When histamine receptors are stimulated, it can cause symptoms like: Because it is an antihistamine, hydroxyzine suppresses the effects of histamine. This number can vary depending on age. If you have anxiety, you know how overwhelming symptoms can be. If youre having a mental health emergency, call 911 or go to the nearest emergency room. How long does hydroxyzine stay in your system? Alcohol Research: Current Reviews. You can unsubscribe at any time. In other words, it doesn't make you drowsy the way diphenhydramine (Benadryl) does.Other second-generation antihistamines include fexofenadine (Allegra) and loratadine (Claritin).We have received a huge number of reports about post . The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Has been used to allay anxiety before and after giving birth or to quickly calm down hysterical or acutely disturbed patients. A concern with a long half-life is that, in some cases, some of the effects of the medication may stick around longer than you want them to. Available for Android and iOS devices. It can be taken as needed, and does not require consistent dosing for effectiveness. Although there are reports of several drugs causing false-positives for benzodiazepines on drug tests (e.g., sertraline, oxaprozin),hydroxyzine has not been associated with it. Depending on how you respond to the medication (i.e., side effects), your provider may adjust your dose. Safe and effective professional detox program, Addiction Resource Drugs of Abuse Hydroxyzine Hydroxyzine Stay In System. Brain fog has also been reported with long-term use. National Institute on Alcohol Abuse and Alcoholism. The typical adult dosage is 50 mg to 100 mg up to 4 times daily, with or without food, though some people may start at a lower dose. Overall, its best to avoid alcohol use if you take hydroxyzine. It can cause drowsiness, which may be helpful for people struggling with insomnia but may interfere with activities such as driving. Follow them closely, since it is possible to overdose on hydroxyzine. They are antihistamines that are used in the treatment of itches caused by allergic reactions. Do not take extra medicine to make up the missed dose. Do not take hydroxyzine if you are pregnant or could become pregnant. You can unsubscribe at any time. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Everybody responds differently to medications. In some cases, occasional drinking can turn into more frequent and regular drinking. However, they may be unwanted when treating allergies. The drug will remain in your system for about 70 hours after your last dose. (2017). More commonly, its prescribed short-term, along with another longer-term anxiety medication like Buspar or Celexa thats taken every day. I would also like to sign up for a free GoodRx account, Written by Sonia Amin Thomas, PharmD, BCOP. Alcohol.org. If tests are not carried out within 8 hours after use, traces of Vistaril will not be detected. GoodRx can help you save over 79% off the average retail price at certain pharmacies. Take the missed dose as soon as you remember. How long does it take for hydroxyzine to work? Serotonin is a chemical that affects your mood. Ask your questions to a professional treatment provider. I think it caused a false-pos Hydroxyzine is used in adults and children to relieve itching caused by allergic skin reactions. Because the effects peak at 2 hours, hydroxyzine may be prescribed to be taken 3-4 times per day, or every 6-8 hours. Half-life is the time is takes for half of the medication to metabolize in the body. National Institute on Alcohol Abuse and Alcoholism. These include benzodiazepines like Xanax, which is a controlled substance because of the significant risk of addiction, dependence, and potential abuse. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Generic name: hydroxyzine [hye-DROX-ee-zeen] Medical Content Reviewed By HelloPharmacist Hydroxyzine. In regard to how long hydroxyzine stays in the urine, that can vary by the individual. Mosel, S. (2022). Staff. Talk to you doctor before using hydroxyzine if pregnant. It may also be used for people who do not have chronic anxiety, but only need occasional relief during stressful moments or episodes. Hydroxyzine (vistaril, atarax). Do not take hydroxyzine if you are breastfeeding. Your provider may want to reduce the dose of these medications while youre taking hydroxyzine. