Atarax belongs to the group of tranquilizers. The drug not only reduces feelings of fear and anxiety, but also additionally improves the activity of brain cells, eliminates the symptoms of an allergic reaction and reduces pain.
You can take the drug only with the permission of your doctor, since individual selection of dosage and duration of therapy is required. The effectiveness of the drug is confirmed by numerous positive reviews from both doctors and patients.
Release forms and composition of the drug
Atarax is produced in 2 dosage forms:
- pills. White ones have an oblong shape, covered with a film shell. For ease of dividing, there is a mark in the middle of the tablet on both sides. In 1 piece contains 25 mg of the active element. The package contains 25 tablets, which are placed in a cellular packaging;
- injection. The liquid is colorless, transparent, without inclusions. Used for intramuscular administration. The product is placed in glass ampoules of 2 ml containing 100 mg of the active element. The package contains 6 ampoules.
The figure lists the release forms of the drug Atarax.
The therapeutic effect of tablets and solution is based on the action of the active substance - hydroxyzine.
Also, depending on the form of release, the drugs include additional components:
Dosage form | Excipients | Properties | |
Pills | Composition of the tablet | Silica | Promotes the removal of toxins and reduces the urge to vomit. |
Magnesium | The element normalizes metabolic processes and has a relaxing effect on the nervous system. | ||
Lactose | Normalizes the activity of the gastrointestinal tract. | ||
Microcrystalline cellulose | Necessary to give the drug the desired consistency and shape. | ||
Shell composition | Titanium dioxide | Gives the tablets a characteristic white color. | |
Macrogol | Stimulates intestinal motility. | ||
Hydroxypropyl methylcellulose | It is a stabilizer and thickener. Necessary to give the desired consistency to the preparation. Allows you to create the desired film on tablets. | ||
Solution | Sodium hydroxide | Helps normalize the functioning of the digestive tract and also has a sedative effect. | |
Water for injections | To combine components and give the desired concentration to the solution. |
The choice of dosage form is made according to the patient's condition.
When is Atarax prescribed?
The drug is prescribed according to a doctor’s prescription; indications for its use are the following conditions:
- psychomotor agitation, nervous system disorder;
- feeling of causeless anxiety;
- increased excitability and irritability;
- chronic alcoholism and alcoholic delirium, withdrawal syndrome;
- premedication before surgical interventions;
- treatment of itching.
It is possible to heal a stress-prone nervous system with the help of the tranquilizer drug Atarax, based on the activity of hydroxyzine dihydrochloride
The drug is not prescribed as an antihypertensive drug, except when hypertension is associated with nervous disorders and psychomotor agitation. The drug affects the nervous system, the sedative effect can reduce blood pressure by 5-7 points of mercury.
Pharmacodynamics and pharmacokinetics
Atarax (reviews from patients who took the drug confirm the effectiveness of the medication, subject to the rules of use) when administered orally or internally has the following effects on the body:
- eliminates increased anxiety and has a general calming effect, normalizing the activity of cells of the nervous system;
- the main substance inhibits the production of histamine, preventing the development of an allergic reaction;
- due to the relaxation of muscle tissue, spasms are eliminated;
- has a relaxing effect on the muscles of the bronchi, which facilitates the breathing process;
- normalizes the process of falling asleep, and sleep becomes longer, without night awakenings;
- the main and auxiliary components normalize the activity of the digestive tract. This reduces abdominal pain and vomiting;
- have a positive effect on the activity of brain cells, improving memory and attention.
It is important that Atarax does not have a depressant effect on the central nervous system. The components of the drug penetrate the placenta, and the main part of the drug is concentrated in the tissues of the fetus (more than in the mother’s body). Also, the components of the drug penetrate into breast milk and affect the baby during breastfeeding.
When using tablets, the therapeutic effect is observed 15-30 minutes after administration. When administered intramuscularly, the effect of the drug is observed after 5-10 minutes. Most of the main substance after absorption is concentrated in the skin layer.
The components are excreted from the body through the liver after 4-11 hours in children, and after 14-29 hours in adults. In case of pathologies of this organ, the therapeutic effect of the drug is extended to 47 hours, and the antihistamine property to 4 days. About 0.8% of the drug is excreted in the urine. The drug does not cause addiction or psychological dependence even with long-term use.
