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Your doctor may then increase the dosage to 25 mg three or four times per day. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you.

alcohol with medications

Treatment for alcohol addiction may include inpatient or outpatient programs. It works by preventing the effects of a substance called histamine, which is produced by the body. This medicine is also used to control anxiety withdrawal symptoms in alcoholic patients. It is also used to control nausea and vomiting symptoms, and relieve anxiety in patients with certain heart disease.

Craig Sorkin, DNP, APN is a board certified Family Nurse Practitioner with over 15 years experience. He received his Undergraduate and Graduate degrees from William Paterson University and his doctoral degree from Drexel University. He has spent his career working in the Emergency Room and Primary Care. The last 6 years of his career have been dedicated to the field of digital medicine. He has created departments geared towards this specialized practice as well as written blogs and a book about the topic.


If you struggle with anxiety drinking alcohol might not be a good idea. Alcohol changes levels of serotonin and other neurotransmitters in the brain, which can worsen anxiety. You can even feel more anxious once the alcohol wears off. Before taking hydroxyzine, tell your doctor if you’re allergic to cetirizine, levocetirizine, or if you have any allergies. Hydroxyzine may contain inactive ingredients, which may lead to allergic reactions or other issues.

What are the more common side effects of hydroxyzine?

If you are getting treatment for anxiety, it might feel overwhelming to give up alcohol altogether. If you experience an unfavorable reaction after mixing hydroxyzine and alcohol, go to the nearest emergency hospital immediately. Doctors recommend not mixing hydroxyzine with alcohol or other CNS depressants.


Hydroxyzine may also be used with other medications to treat anxiety. However, it isn’t known how well this drug works for treating anxiety long term. If you’ve had an allergic reaction to hydroxyzine or any of its ingredients, your doctor will likely not prescribe hydroxyzine. Ask them what other medications are better options for you.

Drug Withdrawal Symptoms You Might Experience

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. During pregnancy, this medication should be used only when clearly needed. Caution is advised when using this drug in children because they may be more sensitive to its effects.

  • Doctors usually recommend against mixing hydroxyzine with alcohol and other CNS depressant drugs.
  • While under the influence of alcohol, people often have altered judgment and impaired thinking.
  • They may have poor coordination, bad decision-making, and increased impulsivity.
  • If you or a loved one is suffering from alcohol or substance use disorder, remember that professional medical help is available.
  • Healthcare professionals are used to seeing this side effect from hydroxyzine.

Many doctors will use it to treat anxiety in the short-term. Its sedative effects can be helpful to relax patients before they have surgery as well. If you no longer need to take hydroxyzine oral tablets and have leftover medication, it’s important to dispose of it safely. This helps prevent others, including children and pets, from taking the drug by accident.

The medical guidelines for AWS don’t recommend hydroxyzine for someone experiencing alcohol withdrawal syndrome. However, in 1969, a study showed that the best drug to treat alcohol withdrawal syndrome was Librium or chlordiazepoxide. Librium proved to work much more effectively than hydroxyzine in AWS patients. Adults and children may take hydroxyzine to reduce itching caused by allergic skin reactions such as hives.

Join Recovery Connection in sharing stories of hope and recovery. We invite you to share your journey of recovery and be featured on Recovery Connection! Fill out the form below and one of our team members will reach out to help you get started. Do not use for several days before allergy testing because test results can be affected. This medication may interfere with certain laboratory tests , possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

So it can take about 60 the last house sober living and recovery community for the body to completely rid itself of a hydroxyzine dose. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make them more severe.

Vistaril (hydroxyzine)

This is because hydroxyzine might amplify the severe side effects of other depressants. If you drink alcohol within 6 hours of Hydroxyzine, it will cause the above-listed side effects and complications. The side effects which suppress and inhibit the nervous system are more prone to occur due to Atarax and alcohol overuse. You should not be drinking alcohol in any form while being treated by Hydroxyzine. The medication which is used to treat anxiety and depression is generally habit-forming. However, unlike other anxiolytic drugs, Hydroxyzine has less addiction potential.

You should avoid drinking alcohol if you are taking allergy medications or any multi-symptom cold and flu formulation. In addition to worsening the side effects of antidepressant medications, mixing these drugs with alcohol can also make symptoms of depression worse. The effects of mixing alcohol with medication also depend on certain individual factors. For example, women can experience the effects of mixing alcohol and medications more severely than men because of differences in metabolism. Additionally, drinking alcohol can also make the side effects of a medication worse or even cause new symptoms.


Individuals may also have dizziness, difficulty concentrating, and impaired judgment and memory. This combination can also lead to different liver problems and heart problems. Other symptoms might worsen, including nausea, dry mouth, and upset stomach. The drug interactions between hydroxyzine and alcohol can increase the nervous system side effects of hydroxyzine. If you consume alcohol with hydroxyzine, it can be hard to determine if you’re having severe effects from the medication or not.

Effects of Mixing Hydroxyzine and Alcohol

You will have dry mouth, dizziness, fatigue, blurred vision, stomach upset, and headache. Convulsions, seizures, and a slew of other terrible things. If you took it or intend to take it, don’t; if you did, get immediate medical attention, call an ambulance, or go to a medical emergency department.

It is also used alone or combined with other medications to treat anxiety and tension in adults and children. The best way to overcome an addiction to alcohol is to go to a local drug and alcohol treatment facility. Treatment usually begins with detox where patients are medically supervised as they go through withdrawal. People who engage in polysubstance abuse may be at an increased risk for physical dependence and addiction. The medication works by blocking the action of histamine, the substance in the body that causes symptoms of environmental allergies.

Your body uses certain enzymes to metabolize medications. This can cause levels of medications metabolized by CYP2D6 to increase in your body, which can increase your risk for side effects. Examples of drugs broken down by CYP2D6 include fluoxetine and codeine. Yes, it’s safe for you to take ibuprofen or acetaminophen with hydroxyzine oral tablets. However, it’s important to note that this side effect wasn’t reported in clinical trials of hydroxyzine. Since these reports happened outside of clinical trials, it’s not clear if hydroxyzine caused the side effect.

The number of prescriptions for Atarax has increased over time. According to statistical reports, there were just over 5,000,000 prescriptions written for it in 2004. Hydroxyzine is a medication that many people abuse without realizing the dangers of it. It is possible to become addicted to this medication, and many people do. If you’re currently taking it, you may wonder why it has been so difficult for you to stop. Dupixent is a drug used to treat certain types of eczema, asthma, and rhinosinusitis.

Other factors could also cause convulsions in people taking hydroxyzine oral tablets. You should not drink alcohol during your hydroxyzine treatment. Both alcohol and hydroxyzine can cause drowsiness, confusion, dizziness, lack of coordination, and memory problems. So combining alcohol with hydroxyzine can raise your risk of these side effects, or it could make the side effects worse if you experience them. If you have kidney or liver problems, your body might not break down hydroxyzine quickly enough. This could raise your risk of side effects from the drug.

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