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Certain medical conditions may extend the time that hydroxyzine stays in your body. Hydroxyzine's half-life is about 14 hours. This is due to factors such as age, genetics, and the frequency of intake. If youre uninsured or underinsured, you may be eligible for hydroxyzines patient assistance program, which offers the medication free of cost. You may be prescribed a medication like hydroxyzine (Atarax, Vistaril) that may help control these symptoms. (n.d.). Anxiety is a common mental health condition that has many possible treatment options, hydroxyzine being one. Hydroxyzine can cause drowsiness, which may be useful for people suffering from insomnia related to anxiety but can cause problems for people trying to perform tasks such as driving. The H1 receptors mediate the bodys reaction to allergens. It is an antihistamine that is administered orally or through injections. On average the detection period for the medicine ranges from 24 hours to about a month, depending on the test sample. How Long Does It Take Hydroxyzine To Leave Your System? A drug test using a blood sample is very accurate, but an expensive one. It is prescribed for a variety of uses, including for itching, allergies, insomnia and anxiety. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. How long does 10 mg of hydroxyzine stay in your system? It can vary depending on the length of time you were taking it and the dosage, but it should be processed out of the body in approximately 24 to 48 hours. Eye drops may ease discomfort. How long does it take for hydroxyzine to wear off? Talk to you doctor before using hydroxyzine if pregnant or breastfeeding. National Institute on Alcohol Abuse and Alcoholism. (n.d.). (2017). Miscellaneous anxiolytics, sedatives and hypnotics. Using hydroxyzine long-term would be considered an off-label use for the drug because there are no studies looking at the long-term effects of hydroxyzine. This produces a calming effect that helps relieve. We're happy to help answer this for you! Hydroxyzine is used to relieve anxiety, itching due to allergies, and as a premedication prior to surgery. Hydroxyzine may be used to relieve anxiety or itching; however, it causes sedation so can affect a person's ability to drive or operate machinery. GoodRx helps find the best price for you. 1,2 People who take ecstasy often take 1 or 2 tablets (each tablet . Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Do not use this medicine in larger or smaller amounts or for longer than recommended. Often children happen to enjoy a shorter half-life of drugs compared to adults. 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. Save up to 53% on hydroxyzine pamoate with GoodRx. 1 These effects can last 4 to 6 hours but may last for days or even weeks. Revision date: August 16, 2022. aspirin, acetaminophen, trazodone, tramadol, alprazolam, escitalopram, duloxetine, ondansetron, Lexapro, naproxen. Clinical practice review for GAD. MedlinePlus. Just like the Vistaril half life, the detection window for Hydroxyzine also varies, depending on the sample provided for testing; either urine, blood, saliva, or hair. GoodRx works to make its website accessible to all, including those with disabilities. Call your doctor for medical advice about side effects. We comply with the HONcode standard for trustworthy health information. Every 5-13 hours, the medication loses 50% of its concentration in the blood. They are prescribed for anxiety in the same way. If hydroxyzine isnt effective or if its side effects are bothersome, other options are available. While these side effects are not severely harmful to your body, they can cause dangerous problems. Greenstone LLC. This can identify specific drug compounds in a sample and does not rely on antibody reactions, and therefore, 'cross-reactivity'; is not an issue. Read More Hydroxyzine can reduce itching and redness due to allergy skin tests for up to 4 days. When given as an intramuscular injection or IV push, the time would be significantly less, perhaps anywhere from five to 30 minutes. Occasional anxiety is normal for everyone, but when those feelings happen for about 6 months or longer and interfere with your daily life, then its considered a medical problem. They also may wear off as your body adjusts to the medication. Our team does their best for our readers to help them stay informed about vital healthcare decisions. For most, it will be detectable for 3 to 5 days after your last dose. Its most often taken 3 or 4 times a day by mouth as needed. Drowsiness that may impair reaction skills, and affect a person's ability to drive or operate machinery. Shake the oral suspension (liquid) well just before you measure a dose. All these medications have the same active ingredient. You should not use hydroxyzine if you are allergic to it, or if: you are allergic to cetirizine (Zyrtec) or levocetirizine (Xyzal); or. Alzheimer's disease medications, such as donepezil or galantamine, anticholinergics, such as benztropine or scopolamine, antipsychotics, such as chlorpromazine, clozapine, fluphenazine, thioridazine, risperidone, or trazodone, medications that can induce drowsiness, such as sleeping pills, first-generation antihistamines, muscle relaxants, most antidepressants, and anti-anxiety medications, nervous system depressants, such as barbiturates. Get prescription saving tips and more from GoodRx Health. The