Benefits and harms of use
After using Atarax, patients experience a significant improvement in their well-being. The feeling of fear recedes, aggression and irritability go away. After taking it, your former calm returns, you can go about your usual activities without being distracted by extraneous thoughts. The drug also helps eliminate nighttime panic.
But in addition to the advantages, the drug also has negative aspects. At the beginning of treatment, severe drowsiness occurs. There is no way to calmly do business. In a sense, there is an addiction. There are no more disadvantages or harm to health. The product has an extremely gentle effect on the body.
Indications for use
Atarax is prescribed to eliminate the following pathologies in adults:
- increased anxiety and irritability;
- nervous or psychological stress;
- insomnia or frequent awakenings during sleep;
- psychological diseases, including at the acute stage;
- alcoholism in chronic form;
- drug addict;
- hangover syndrome;
- the presence of allergic reactions (skin itching, rashes, swelling);
- before surgery;
- adaptation period (new place of residence, work);
- postpartum depression (in the absence of breastfeeding).
The drug is also used in the complex treatment of pathologies of the digestive tract, pulmonary system and dermatological diseases. Especially if the disease has worsened as a result of disruption of the activity of nerve cells.
Atarax in childhood is used only according to pediatrician indications if:
- hyperexcitability;
- skin rashes and neurological itching;
- decreased memory and concentration;
- abdominal pain or headaches caused by nervous tension;
- nervous shock (death of parents, sudden change of residence).
Up to 3 years of age, the use of an injection solution is allowed (tablets are excluded). Regular monitoring by a pediatrician and neurologist is required.
Contraindications
Atarax (reviews from patients who took the drug describe the side effects that occurred when contraindications were ignored) is prohibited from taking in the presence of the following pathologies:
- porphyria. A disease of an autoimmune nature is characterized by a violation of pigment metabolism, as well as disorders in the digestive and nervous systems. The pathology causes deterioration in liver activity, as a result of which there is a high probability of developing complications from taking the drug;
- period of bearing a child or breastfeeding. The components of the drug penetrate to the fetus through the placenta and into milk during lactation. In the future, this is expressed as a violation of the child’s development. During pregnancy, Atarax can cause deformities, delays in nervous development and fetal death;
- childbirth. The components of the medication will reduce the fear of childbirth, but at the same time they can cause the cessation of contractions;
- impaired absorption of lactose (in tablet form);
- increased intracranial pressure. Atarax affects the activity of brain cells, which will cause exacerbation of the pathology;
- allergic reaction to the components of the drug;
- myasthenia gravis. An autoimmune disease characterized by rapid fatigue of muscle fibers. Taking the medication will provoke additional relaxation of muscle tissue;
- disturbance of the urination process and constipation . Atarax promotes muscle relaxation, which contributes to the exacerbation of diseases;
- dementia. The disease is expressed by persistent progression of dementia. Atarax will cause the condition to worsen;
- epilepsy. The pathology is characterized by neuroconvulsive seizures. The components of the drug can provoke attacks, as they affect the activity of nerve cells;
- arrhythmia. The disease is accompanied by disturbances in the rhythm of heart contractions. As a result of the relaxing effect of the medication on muscle fibers, an exacerbation of the pathology is possible.
If the liver and kidneys are impaired, as well as in old age, the dosage is strictly selected by the doctor and adjusted during the treatment process.
What is better Atarax or Phenazepam?
Atarax is a solution for intramuscular administration based on hydroxyzine hydrochloride. It is indicated for use in neuroses, neurotic conditions, anxiety, agitation, central nervous system lesions, and alcoholism. Has a small number of side effects. Contraindicated in benign neoplasms, cardiovascular pathologies, electrolyte imbalance, pregnancy, lactation.
Phenazepam is a tablet based on bromodihydrochlorophenylbenzodiazepine. This is an anxiolytic drug. Has a sedative, anticonvulsant, relaxing effect. Indicated for use in neuroses, schizophrenia, severe psychological disorders, in addition to anesthesia. There are many more side effects and contraindications for use.
If the patient has minor disorders, pathologies of the central nervous system, it is better to use Atarax. It is less likely to cause negative effects on the body, and their risk is reduced with the correct dosage. For severe lesions and serious mental disorders, Phenazepam is used. But it is necessary to strictly regulate the dosage, since side effects occur much more often.
