@@sidhartheleswarapu No, not in most people. Ask your doctor, who knows your medical history and what other meds, if any, you are on.

any side effect

appreciate the comment, always happy to help

I've had nothing but good results from hydroxyzine for anxiety, sleep problems, and agoraphobia/panic attacks.

They give these to minorities cause they don't want to give us benzos cause they think we abuse them,they will give a Karen in the suburbs Klonopin but not someone from the inner city going threw ptsd or real trauma

Glad it helped, hopefully the information is helpful. If you haven't subsided to the channel please do and spread the word about what we are doing here.

Does the tiredness subside with regular use?

@@cordyone It depends on the person but the mechanism of action antihistamine tends to cause drowsiness. I've found that some are more susceptible to this side effect and others are not. I like using it only as needed for patients and not as a standing medication and no more than two times per day.

I like to think of many of our medications as symptom management. We lack a true disease modifying medication with the exception of possibly lithium. Some commenters get upset and feel like all we are doing in pushing medication that does not take into account the underlying cause of the anxiety or mood disorder. Theses are the current tools we have at this time, as more research comes out we will begin to find underlying causes. My point is that the medication helped you get past a specific symptom you were dealing with, and once you have the new reference experience and change the way you are thinking about leaving the house, then we need to reassess the need for continued medication treatment. I think it's important to consider situations where medications can be stopped and not just counting without thinking about this possibility

@@ShrinksInSneakers Yes exactly! And whether medications get to the root cause or not, if they give you a better quality of life sometimes it's worth it!

ty so much for this

Since I’m agoraphobic this is very useful information

It’s a sedating antihistamine that is not that great a treating anxiety. I think a lot of anxiety treatment depends on how it manifests. Is it mostly internal tension due to anxious thinking or physical symptoms such as muscle tension. Both can be treated by CBT and the effects will be longer lasting without this risk of addiction from medication like benzodiazepines. Half the video helped

Take smaller dose

You have to let your body adjust to it. First time I took 25 mg and it put me straight to sleep. I now take 50mg every evening as it helps me relax and get tired enough to sleep.

sounds like you were using them responsibly but many doctors are now antibenzodiazepine which I don't agree with but it's fairly common

Be thankful for your dr not giving you benzos the withdrawl from benzos can kill you

@@thimasrehder9364 I was prescribed xanax in the past and used it responsibly, never got physically dependent on it. You only get withdrawals if you take them everyday. Nothing to be thankful for.

@@Boglimdon't matter

@@thimasrehder9364 I'm guessing youre an addict

Yeah after the first time taking mine all went well so to speak but then the next night seemed like I was just feeling drowsy but anxious couldn't stop moving my legs rolling around just couldn't get to sleep I thought about taking another one but bc of heart probs. I am to scared to take more then one even though I can take two

It’s not perfect for everyone and all medications will have their risks. I work on an inpatient unit where this is a standard PRN medication, and some people find it effective others do not. Sedation, hypotension, and QTc prolongation are things to watch out for. I have not heard of palpitation as a major side effect outside the context of QTc prolongation. It can be used during the day, and I have many patients who have no issue using it that way. Many medications cause dehydration educating patients about remaining appropriately hydrated should mitigate this concern.

@@ShrinksInSneakers I just don’t understand the sudden push for this medication. It’s essentially Benadryl with the 5-HT2A factor, causing it to require an RX but they are almost identical in what they’re used to treat. Day time effects wouldn’t vary much considering the drugs are so similar (increased tiredness, lethargy, etc.) I haven’t met a single person that had a positive opinion about this medication and most of them wish they would’ve just bought Benadryl and skipped the co-pay.

@@jacobrowe9226 fair enough, you could use benadryl and I will often use regular old benadryl at 12.5 mg or 25 mg in child clinic. We attempt to make anxiety too simple. You need to ask what is the cause of the anxiety, is it part of the personality structure, is it related to temperment, is it due to severe depression, in the social context, because the treatment will be different in each case. I do not see much value in medication for patients with neurotic type depression where it's mild/moderate chronic and a part of their personality. Therapy is much more effective in the long term and keeps those patients well longer. You should know I do not push any medications, I try to objectively look at the current tools we have and use them in a safe effective manner. Appreciate the comment

This medicine does not make me sleepy with daytime use, it effectively blocks my anxiety and helped me recover from agoraphobia. Benadryl does not help my anxiety. This does not cause heart palpitations for me either. I disagree with the dismissal of this medicine.