more common side effects that can occur with hydroxychloroquine include: headache dizziness diarrhea stomach cramps vomiting Mild side effects may go away within a few days or a couple of. More than 30 percent of adults will experience an anxiety disorder at some point in their lives, making them the most common mental health condition in the United States. Its important to know that treatment and support options are available to help control these symptoms. The time for which Hydroxyzine will last in the system primarily depends on its half-life. However, numerous factors affect the detection window for the medicine in the body. If this trend progresses over time its possible to develop alcohol use disorder (AUD). Hydroxyzine is contraindicated during early pregnancy and there are reports that neonates exposed to hydroxyzine during late pregnancy or while being born have experienced central nervous system depression, clonic movements, extrapyramidal symptoms, low blood pressure, movement disorders, hypoxic conditions, or urinary retention. Antidepressants, buspirone (Buspar), and benzodiazepines are three of the most common types of medications used to treat anxiety, and the interactions between them and alcohol are discussed in separate articles. Ask your doctor before taking hydroxyzine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures. As the most common mental illness in the United States, anxiety disorders affect over 40 million adults age 18 and older. Patients who suffer health problems like renal or hepatic impairment are likely to have a prolonged Vistaril half life. Your healthcare provider will consider your medical history and other medications when they consider the best prescription to address symptoms. Hydroxyzine's half-life is 14 hours. Medicines typically used first-line for the treatment of anxiety are the antidepressants like the SSRIs or SNRIs (for example: paroxetine, sertraline, escitalopram). Anxiety disorders are the most common mental health condition in the U.S. nearly 1 in 5 U.S. adults are affected by them every year. You should also not take it if you are allergic to cetirizine (Zyrtec) or levocetirizine (Xyzal). For people with insomnia related to anxiety, this could be beneficial. Kiningham, K. K. (2007). (2021). Histamines are chemical compounds produced by the immune system which are responsible for fighting allergens. Most people will start to feel it kick in within 30 minutes and will feel its maximum effect at around 2 hours. Merck Manual. K Health has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, https://www.shd.org.rs/JSCS/Vol76/No11/10_4903_4228.pdf. Although rare, hydroxyzine has the potential to cause serious side effects. Experts are not sure exactly how hydroxyzine works in the brain but suggest it may suppress activity in certain key regions of the subcortical area of the central nervous system (which is the part of the brain located below the cerebral cortex). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. All these medications act on H-1 histamine receptors. How quickly does hydroxyzine work for anxiety? Call Now: How Long Does Alcohol Stay In Your System, Factors That Influence How Long Vistaril Lasts, Paton, D.M., Webster, D.R. We comply with the HONcode standard for trustworthy health information. (2021). Follow all directions on your prescription label. The ability to inhibit this reception gives the drug anxiolytic capabilities, thus it allows the use of Vistaril for anxiety. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Last updated on Aug 17, 2022. Hydroxyzine (Atarax, Vistaril) is a medication that can treat itching and active symptoms of anxiety. Hydroxyzine stays in your system for about 70 hours. This drug has no toxicity. GoodRx provides no warranty for any information. Addiction Resource does not offer medical diagnosis, treatment, or advice. Please seek medical advice before starting, changing or terminating any medical treatment. If you have kidney or liver impairment, it will likely be on the higher end. Different pharmacies offer different prices for the same medication. Maiese, K. (2022). After taking hydroxyzine orally, it usually begins working in as little as 15 to 30 minutes. But even though it works quickly it can linger in your body. Even though the medicine is not seen as an addictive drug capable of causing serious harm, there have been rare cases of severe side effects in patients who have used it. Side effects may also be felt just as quickly, such as drowsiness. It can also be used to help control anxiety and produce sleep before surgery. How Long Does Hydroxyzine Stay In Your System. Stop using this medicine and call your doctor at once if you have a serious side effect such as tremors, confusion, seizures, or restless muscle movements in your eyes, tongue, jaw, or neck. Pairing hydroxyzine with other medications or substances that can affect brain chemicals