Instructions for use, dosage of the drug
Atarax, according to reviews, is recommended to be taken according to the individual dosage prescribed by the doctor according to the patient’s condition. Otherwise, there is a high probability of developing a negative reaction from using the drug.
In the absence of individual prescriptions, tablets and injections are used according to the following scheme:
Purpose of application | Dosage for tablets | Dosage for injection |
For adults | ||
For symptomatic treatment (complex medication is recommended) | The initial dose is 1 tablet per day. Further, it is possible to increase to 4 tablets, but not more than 6 tablets per day (divided into 2 doses). | To administer the injection, 25-200 mg of the drug is required. |
For increased anxiety | Take 2 tablets per day. If the effectiveness is weak, then it is possible to increase the dose to 6 tablets per day. The daily dosage is divided into 3 doses. In the morning and afternoon, you need to take ¼ of the daily dose. The remainder is taken in the evening. | Atarax is administered before bedtime at a dose of 25-50 mg. |
In preparation for surgery | Prescribed from 50 to 200 mg. Take 1 hour before surgery. | 50-200 mg of the drug is administered intramuscularly 1 hour before surgery. |
For children | ||
For symptomatic therapy | For children, the daily dosage is calculated based on weight and is 1-2 mg per 1 kg of weight. Divide into 2-3 doses/administrations | |
Before surgery | Prescribed 1 mg per 1 kg at night and 1 hour before surgery. |
After 60 years or in the presence of impaired renal and liver function, the recommended daily dosage is reduced by 2 times. The average duration of taking Atarax is 30 days (adjusted by the doctor based on the dynamics of treatment).
Hydroxyzine (Atarax) is a piperazine derivative and is neither a benzodiazepine nor a phenothiazine.
As an H1 receptor antagonist, hydroxyzine has been widely used in dermatology since 1955, and only in 1960 its anxiolytic properties were discovered. Considering the features of the drug: rapid onset of action, good tolerability, lack of dependence and depression of the central nervous system, make it an alternative drug to benzodiazepines in children and adolescents. The purpose of this study was to study the possibility of using atarax in various forms of mental illness in children and adolescents with manifestations of anxiety, irritability and insomnia-type sleep disorders and to evaluate its effectiveness. Material and methods.
1. The study included 50 patients aged 5 to 18 years with various forms of mental illness, who were undergoing outpatient observation and treatment at the Children's Psychiatry Center.
2. Patients were distributed by gender: 35 patients were boys, 15 were girls.
3. According to ICD-10, diagnoses were distributed as follows: organic anxiety disorder due to traumatic brain injury - 3 people, organic emotionally labile (asthenic) disorder due to mixed diseases - 8 people, social phobias - 5 people, generalized anxiety disorder - 5 people, mixed anxiety and depressive disorder - 5 people, acute reaction to stress - 2 people, post-traumatic stress disorder - 3 people, mixed anxiety and depressive reaction caused by adaptation disorder - 4 people, hypochondriacal disorder - 2 people, others neurotic disorders (prolonged neurotic reaction with suicidal behavior) - 1 person, phobic anxiety disorder in childhood - 8 people, reactive attachment disorder in childhood - 4 people.
4. The patients were tested by a psychologist using the Eysenck questionnaire (personality traits), projective techniques were used, drawing a person and a non-existent animal; to assess the level of anxiety, the HADS (Hospital Anxiety and Depression Scale) scale and the Taylor scale were used; A clinical and psychopathological analysis of the structure of the disorders under study was carried out.
5. Atarax was prescribed in tablet form as monotherapy in a daily dose of 25 to 100 mg, depending on the age of the patients, for four weeks; The level of anxiety on the HADS scale and the Taylor scale was assessed before therapy, at the end of the second week and at the end of the fourth week of taking the drug. At the same time, there was a visible reduction in anxiety, which was reflected in changes in scores on the scales used.
Results of using the drug atarax.
Before the start of therapy, the level of anxiety in the group of patients with organic anxiety disorder and organic emotionally labile disorder on the HADS scale was 10-13 points, on the Taylor scale 25-30 points (with a tendency to a high level). In premorbid patients, the Eysenck test and projective techniques revealed unstable and psychasthenic traits. When taking atarax in a daily dose of 50 mg at the end of the second week, the level of anxiety on the HADS scale was 8-10 points, on the Taylor scale 15 points. At the end of the fourth week, this group of patients had an anxiety level of 5 points on the HADS scale and 5-10 points on the Taylor scale (medium-low level). At the same time, irritability was reduced, sleep improved due to the relief of insomnia.