Omg yes!! This medication whithin less than 24 hours after taking it I felt like I was about to die on my bed. My heart felt like it was being over worked

People seem to think you can give as much of this medication as you want, but that is not true. There is risk and we should always be mindful of the potential for harm. If you haven’t subscribed already, please do, and spread the word about what we are doing here.

no idea what you are talking about.

Same here

It doesn't even work for anxiety

I would talk with your doctor about the concerns. It’s a relatively safe medication with the same risks as other antihistamines. People do experience some tolerance to the medication when used daily, I usually recommend using it on as needed basis. I would start with sleep hygiene techniques and move on to CBT for insomnia if that does not work to help with your sleep issues. In summary the medication at that dose is relatively safe but I would recommend looking into other options as CBTI has longer lasting effects over time and sleep hygiene can always be used. I did a video on it check it out here kzfaq.info/get/bejne/oZuPe8Zkm8-4YI0.html

Very cool, appreciate the comment. Keep in mind all medications require 5 half lives to reach steady state and an adequate trail requires both an adequate dose and enough time. Best of luck with the treatment

Both options are relatively safe. Doses of trazodone should be kept between 50 mg and 150 mg and hydroxyzine should be limitted to 50 mg twice per day. As always talk with your doctor about the situation before making any changes. Appreciate the comment

Trazodone is an antidepressant! It's addictive and a horrible pill. The side effects are miserable.

Thank you for the support, if you haven't subscribed to the channel please do, and spread the word about what we are doing here.

I'm not sure it's tolerance in the same way as things like benzodiazepines, but the way to avoid this is to only use it on an as needed basis. It's not designed to be a long term anxiety solution. Gabapentin and pregabalin are good topics we can do them. Appreciate the comment

@@ShrinksInSneakers anecdotally, I've never built a tolerance to it in several months of usage. Some nights I just don't need it and don't take it. I really like it, which is saying a lot because I grew up in a household that was philosophically against medicine pretty much all kinds. But it's been good, no crazy side effects, lots of benefits, and not addictive or habit forming. Don't even have the dry mouth.

This medication is similar to Benadryl and has worked for some people to treat their anxiety. It’s more of an as needed medication and people need to be mindful to keep doses around 100 mg per day total to avoid QTc prolongation. Every person is different it’s difficult who will respond well. I always encourage my patient’s wit anxiety to start talk therapy as well. Hope this helps, best of luck with everything

How it went ?

You poor tortured soul lol.

As it might be causing anxiety. Not to mention the toxic effects of long-term use of large amounts of alcohol. I have a few videos talking about potential medications to cut cravings and reduce heavy drinking days. I will link them here. I would not recommend combining the medication with alcohol, but this is not like benzodiazepines where the combination can be fatal. kzfaq.info/get/bejne/rdGWqbeF1OC7nJs.html kzfaq.info/get/bejne/ja9pqtClr9ilZmQ.html

This is not medical advice, always talk to your doctor before making any changes. As long as the dose is limited to less than 100 mg/day it does not have a great effect on QTc. I would defer to your doctor as they have reviewed your EKG and know the details of your history. I'm sorry I can't be more help but I would need to know a lot more about the case to make any additional comments. If you haven't subscribed to the channel please do, and spread the word about what we are doing here.

appreciate the comment happy to help

On the inpatient unit people will take 50 mg 4 times per day, I agree it's too sedating which is why I like to limit the dose to 100 mg total for 24 hour period.

What's SI?

@@Sammy_08648 suicidal ideation

Boom

Pamoate comes in capsules and Hcl comes in pill form and at lower doses (10mg).

I've tried mirt and hydroxyzine but to me mirt work wonder for sleep..

