#vistaril

Brand Name: Vistaril

Generic Available

Common Dosage Forms:

Capsules: 25 mg, 50 mg, 100 mg

FDA Indications/Dosages:

For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: The normal adult dosage is 50-100 mg up to 4 times a day. For children over 6 years of age, use 50-100 mg per day in divided doses. For children under 6 years of age, give 50 mg per day in divided doses.

As a sedative when used as a premedication and following general anesthesia: 50-100 mg for adults and 0.6 mg/kg for children.

Pharmacology/Pharmacokinetics: Hydroxyzine antagonizes the H1 (histamine) receptors in the subcortical region of the central nervous system. Primary skeletal muscle relaxation, bronchodilator activity, and antihistaminic and analgesic activity have been demonstrated. Onset of action occurs within 15-30 minutes.

Drug Interactions: May potentiate the effects of opioids and barbiturates, dosage adjustments may be necessary.

Contraindications/Precautions: Contraindicated in patients with a known hypersensitivity to hydroxyzine. Use with caution in patients taking other CNS depressants. Not indicated for use in nursing mothers. Sedating drugs may cause confusion and over-sedation in the elderly; elderly patients should be started on a lower dose. No Pregnancy Category Established.

Adverse Effects: The most common adverse effects are drowsiness and dry mouth. Drowsiness is usually transitory in nature and may disappear after a few days of treatment.

Patient Consultation:

May cause drowsiness. Use caution while operating machinery or when mental alertness is required.

Avoid alcohol while taking this medication.

Store in a cool, dry place away from sunlight and children.

Contact a physician if the side effects are severe or persistent.

Later I had 5 fried chicken wings w/ chipotle ranch, and followed it up with my disgusted yet patented triple decker Pb & j. 3918/3590. It was a bad day.

Met with my psychiatrist, the scale there said I was 499.8. I was baffled but didn’t let myself count it as my true number since Monday I weighed in at 502.0. I told her that I stopped taking my Rexulti because I felt it was increasing my appetite. We had a pretty tense back and forth, she did not think it was the Rexulti. But said we could try abilify but it might have the same effect. I declined. Offered to reduced the Rexulti, I declined. Offered to switch my fetzima to something else, I decline. It was a rollercoaster.

She finally convinced me on the reduced dosage and switch to taking it at night. I’m not particularly pleased with this but I’m willing to give it a go for the next two weeks. The issue is that once I stopped the Rexulti my depression increased 10 fold, and it obviously showed in that session.