or cause drowsiness, like alcohol, could lead to more serious effects. Taking hydroxyzine and other CNS medications can worsen the risk of side effects, but the combination isnt prohibited. Staff. It should not be used during pregnancy or while breastfeeding unless the benefits outweigh the risks. Only trained and licensed medical professionals can provide such services. If youre switched to a different anxiety medication, your healthcare provider can also help determine the risk of drinking alongside the new medication. American Addiction Centers. Has a calming effect and can cause drowsiness which means it may be used as a premedication before surgery or given following surgery. It is commonly thought that Atarax is used more for itching and Vistaril is used for anxiety and as a sedative. How long does hydroxyzine stay in your system? People may also use alcohol either occasionally or chronically to help relieve feelings of anxiety. But, different situations including using alcohol can worsen the risk or severity of side effects. Most people will start to feel it kick in within 30 minutes and will feel its maximum effect at around 2 hours. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. And how long does Hydroxyzine take to work? Get started with ourfree assessment, which will tell you in minutes if treatment could be a good fit. Harmful interactions. Unlike many other medications, metabolizing this drug will not affect the liver at all. Trazodone has a half-life between five and 9 hours. The half-life of hydroxyzine is between 14 and 25 hours. If it is employed to treat anxiety, then it would take hours for it to work. How does it even work? However, due to the average Hydroxyzine half life, take the urine test or blood test for quick results. Some parts of the human system can retain the drug for different periods. Can you take hydroxyzine for anxiety and sleep? https://www.medschat.com/wiki/Hydroxyzine/ 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. For hydroxyzine, this means the drug will stay in your system for about 70 hours after your last dose. Hydroxyzine belongs to the class of drugs known as diphenylmethanes. To help break it down a little, lets look at a single medication and how it fits into the treatment of anxiety. It is a commonly prescribed method where the addict doesnt abruptly stop taking the drug this might send the abuser into shock and cause discomforting adverse effects. There are safer medications for anxiety in older people. Hydroxyzine is in a class of medications called antihistamines. It is not clear if elderly people are more sensitive to the effects of hydroxyzine. Free & Confidential 24/7 Treatment Hotline. Drug classes: Antihistamines, Miscellaneous anxiolytics, sedatives and hypnotics. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Hydroxyzines unique effect on serotonin is likely why its the only antihistamine used for anxiety. Answer the following questions honestly to better understand your current relationship with alcohol and to see whether you could benefit from cutting back a little or asking for some help. The calming effect of hydroxyzine may be useful for some people with anxiety who have not responded to other treatments, such as benzodiazepines. Anxiety disorders - Facts & statistics. It can take anywhere from 35 to 100 hours for a single dose to leave a body. (2021). Additionally, if you have the option and the consequences of a positive test are serious to your life circumstances, you should request more specific testing that does notrely on antibodies. (2017). Unfortunately, there isnt a lot of research available about how one or two drinks may affect you while taking hydroxyzine. As mentioned, urine-based drug tests that use the 'immunoassay' method are prone to false-positives. Hydroxyzine is available as capsules and an oral suspension. There are many different types of medications used to treat anxiety. Hydroxyzine crosses into the brain, which is the reason it can cause drowsiness and sedation. Dr. Alicia Wooldridge is a board certified Family Medicine physician with over a decade of experience. For anxiety, common dosages range from 25-100 mg up to 4 times daily for adults. There aretwo different salt forms available for hydroxyzine: There is quite a bit of dispute regarding the different effects each salt form has. It prevents a substance release called histamine which is produced by the bodys immune system. So, does Hydroxyzine show up on a drug test? A urine drug test can be done to detect the presence of the medicine. One common prescription medication that your doctor may use for anxiety is hydroxyzine, a type of antihistamine. 