The anticholinergic properties can cause constipation which can be a good thing in the case you are describing. Another popular use of this medication is for sleep. I will stress this medication should only be used as needed and people do report benefits decreasing with regular use. Appreciate the comment

Buspar is on the list I can try and have it up for next monday 😃

I agree. It stops the jitters

It will not help with alcohol withdrawal, I usually use benzodiazepines for alcohol withdrawal or gabapentin. I would talk to your doctor about the options. I hope this helps, and if you haven't subscribed to the channel please do, and spread the word about what we are doing here

I would stay away from antihistamines in general if you have a heart problem but that’s something your doctor will have to be the judge of.

Hydroxyzine blocks H1 receptors thats the primary MOA. H3 receptors are inhibitory auto receptors located on the presynaptic neuron. There are several drugs being designed to block these receptors which will increase histamine release, this would increase alertness and may be good for ADHD and narcolepsy. The H1 receptors are located in the periphery and when blocked in the brain lead to sedation which is essentially the anti-anxiety effect of this medication. Hope this helps

I still woke up every hour for anyone wondering..

It does the job in the short term but often results in long term consequences. When you take Tylenol for a fever and don't treat the underlying infection you end up worse off. Benzodiazepines do exactly what they should but not getting to underlying cause of the anxiety through psychotherapy ensures anxiety will return when not using the medication. This goes for SSRIs as well. The genetic component of anxiety disorder is much lower than schizophrenia and bipolar and are more environmental than genetic in their underlying cause. If you haven’t subscribed already, please do, and spread the word about what we are doing here.

It goes beyond the sedation aspect, independent of sedation there is modest serotonin-2 receptor antagonism, histamine H1 blockade, and muscarinic blockade all resulting in a cumulative effect on the physical effects of anxiety. Even medications like benzodiazipeniens which work on GABA-A receptors primarily ameliorate the physical symptoms of anxiety often patients anxious thinking continues unless of course you change the way you think. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.

The anticholinergic side effects can cause blurry vision, this is a good point worth talking

I've never had the blurry vision from hydroxyzine, and if I did I would not take it. That's why I wonder if taking supplements of phosphatidylcholine counteracts the anticholinergic action. I take both sunflower lecithin which is high in phosphatidylcholine, and hydroxyzine. My experience: taking the lecithin removes the tiredness and foggy brain that I often get in the morning after my dose of hydroxyzine the previous night. Wish I was more scientifically savvy, to understand the exact science of brain chemistry better.

Same

Not that I'm aware of

This is not a common side effect. Although I never rule anything out because each persons is an n=1 and strange things can happen. However, the literature actually has evidence to support the opposite, hydroxyzine may DECREASE tinnitus. I would look for additional explanations for the tinnitus pubmed.ncbi.nlm.nih.gov/17118597/ If you haven’t subscribed already please do so, and spread the word about what we are doing. I’m also creating daily content on Instagram check it out.

People are certainly on this medication for longer periods of time. When I offer this medication, I stress that it should be used on as needed basis. On days where anxiety is running high it can be helpful, if there are days where the anxiety seems tolerable it may not be needed. This prevents tolerance. Hope this helps, appreciate the comment

As long as you are using it on an as needed basis and not every day it should be okay. I would talk with your doctor about the long term implications

It can be tried in panic attacks but not FDA approved for the that disorder. As far as mixing it with herbals it depends on the herbal and you should check drug interactions and consult your doctor about any CAM treatment you are considering. I appreciate the comment and please subscribe to the channel if you haven't already

I do mix hydroxyzine with herbs such as 5 HTP, yarrow, turmeric, ashwaghanda, rhodeola, holy basil, valerian, melatonin, etc with no ill effects. Do ask a Dr first.

did it work for insomnia??

@@lucid_delirium976, I stopped taking it because it was giving me headaches

It works perfectly for insomnia for me, I take the 25mg an hour before bed.

@@jdong7527 anytime effects? I am starting it tonight and I am nervous!!!

@@jessicacoyle-gross4291 I've had a very good experience with it.