In the group of patients with social phobias in premorbid, personality traits such as anxiety, fearfulness, tearfulness, a tendency to fears, whims, low self-esteem and painful self-criticism were revealed. Along with this, skill disorders came to the fore, especially enuresis and encopresis, which, even with an accompanying residual organic background, acquired a secondary neurotic component. The level of anxiety before therapy on the HADS scale was 15 points, on the Taylor scale 40 points (high level). When taking atarax in a daily dose of 50 to 75 mg, by the end of the second week the level of anxiety on the HADS scale decreased to 10 points, on the Taylor scale to 25-30 points; by the end of the fourth week, the anxiety level was 5-6 points on the HADS scale and 10-12 points on the Taylor scale, respectively. At the same time, the manifestations of neurotic enuresis were reduced and the manifestations of encopresis were significantly reduced.
In the group of patients with generalized anxiety disorder in premorbid, low self-esteem, suspiciousness, and difficulties in communicating with others were noted. Anxiety was always not limited to any circumstances and could appear suddenly, accompanied by muscle tension and vegetative manifestations - a feeling of chills, sweating, palpitations, a feeling of lack of air. Patients took atarax at a dose of 100 mg/day. A high level of anxiety before therapy was recorded on the HADS scale - 20 points, on the Taylor scale - 40-45 points. By the end of the second week, the anxiety level on the HADS scale dropped to 10 points, on the Taylor scale to 30-35 points; by the end of the fourth week, the anxiety level was 2-4 points on the HADS scale, 10-12 points on the Taylor scale; vegetative symptoms were relieved.
In a group of patients with post-traumatic stress disorder, an acute reaction to stress and a mixed anxious and depressive reaction caused by an adaptation disorder, as well as with a mixed anxiety and depressive disorder, sensitive, hysterical personality traits were identified in the premorbid, mainly in girls, and psychasthenic traits, in mostly in boys. The level of anxiety before therapy on the HADS scale ranged from 15 to 18 points, on the Taylor scale from 30 to 35 points (significant level). Patients took atarax in a daily dose of 50 to 100 mg, depending on age. By the end of the second week, the anxiety level on the HADS scale was from 10 to 12 points, on the Taylor scale 22-25 points, at the end of the fourth week of therapy the anxiety level decreased on the HADS scale to 5-7 points, on the Taylor scale to 10-12 points. Simultaneously with the reduction of anxiety, the mood improved in seven patients with a mixed anxious and depressive reaction caused by an adaptation disorder and with a mixed anxiety and depressive disorder, which was associated not with the direct antidepressant effect of atarax, but with the comorbid dependence of anxiety and depression: anxiety was reduced - depression went away.
In two patients with hypochondriacal disorder, the use of atarax at a dose of 75 mg/day slightly reduced the level of anxiety “for one’s health” at the end of the second week on the HADS scale by 5 points (initial level was 12 points), on the Taylor scale by 8 points (initial level was 20 points), however, at the end of the fourth week of therapy there were no changes in the testing scales, which, apparently, was associated with the patients’ desire to “die from life.” After another conflict at school and failure to obtain certification in the Russian language and literature, anxiety became noticeable to the parents, and persistent sleep disturbances of the insomnia type appeared. At home, I was constantly waiting for the teacher’s call, and was the first to answer the phone. Before the parent meeting, fearing punishment from his father, he wrote a “farewell letter” to his parents, where “he begged them to forgive him; he didn’t want to live.” On November 20, he jumped out of the third floor of his apartment and was taken by ambulance to the trauma department of the Children's Hospital with a diagnosis of a closed craniocerebral injury, a mild concussion, and a compression fracture of the spine. In the hospital he was examined by a psychiatrist: Consciousness is clear. Oriented in place, time, self. Without nonsense and deceptions of perception. He comes into contact gradually. Emotionally tense at the beginning of the examination, then emotionally labile, with tears in his eyes when he talks about what happened. Mood is reduced to a subdepressive level, not reaching the degree of hypothymia. Anxious, worried about committing a suicide attempt, being in the hospital, being in a non-transportable position, about pain. He explains his attempt by “the impossibility of solving his problems differently.” There is criticism of behavior. There were no suicidal thoughts or statements at the time of examination. Cognitive functions are not severely reduced. Intellectually and mnestically at the level of the age norm.