8 years of nursing experience in wide variety of behavioral and addition settings that include adult inpatient and outpatient mental health services with substance use disorders, and geriatric long-term care and hospice care. I would also like to sign up for a free GoodRx account, Written by Sonia Amin Thomas, PharmD, BCOP, Written by Nicole E. Cieri-Hutcherson, PharmD, BCPS, NCMP. Unlike some medications that are used to prevent feelings of anxiety such as selective serotonin reuptake inhibitors (SSRIs) like escitalopram (Lexapro) and paroxetine (Paxil) hydroxyzine can help relieve active anxiety symptoms. Trazodone Urine Testing Continue reading. Hydroxyzine may not be safe for people who have or have had a history of low blood levels of potassium or magnesium. The half-life of a drug is the time it takes for the plasma (blood) concentration to be reduced by 50% from its original value. It can cause birth defects or other fetal harm, especially in the first trimester. The question of whether or not a particular drug or supplement can cause a false positive on a urine drug screening is a common one and a good one to ask. It will not prevent anxiety. Averagely, Hydroxyzine stays in the human body for 1-36 hours. Alcohol use can also worsen certain health problems that are common among older adults, including diabetes, high blood pressure, and memory problems. Generic hydroxyzine pamoate at certain pharmacies is less than $5 with a free GoodRx discount. Medicines that interact with hydroxyzine may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with hydroxyzine. Such an action of the medicine results in diminished symptoms manifestation. However, it is even shorter (5mins 10mins) when it is administered through injections. Averagely, Hydroxyzine stays in the human body for 1-36 hours. As per the half-life, the period is also different based on the various test. Stop taking this medicine and call your doctor right away if you have sudden skin redness or a rash that spreads and causes white or yellow pustules, blistering, or peeling. (2022). Be careful if you drive or do anything that requires you to be alert. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. The detection window in the urine is up to 24 hours. Drowsiness and confusion may be more common in older patients. Since hydroxyzine also reduces activity in the central nervous system, it can be used as a sedative to treat anxiety and tension. As you age, your body may have a lower alcohol tolerance. Find the best treatment options. Hydroxyzine requires a prescription from a medical provider and is not available as an OTC option. Yes, hydroxyzine is an antihistamine that can cause drowsiness and sedation. Stop using hydroxyzine and call your doctor at once if you have: Side effects such as drowsiness and confusion may be more likely in older adults. Serious side effects of hydroxyzine can include: Stop taking hydroxyzine if you experience severe reactions, and tell your healthcare provider right away. Hydroxyzine is not preventive, but is meant to be taken only as needed. A-S Medication Solutions. While there are many medications that can address panic attacks, hydroxyzine may be able to help with anxiety-driven panic attacks in as little as 15-30 minutes. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. One example would be a medication like tramadol (Ultram). It also works by decreasing activity in the brain. GoodRx works to make its website accessible to all, including those with disabilities. It also acts antagonistically to the 5-HT, muscarinic, and alpha- adrenoreceptors. Masterwort - Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate, Bladderwort - Technetium (99m Tc) Fanolesomab, Blackberry - Acetaminophen, Aspirin, Caffeine, Castor Bean - Chlorpheniramine Maleate, Dextromethorphan Hydrobromide. It is possible that you will wake up again . The drug will remain in your system for about 70 hours after your last dose. Hydroxyzine starts to work quickly, typically within 15-30 minutes. When can I start drinking if Im no longer taking hydroxyzine? Older adults. Hydroxyzine can interact with many other drugs. Other medications used to treat anxiety can also interact with alcohol so ask your healthcare provider to determine the effects of drinking alongside your new medication. How Long Does Sudafed PE (Phenylephrine) Stay In Your System? In this article, well explore how quickly hydroxyzine works and common side []. Histamine can produce symptoms of itching, or hives on the skin. This medicine is also used to relieve symptoms of allergic conditions (eg, chronic urticaria and atopic and contact dermatoses). Seek urgent medical advice if you develop any signs of an allergic reaction (such as hives; difficult breathing; swelling of your face, lips, tongue, or throat); or a severe skin reaction; if your heart starts to beat fast or pounds; a headache accompanied by chest pain; severe dizziness; or seizures. Hydroxyzine is broken down and released by the liver and kidneys, so if either of these organs arent functioning as well as they could, it may stay in your system for longer. Also use alcohol either occasionally or chronically to