Hydroxyzine
Brand: Vistaril (Atarax discontinued)
No boxed warning on the current FDA label.
- Caution
- QT prolongation; strong anticholinergic and sedating effects in older adults.
Common side effects
- Drowsiness
- Dry mouth
- Dizziness
- Blurred vision
Key interactions
- Adds to alcohol and other sedatives
- QT risk with other QT-prolonging drugs
- Additive drying with anticholinergic drugs
Counseling points
- May cause marked drowsiness
- Avoid alcohol
- Use care when driving
- Suck on hard candy for dry mouth
- Rise slowly to reduce dizziness
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