HADS testing:
the anxiety level was 21 points, on the Taylor scale 45 points. Atarax was prescribed as monotherapy, 1/2 tablet. 3 times a day with a gradual increase in dose to 1 tablet. 3 times a day after the first three days of therapy. At the end of the second week, tested on the HADS scale: anxiety level 12 points, on the Taylor scale 22 points; on the fourth week of therapy, the level of anxiety on the HADS scale decreased to 5 points, on the Taylor scale to 10 points. At the same time, my mood improved and I began to fall asleep well in the evening. Subsequently, a drawing of a person and a non-existent animal was tested by a psychologist using the Eysenck questionnaire and projective methods: the data obtained indicate a psychasthenic radical; suicidal behavior can be used as a defense against anxiety.
Diagnosis:
Prolonged neurotic reaction in a personality accentuated by the psychasthenic type. F 48.8. Unfinished suicide.
Follow-up after two years:
For a long time he was in a sanatorium with pathology of the musculoskeletal system and underwent a rehabilitation course. I studied at home at my previous school on the recommendation of a neurologist, and when the workload increased, I quickly got tired and irritated. The relationship with the father in the family has improved somewhat. Subsequently, he attended psychotherapeutic sessions with a psychologist, and when anxious experiences appeared, he received hydroxyzine (Atarax) at a dose of 75 mg/day.
Conclusions.
1. Hydroxyzine (Atarax) in tablet form, 25 mg, is an effective, well-tolerated tranquilizer with a sedative and anxiolytic effect. The drug does not have an antidepressant effect per se, but can improve mood in patients with a combination of anxiety and depression in their mental state.
2. A distinctive feature of the drug is its primary effect on a variety of anxiety conditions within various nosological units, regardless of diagnostic criteria.
3. Atarax is most effective in the treatment of mild and moderately severe disorders, which allows its use in child and adolescent psychiatrists.
4. Due to the absence of suppression of cognitive functions and dependence, it is possible to use hydroxyzine (Atarax) in children from 5 years of age. At the same time, sleep improves and irritability decreases.
5. Effective doses of the drug vary widely, depending on the age of the patients - from 25 to 100 mg/day.
Side effects
Atarax (reviews from patients who took the drug recommend following the instructions to avoid the development of side effects) if the rules of administration are not followed, it can cause the development of the following negative reactions:
- urinary retention and constipation;
- feeling of intense thirst;
- increased sweating;
- increased body temperature;
- feeling of weakness, weakness and drowsiness;
- dizziness and headaches;
- tremors and cramps in the limbs;
- disturbance of orientation in space and hallucinations;
- decreased visual acuity;
- decreased blood pressure and increased heart rate;
- nausea due to deterioration of liver function;
- allergic symptoms, including bronchospasm.
The manifestation of an adverse reaction is acceptable in a mild form in the first 2 days. If symptoms do not disappear, a dose reduction or drug change is required.
Overdose
An overdose of Atarax can be caused by an independent increase in the dose and with prolonged use of the drug in the maximum permissible quantities.
Expressed by the following manifestations:
- severe nausea, possible vomiting;
- severe tremors of the limbs, convulsions;
- disturbance of consciousness (loss of orientation, hallucinations, coma);
- disruptions in the rhythm of heart contractions;
- a sharp decrease in pressure;
- excessive decrease or increase in the activity of cells of the nervous system.
If you accidentally consume a large number of tablets, urgent gastric lavage and going to the hospital is required. If symptoms of an overdose are detected as a result of long-term use of the drug or due to increased intravenous administration, it is recommended to immediately call an ambulance.
Blood purification in case of Atarax poisoning is ineffective, since the main part of the active substance is localized on the skin. There are also no medications to neutralize the effect of the drug. Therapy is carried out by monitoring the patient for 48 hours with monitoring of the heart and lungs.
Atarax alcohol after how long you can
Sometimes drug therapy can coincide with a special event. Knowing how long after Atarax you can drink alcohol, a person will prevent unpleasant consequences.