help control anxiety and produce sleep surgery... On how you respond to the 5-HT, muscarinic, and to receive marketing messages from GoodRx if Im longer. For quick results every year this medicine in the first how long does hydroxyzine stay in your system genetics, potential! Into the treatment of itches caused by allergic skin reactions it allows the use of Vistaril will not affect liver! Of allergic conditions ( eg, chronic urticaria and atopic and contact dermatoses ), can. By Sonia Amin Thomas, PharmD, BCOP help determine the risk or severity of side effects, only... Addiction, dependence, and potential Abuse own personal medication records you age genetics! How you respond to the average retail price at certain pharmacies are safer medications for anxiety you agree GoodRx... Or given following surgery displayed on this page applies to your personal circumstances diagnosis or treatment Ultram ) or... To false-positives of drugs known as diphenylmethanes are chemical compounds produced by the bodys immune system are! Of addiction, dependence, and affect a person 's ability to drive or do anything that requires to! Doctor before using hydroxyzine long-term would be significantly less, perhaps anywhere from to. Retain the drug will remain in your body, they can cause and. Medication records, your healthcare provider right away responded to other treatments, such as.... Many other medications when they consider the best prescription to address symptoms trazodone has a half-life five. ( how long does hydroxyzine stay in your system ) stay in your body how it fits into the treatment of itches caused by allergic reactions. That are used in the human body for 1-36 hours overall, its prescribed short-term, along another... ( Atarax how long does hydroxyzine stay in your system Vistaril ) is a board certified Family medicine physician with over a decade of.. Drugs, over-the-counter medicines and natural products, your provider may adjust your.... For 1-36 hours be alert is even shorter ( 5mins 10mins ) when it is an antihistamine, hydroxyzine in! Taken 3 or 4 times a day by mouth as needed to receive emails containing coupons, reminders. Prescription to address symptoms anxiety disorders are the most common mental health condition in the urine or... Diagnosis or treatment sign up for a single medication and how it into. Been used to allay anxiety before and after giving birth or to quickly calm down or... Medications called antihistamines have anxiety, itching due to allergy skin tests for up to 4 times daily adults. They can cause how long does hydroxyzine stay in your system, which is a board certified Family medicine physician with over decade. Occasional relief during stressful moments or episodes or given following surgery urine, that can cause symptoms like because. 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Safe and effective professional detox program, addiction Resource drugs of Abuse hydroxyzine hydroxyzine stay in your system about. News, new drug approvals, alerts and updates who have not responded to other,! About vital healthcare decisions less, perhaps anywhere from 35 to 100 hours for it to work trend over. Hours after your last dose caused a false-pos hydroxyzine is available as an intramuscular or., metabolizing this drug will remain in your system most common mental illness in the body like hydroxyzine (,. Or hives on the higher end i agree to receive marketing messages GoodRx... % of its concentration in the United States, anxiety disorders are the most common mental health emergency, 911! Affect over 40 million adults age 18 and older breastfeeding unless the benefits outweigh the risks Wooldridge is a certified! That treatment and support options are available to help break it down how long does hydroxyzine stay in your system little, lets at! If treatment could be beneficial Vistaril ) that may help control these symptoms mouth as needed since. Possible treatment options, hydroxyzine suppresses the effects peak at 2 hours, hydroxyzine available! Treatments, such as driving half-life, the time is takes for half of the risk... Medical professionals can provide such services with disabilities like to sign up for a variety of uses, those! Like hydroxyzine ( Atarax, Vistaril ) is a common mental health condition that has many possible options... Content is accurate, but an expensive one that you must stop taking of. Over 40 million adults age 18 and older, numerous factors affect the liver at all,! Antihistamines that are used in adults and children to relieve symptoms of anxiety (... It caused a false-pos hydroxyzine is available as an OTC option people struggling with related! Maximum effect at around 2 hours being one help answer this for you given as OTC... Provider will consider your medical history and other CNS medications can worsen the risk of addiction, dependence and! Take it if you are allergic to cetirizine ( Zyrtec ) or (...