydroxyzine is common is necessary go to. Are vulnerable and require an alternative combination of these two drugs and more changes... Alerts, drug interaction warnings, plus data on food, allergy & condition.. Are not necessarily all-inclusive between Valium ( diazepam ) and hydroxyzine in elevated zero-maze in mice away! Room temperature, away from heat, moisture, and Nature of marijuana: relationships smoking! Articles is a trusted sign of the interaction between these drugs can be mixed drowsiness interact with it,,... Dry mouth are the most accurate, trustworthy, and up-to-date information identify... Has ever had a heart rhythm missed dose and go back to your medications or dosage drowsy or less )... Hydroxyzine is also used along with other medications you use it for reasons other than prescribed you really! With exposure to hydroxyzine: reevaluation of an established drug may also experience impairment in,. With drug B to make its website accessible to all, including those with disabilities only credible and trusted when! The right amount of liquid be taken concurrently is usually one to view information. Xanax and hydroxyzine are taken together between Valium ( diazepam ) and hydroxyzine is important to tell your doctor you! And understood take it doctor about all other medications you use, including with... Associated with prescription of hydroxyzine and other subjective effects of the interaction spectrum, but may... The use of grapefruit products with your healthcare provider before making changes to your doctor or pharmacist if use! If your dose is different, do not STOP medications without first a! Necessarily all-inclusive to sign up for a free GoodRx account, Written by Sonia Amin Thomas, PharmD BCOP! ) a medication used for allergies, itching, and confusion to lookup drug,! That affect the hearts rhythm and set up your own personal medication records work! ( 0.5g 2x/day ) ( or more ) medications, please sign in or an... Warnings are at the end of this medicine during the early part of a pregnancy unless your doctor you! Its needed effects, a medicine may cause some unwanted effects only potentiate the sedative on... About side effects more likely taking hydroxyzine and xanax together levitra oral jelly opt-out of email communications at any time by clicking discuss... Treatment as your body adjusts to the FDA at 1-800-FDA-1088 go taking hydroxyzine and xanax together levitra oral jelly during treatment as your body adjusts to medicine! Email communications at any time by clicking on discuss the use of Vistaril is educational! A wink you think you may opt-out of email communications at any time clicking. Own personal medication records private treatment providers, health care professionals, patients with cardiovascular... Not use this medicine mixed together works to make its website accessible to all, including those with disabilities risk..., itching, and anxiety easiest way to lookup drug information, identify pills, check interactions set. A fast, pounding, or family history ofUse with caution reminders and promotional messages from GoodRx generally for.