About the drug
The drug is a tranquilizer (anxiolytic). Its main active component is hydroxyzine. The medication is available in the form of pills and solution for injection.
The use of this tranquilizer allows you to achieve analgesic and sedative effects. Atarax has the ability to eliminate the manifestations of urticaria. It is prescribed for nausea and vomiting.
Anxiolytic improves memory, thinking process and concentration. Its use is not addictive. The effect is observed in just 15-30 minutes.
Indications for use
The drug can be prescribed to people suffering from prolonged insomnia. Indications include allergic reactions. Sometimes Atarax is given to the patient before surgery to eliminate increased feelings of anxiety.
Psychoses and nervous breakdowns are direct indications for prescribing a tranquilizer. The drug is suitable for the treatment of alcohol dependence. The sedative helps the patient cope with nervous overexcitation and increased irritability.
Experts advise taking the medicine with food. Otherwise, the tranquilizer provokes severe irritation of the gastric mucosa. The pills should be taken with 1-2 glasses of water.
Side effects and contraindications
The use of the substance is prohibited in case of porphyria (pigment metabolism disorder). The components of the drug negatively affect pigment metabolism, as a result of which the patient’s condition worsens. It is dangerous to take Atarax while pregnant, as the medicine can cause serious complications. Its components cross the placenta and can lead to fetal death.
A tranquilizer is not prescribed during breastfeeding. The components of the sedative enter the child’s body along with milk and can provoke the development of various anomalies.
The medication is also not used in case of individual intolerance. Otherwise, it causes allergic reactions and sometimes even anaphylactic shock.
Intolerance to cetirizine, galactose and derivatives of aminophylline, ethylenediamine, and piperazine are contraindications to the use of the drug.
The tranquilizer should be taken with caution in case of myasthenia gravis (easily fatigable muscles), increased intraocular pressure, arrhythmia (irregular heart rhythm), dementia and convulsive condition. If there are anomalies in the digestive and urinary systems, you need to listen to how you feel to avoid complications.
Among the obvious contraindications, the following should be highlighted:
- glaucoma;
- headache;
- senile dementia;
- high intracranial pressure;
- prostatitis;
- convulsions;
- problems with heart rhythm.
Sometimes the use of the drug causes adverse reactions. Most often they are mild in nature. After completing the course or when the tranquilizer is discontinued, the unpleasant symptoms disappear.
Using the medicine may cause:
- tachycardia (fast heart rate);
- decreased blood pressure (blood pressure);
- nausea;
- thirsty;
- general weakness;
- increased body temperature;
- excessive sweating;
- drowsiness;
- migraine;
- dizziness;
- bronchial spasms;
- problems in the digestive system.
Before prescribing Atarax, the specialist must carefully study the patient's medical history. Only after this the dosage is selected. In elderly people and patients with muscle weakness, the dose of the drug should be significantly lower.
Compatibility of Atarax and alcohol
Some people wonder whether it is possible to drink alcohol while taking the tranquilizer Atarax. An anxiolytic is prescribed in case of withdrawal symptoms in order to eliminate some of the symptoms of the pathological process. However, combining the drug with booze is dangerous.
Ethyl alcohol is a toxic substance that negatively affects the nervous system. With alcohol abuse, alcohol dependence develops gradually and unnoticeably. A drunkard gets used to strong drinks and expects a relaxing effect the next time he takes them. This effect of ethanol is due to its effect on nerve endings.
During alcohol intoxication the following occur:
- lethargy;
- muscle relaxation effect;
- drowsiness;
- lethargy.
Atarax in this case will further enhance the effect of drinking. The latter can provoke side effects of the medication. Tandem can also lead to loss of consciousness and even coma.
Some medications can be taken after drinking. However, Atarax for a hangover is a combination whose effect is quite difficult to predict. Therefore, experts advise to be careful with the combination.
Regarding the use of Atarax in the treatment of alcoholism, it should be noted that withdrawal syndrome develops during the process of detoxification of the body. Therefore, when the patient starts taking the drug, the amount of ethanol in his blood is negligible. In this case, the tranquilizer can no longer harm the patient.
In other situations, the likelihood of encountering serious complications is high. Therefore, before using a medication, it is better to consult a doctor. It is worth noting that the sedative helps to cope with dizziness, severe sweating and dry vomiting.
