(Legend)

Generic Name

• Hydroxyzine
  T½ = 3 h
  Pregnancy category C

Trade Name

• Atarax
• Vistaril
• Apo-Hydroxyzine
• Novohydroxyzin

Dose Range/Adult Daily Dose

• Range: 100–400 mg/d 25–100 mg po 4 × daily (do not exceed 600 mg/d).

Use/Common Side Effects (CSE)

• Use: Anxiety, pruritus, preop sedation
  CSE: Drowsiness, dry mouth, pain at IM site

Geriatric & Dose Considerations

• Dosage reduction; severe hepatic disease; at ↑ risk for falls and CNS effects. Monitor for drowsiness, agitation, sedation.

Classification

• Antianxiety/sedative/hypnotic

Assessment Cautions

• Contraindicated in pregnancy. Use cautiously in severe hepatic dysfunction. Avoid alcohol/CNS depressants.