Indications 

Atarax (Hydroxyzine Hydrochloride), is an oral medication designed to manage itching (pruritus) caused by various allergic conditions such as histamine-mediated itching, atopic or contact dermatitis, and chronic hives.  

Atarax is used to alleviate anxiety and tension symptoms related to psychoneurosis. In some cases, it may also be prescribed as a preoperative or postoperative sedative. 

As a potent inverse agonist of histamine H1-receptors, Atarax functions to actively dampen the activity at these receptors, effectively managing histamine-related edema, itching, and flares. Its sedative properties occur at the subcortical level of the central nervous system (CNS) and also provide an anxiolytic effect. 

Uses and Dosage 

To ensure safe and effective use of Atarax. Important to read the medication information sheet provided with the medicine. Important to have a thorough understanding of the drug information and precautions before taking any antihistamine.  

If you have any questions or concerns about the use of Atarax, do not hesitate to consult with your doctor or pharmacist. 

Atarax tablets should be taken orally, as directed by your physician. The typical prescription calls for three to four doses per day, which can be taken with or without food.  

Important to swallow the tablet whole and to drink a glass of water immediately afterwards. To maximize the benefits of Atarax, kindly follow the dosing schedule as directed.  

Dosing and frequency will vary based on individual medical conditions, response to treatment, age, and weight (in the case of children). Not recommended to alter the dosing or frequency without first consulting with your doctor. 

Side Effects 

Allergic Reactions

Seek immediate medical assistance if you experience any signs of an allergic reaction to Atarax, such as: 

• Hives 
• Difficulty breathing, 
• Swelling in the face, lips, tongue, or throat 

Serious Side Effects 

If you experience any of the following serious side effects, stop using Atarax and contact your doctor immediately: 

• Restless muscle movements in the eyes, tongue, jaw, or neck 
• Tremor (uncontrolled shaking) 
• Confusion 
• Seizure (convulsions) 

Common Side Effects 

Less serious side effects of Atarax may include: 

• Dizziness and drowsiness 
• Blurred vision and dry mouth 
• Headache 

Caution 

Prior to using Atarax, inform your healthcare provider of your complete medical history, including: 

• Breathing problems, such as asthma or emphysema 
• Glaucoma 
• High blood pressure 
• Liver or kidney problems 
• Difficulty urinating 
• Hyperthyroidism 
• Gastrointestinal problems 
• Alcohol abuse 
• Seizures 

Inform your healthcare provider of all prescription and non-prescription medications, supplements, and herbal products you are taking to avoid potential drug interactions. 

Allergic Reactions: 

• Be aware of potential allergic reactions while taking Atarax. If you have a known allergy to hydroxyzine, cetirizine, levocetirizine, or any inactive ingredients in the tablets, do not take this medication. 
• If you experience symptoms of hypersensitivity, such as severe dizziness, swelling of the face and neck, hives, skin rashes, or difficulty breathing, discontinue use and seek emergency medical attention. 

QT Prolongation: 

• Atarax may cause QT prolongation, which can be a medical emergency. Symptoms include a fast and irregular heartbeat, severe dizziness, and fainting. 
• To reduce the risk of QT prolongation, stay hydrated and avoid diuretics, and monitor for low levels of magnesium and potassium. 

Alcohol and Atarax: 

• Avoid or limit alcohol consumption while taking Atarax as it can interact and exacerbate adverse effects, such as dizziness, drowsiness, and blurred vision. 
• Exercise caution when driving, operating machinery, or engaging in activities that require alertness and clear vision. 

Pregnancy and Breastfeeding: 

• If you are pregnant or breastfeeding, use Atarax only if clearly necessary and after considering the potential benefits and risks with your healthcare provider. The effects on unborn babies and breastfed infants are not yet fully understood.