I know in Europe they limited the dose to 100 mg/day for QTc prolongation but I'm not sure why it's not approved

If you are having blurry vision from vistaril it's likely due to anticholinergic side effects. You can combine the medication but I think the clonazepam should be enough unless the goal is to get you off the clonazepam. I've had some success reducing benzodiazepine use with this kzfaq.info/get/bejne/iJ5mftd6zKjSYI0.html

This should work Immediately 15-20 minutes after dosing. However, it can take several weeks of daily dosing before the full effect is seen. Hope this helps, appreciate the comment

Thank you so much, it actually made my anxiety worst. Dry mouth, heart arrhythmia and body tremors.

@@thesuttlesfamily5973 no problem it's not for everyone, I still think CBT is best for anxiety.

@@ShrinksInSneakers What If you are too far gone for talking therapy? I feel that is how I am right now.

@@johntrevy1 I think of medication as a good pair of running shoes. You can run a marathon without any shoes but with shoes it's a lot easier. In some cases the combination of therapy and medication is best. There are other options as well things like rTMS may be resourceful.

This is not medical advice, and you should also talk to your doctor before making any changes to your treatment. Hair loss is not a common side effect of this medication and I have not seen a case where hair loss was an issue clinically although this medication is not intended to be used every day or as a prolonged solution for anxiety. A tremor that is medication induced has no impact on the long-term development of Alzheimer’s disease or ither neurocognitive disorder. Hope this helps if you haven’t subscribed to the channel, please spread the word about what we are doing here.

I take 100mg every night

Some people have found it helpful for anxiety, I would not say it's completely worthless as a medication but obviously no medication will target the underlying cause of the anxiety. The goal is to provide symptom management so the person can engage in meaningful psychotherapy to address the underlying causes. If you haven’t subscribed to the channel, please do and spread the word about what we are doing here. We also have daily content on Instagram @Shrinks_In_Sneakers

Angela, don’t comment on stuff you don’t know anything about.

I have mostly placebo with that but cool thing about placebo is it works good we should all invest in placebo. In all seriousness a recent meta analysis did find hydroxyzine to have an effect size of 0.45 which beats the hell out of antidepressants for anxiety disorders

This is not medical advice and you should talk to your doctor before making any changes, This is for educational purposes only. From a drug interaction stand point they can be combined and often are, but IMO hydroxyzine should be used on a short term basis. If you haven't subscribed to the channel please do, and spread the word about what we are doing here.

Sure does, I spent two years in a child outpatient clinic and saw a lot of hydroxyzine prescriptions. This is one of those medications that helps some people but not others. It's not designed to be a long term solution to anxiety or taken indefinitely.

Benzodiazepines do what they are intended to do, but in the end the anxiety comes from somewhere and figuring out the underlying causes goes a long way towards reducing symptoms. Glad you found something that works, if you haven't subscribed to the channel please do and spread the word about what we are doing here

hi do i still take it

I would say lunesta is the better of the two options. However, I recently covered hydroxyzine in my latest anxiety videos and it works modestly well. The effect size is 0.45. There is some increased risk for sedation, dizziness and some of the common side effects but on an as needed basis I may consider using both. Hope this helps if you haven’t subscribed to the channel please do and spread the word about what we are doing here

@@ShrinksInSneakers yes I did good luck

@@irishgirl1753 thank you appreciate the support

Medications are going to work differently for different people. The research tell use hydroxyzine has a moderate effect size in GAD which isn't too bad. It does not cure anxiety, in fact no medication cures anxiety. In my mind thinking differently and psychotherapy help people the most and medications should be thought of as lubricant to help make that process a little easier. Addictive medications are not the only effective medications but I understand the struggle

@@ShrinksInSneakers Sorry, I was just pissed off at hydroxyzine It did nothing to help my social anxiety, it just completely erased ALL MOTIVATION and energy for me, so much that I needed to leave work

Anything is addicting if it works

Everyone is different and responses to medications are variable. For anxiety disorders this is far from an ideal treatment, I think psychotherapy should be the foundation of the treatment. Medications are like a good pair of running shoes which make running a marathon just a little easier. Hope this helps if you haven’t subscribed to the channel, please spread the word about what we are doing here.

Congrats

@@Chopper140 you funny dude :)

@@unknownumber4495 oh nice fake account that you made a day ago

@@Chopper140 you got me ;)

@@Chopper140 i am just new on youtube. I am not a bot, sorry :))