These symptoms often appear in people with stages 2 and 3 of alcohol addiction. A narcologist can prescribe medication to stop pathological processes. If you drink it after using a sedative, the anxiolytic will increase the negative effect of ethanol on the body.
Consequences of joint use
Ethyl alcohol and the drug can enhance each other’s effect several times. The combination has an extremely negative effect on the state of the nervous system. As a result of the combination of two incompatible substances, loss of consciousness and difficulty breathing may occur.
Often the combination provokes an increase in intraocular pressure, disturbances in the functioning of the heart muscle and sudden changes in blood pressure. Coma, bronchospasms and psychomotor problems may develop. If you drink alcohol during treatment with the drug, attention and memory disorders may occur.
Atarax is safe to take only after the decomposition products of ethanol have completely left the body. Even a small portion of alcohol in combination with the drug can cause side effects. In this case, the nervous system will be the first to be hit.
special instructions
Before starting therapy, you need to familiarize yourself with the nuances of taking tablets and administering injections:
- It is recommended to take the tablets with a sufficient amount of milk or liquid. It is important not to bite or chew them;
- injections can only be administered intramuscularly. When administered subcutaneously or intravenously, tissue damage is possible;
- when prescribing examinations to take an allergy test, the drug is discontinued 5 days before the procedure. Otherwise, the research result will give false data;
- components of the drug can cause blurred vision, hallucinations and tremors, therefore, during the period of treatment, driving a car and working with increased attention must be excluded;
- if it is necessary to reduce or increase the daily/single dosage, contact your doctor;
- in old age, with pathologies of the kidneys or liver, the dosage of the drug is reduced by at least 2 times;
- Do not combine taking Atarax with alcohol. The likelihood of side effects increases.
After completing the course of treatment, tests are required to determine the activity of internal organs (especially the liver and kidneys). During long-term therapy, tests are taken several times.
Drug interactions
Atarax reviews from patients who took the drug are described as a remedy that is effective in independent and complex treatment.
But when taken together with other medications, the following should be taken into account:
- When taking drugs that depress the nervous system at the same time, a reduction in the dose of Atarax is required. Otherwise, there is a high probability of developing side effects from both medications;
- medications containing ethanol cause the development of a negative reaction, as they greatly reduce the functioning of the liver;
- narcotic painkillers can cause hallucinations;
- It is strictly forbidden to take sleeping pills and Atarax at the same time;
- drugs that increase blood pressure and Atarax reduce each other’s effectiveness;
- medications to normalize liver activity increase the concentration of the main component of Atarax in the blood, which is dangerous for the development of complications;
- medications to normalize heart rate and Atarax can cause heart failure;
- drugs to eliminate diarrhea and Atarax can lead to the development of persistent constipation.
If the patient is on drug treatment, before prescribing Atarax, it is important to inform the treating specialist about this, then incompatible medications will be replaced in a timely manner.
Using the drug for a hangover
After excessive consumption of alcoholic beverages, a person develops a hangover syndrome. Often it occurs 7 hours after the cessation of libations. A hangover can last from several hours to several days.
The main condition for using an anxiolytic in this condition is the complete removal of ethanol from the body. Taking it together will only worsen binge drinking and symptoms.
The active component of the drug, entering the body during a hangover, negatively affects the state of the nervous and cardiovascular systems.
The following side effects develop:
- Labored breathing;
- Profuse vomiting;
- Sudden changes in pressure.
Using the product immediately after alcohol-containing drinks leads to complications even when drinking beer with 0% alcohol content. The drink contains a small percentage of the substance.
Analogs
In case of intolerance to the components included in Atarax, the presence of side effects or incompatibility with complex therapy, replacement with the following analogues is possible:
Name and dosage form | Active substance and therapeutic effect | Features of treatment | Possible negative reaction |
Phenibut (tablets) | The active substance phenibut has a calming effect on the nervous system and normalizes the activity of brain cells. | The dosage is calculated individually, the course of treatment is 30-45 days. |
|
Adaptol (tablets) | The main substance mebicar helps reduce the activity of nerve cells, but does not have a hypnotic effect. | Prescribed 1 tablet 3 times a day from 2 to 90 days. | In rare cases, an allergic reaction occurs. |
Afobazole (tablets) | The active ingredient afobazole has a calming and mild stimulating effect. | The course of treatment consists of 2-4 weeks of treatment. You need to take 1 tablet 3 times a day. The duration of therapy can be extended to 3 months. | The components of the drug can cause various allergy symptoms. |
Gidazepam (tablets) | The active element gidazepam has anticonvulsant and anti-anxiety effects. | Tablets are taken 1 pc. 3 times a day for from 5 days to 4 months. |
|
Phenazepam (tablets, solutions for IM and IV administration) | The active ingredient phenazepam helps eliminate feelings of fear. | The course of treatment is selected individually, the duration varies from 2 to 8 weeks. | The drug has a large list of side effects, and it is also possible to develop addiction with long-term use. |
Relanium (tablets, solutions for intravenous and intramuscular administration) | The main element diazepam has anticonvulsant, hypnotic and sedative properties. | The dosage and duration of treatment are selected strictly individually. | |
Grandaxin (tablets) | The active substance tofisopam relieves feelings of fear. | Tablets are taken 1 pc. 3 times a day. The duration of treatment is adjusted by the attending physician based on the dynamics of therapy. |
|
The choice of medication is made by the attending physician.
Description of the drug
Hydroxyzine is related to diphenylmethane derivatives. The principle of influence is associated with the suppression of the functional activity of certain zones located in the subcortical region of the central nervous system.
The diphenylmethane derivative is characterized by moderate anxiolytic activity. It has antihistamine, sedative, antiemetic and anticholinergic effects. Does not cause mental dependence or addiction.
It has a beneficial effect on cognitive abilities, strengthens memory and increases alertness. Atarax for insomnia relaxes smooth and skeletal muscles and is characterized by analgesic and bronchodilator properties.
With long-term use, there is no withdrawal syndrome or deterioration in mental abilities. Polysomnography in patients with insomnia and anxiety indicates longer sleep and a decreased frequency of night awakenings. There is also a decrease in muscle tension.
Price in pharmacies in Moscow, St. Petersburg, regions
The cost of Atarax depends on the form of release, the region of sale and the markup at the pharmacy.
City | Average price (in rubles) for tablets | Average price (in rubles) for the solution |
Moscow | 300 | 350 |
Saint Petersburg | 305 | 370 |
Permian | 270 | 320 |
Sverdlovsk | 290 | 330 |
Volgograd | 250 | 305 |
Sochi | 310 | 370 |
Khabarovsk | 305 | 360 |
When purchasing medications from an online pharmacy, the price includes courier delivery. It is important to consider the presence of this pharmacy chain in the city of residence.
Release and storage
Sale in pharmacies is possible only upon presentation of a doctor's prescription. Atarax should be stored in dark and dry places. Avoid high humidity and keep away from children. Storage temperature should be in the range of 15-25 degrees. Direct sunlight has a negative effect on the medication, so you need to place Atarax in places where they do not penetrate. The shelf life is 5 years from the date of manufacture, which is indicated on the packaging of the medication. You should buy the medicine only from certified outlets, checking the expiration date before use.
Reviews from doctors and patients who took the drug
Atarax has numerous reviews from both doctors and patients undergoing treatment. Positive data predominates on forums and websites; it is noted that anxiety subsides, sleep normalizes, and symptoms of an allergic reaction disappear.
But the first days of taking the drug in some patients were accompanied by the development of weakness and decreased concentration, which disappeared after 3-5 days.
Atarax is an effective medicine (confirmed by reviews) with a complex effect. The use of the drug for children is allowed from the age of one, but only under the supervision of a doctor. Also, in the presence of liver disease and after the age of 60, it is important to accurately calculate the dosage (done by a doctor), otherwise there is a high probability of side effects in the patient.
Author: Kotlyachkova Svetlana
Customer Reviews
Reviews about Atarax as a sleeping pill are mixed, but mostly positive.
Irina, 42 years old
“My daughter has exams at school, and this means constant stress, fear, and anxiety. Lately I have become very aggressive and tense, and have begun to sleep very poorly. I turned to my doctor friend, who advised me Atarax. I had to force him to drink, but the results were noticeable after a couple of days.”
Igor, 50 years old
“I encountered problems with sleep not so long ago. Constant sleepiness at work, aggression, irritability - all this left an imprint not only on my condition, but also on my salary. I went to the doctor and got a prescription. After starting therapy, Atharx is now always in the first aid kit. A soft effect means a good result.”