Does atarax have a hypnotic effect. Can I take atarax and alcohol at the same time? Atarax and anesthesia

Content

To relieve tension, drowsiness, eliminate disorientation, adults are prescribed Atarax - the instructions for use of which state that this drug is part of the group of tranquilizers. It cannot be bought on its own, only on prescription, because the consequences of self-medication can be irreversible. Read the instructions for use of Atarax.

Atarax tablets

According to the medical classification, the drug Atarax has anxiolytic activity, is a tranquilizer, is used to treat anxiety, as a sedative and a component of somatic therapy for itching. Previously, the drug was available in the form of an intramuscular solution and tablets, but today you can only buy a tablet format.

Compound

There are two formats of medication: tablets and solution for intramuscular injection. The detailed composition of each is given below:

pharmachologic effect

The active substance hydroxyzine hydrochloride is a derivative of diphenylmethane, has a moderate tranquilizer activity, has an antiemetic, sedative effect. The drug has an antihistamine effect and anticholinergic effect. The latter consists in blocking the central cholinergic receptors and histamine receptors, inhibiting the activity of certain areas of the brain. According to the instructions, Atarax does not cause dependence and addiction of the psyche. The clinical effect is observed half an hour after ingestion.

The drug has a positive effect on human cognitive abilities, is designed to improve memory and concentration. The mechanism of action is to relax the smooth and musculature of the skeleton. Atarax has an analgesic effect and a bronchodilatory effect, moderately suppresses the production of gastric juice. The active substance relieves itching with hives, eczema, allergic dermatitis. Long-term use does not threaten addiction / addiction syndrome and deterioration of the brain, depression of the psyche.

According to studies, patients with insomnia and anxiety, when taking Atarax, get an extension of the duration of sleep, they have a reduced frequency of awakenings after a single dose of 50 mg of the drug. If you take the medication three times a day at the indicated dose, muscle tension decreases with anxiety. Absorption occurs in the gastrointestinal tract, the maximum concentration of hydroxyzine reaches two hours after ingestion.

Bioavailability is 80%, the substance is concentrated in tissues, skin, plasma, penetrates the blood-brain and placental barriers, is found in breast milk. Metabolized in the liver, the hydroxyzine metabolite cetirizine blocks the histamine receptors of the psyche. The total clearance is 13 ml / min / kg, the half-life in adults is 14 hours. There are changes in the pharmacokinetics of the drug, the concentration of metabolites in elderly patients, in patients with liver dysfunction.

Indications for use

Atarax - instructions for its use indicate the following indications for the use of the drug in adults:

• reduction of anxiety, psychomotor agitation;
• increased irritability;
• neurological, mental diseases;
• chronic alcoholism;
• alcohol withdrawal syndrome;
• psychomotor agitation;
• somatic allergic diseases;
• sedative during premedication;
• skin diseases, reduces itching.

Method of application and dosage

The drug is taken orally. The dosage and course of treatment depend on the age, type of disease and the individual characteristics of the patient:

• symptomatic treatment of anxiety in adults - 25-100 mg / day, divided into several doses during the day or at night, the average dose is 50 mg / day (12.5 mg in the morning and afternoon, 25 mg at night), if necessary, the dose is increased to 300 mg/day;
• treatment of pruritus in adults - 25 mg, the dose can be increased to 25 mg four times a day;
• the maximum single dose should not exceed 200 mg, daily - 300;
• elderly patients need dose adjustment - it is halved;
• patients with renal and hepatic insufficiency take a reduced dosage.

How long can I take Atarax

According to the instructions for use, Atarax does not cause mental dependence, one does not get used to it. Doctors allow the use of the drug for a long time, there are no special restrictions on the duration of the course. The drug does not cause addiction syndrome, so you can stop taking it at any time, abruptly, but after consulting a doctor.

special instructions

In the instructions for the use of Atarax there is a point of special instructions, excerpts from which are given below:

1. Before carrying out allergic reactions, the medication should be stopped five days before the study.
2. The medicine is not combined with alcohol.
3. The drug can affect the speed of psychomotor reactions, so while taking it, you should refrain from driving a car and dangerous mechanisms.

During pregnancy

During childbearing and after childbirth, while breastfeeding, Atarax is prohibited for use. Clinical studies have not been conducted, but hydroxyzine is a potentially dangerous substance for the fetus that can cause birth defects. At the time of taking the drug to a nursing mother, it is worth canceling breastfeeding of the child.

Atarax for children

It is allowed to use Atarax for children over the age of one year. Indications for its use are the treatment of itching and premedication:

• symptomatic treatment of itching for children aged 1-6 years - a daily dose of 1-2.5 mg / kg of body weight in divided doses, over 6 years - 1-2 mg / kg / day;
• premedication for children - 1 mg/kg of body weight one hour before surgery, on the night before surgery.

Interaction with drugs

The instructions for use of the drug say about its drug interaction with other drugs:

1. Enhances the effect of drugs that depress the central nervous system (barbiturates, hypnotics, opioid analgesics, ethanol, other tranquilizers) - dose adjustment is required.
2. Reduces the pressor effect of epinephrine, adrenaline, anticonvulsant activity of phenytoin, the work of betahistine, cholinesterase blockers.
3. Does not affect the activity of belladonna alkaloids, antihypertensive drugs, atropine, histamine receptor blockers, cardiac glycosides.
4. It is not prescribed with inhibitors and anticholinergics, it can inhibit substrate isoenzymes, liver enzymes.

Alcohol compatibility

During therapy with Atarax, alcohol is strictly prohibited, because hydroxyzine enhances the nerve-paralytic effect of ethanol on the nervous system. Due to the fact that the metabolites of the drug are excreted for a long time (even after 4-5 days traces are found in the body), you should not drink alcohol for at least a week after the end of the medication, so as not to get severe alcohol intoxication and poisoning. The doctor will tell you the exact time of the ban.

Side effects

If Atarax is prescribed, the instructions for use are mandatory for study. It informs the patient about the manifestation of possible side effects:

• dry mouth, constipation, urinary retention;
• spasm of accommodation of the optic nerve;
• drowsiness, weakness, dizziness and headaches;
• tremor, disorientation, convulsions;
• pressure drop, tachycardia;
• nausea, increased sweating;
• allergies, fever, bronchospasm;
• respiratory depression.

Overdose

Symptoms of an excess dose of hydroxyzine are stimulation or depression of the central nervous system, nausea, vomiting, and involuntary motor activity. Overdose may be accompanied by hallucinations, fainting, arrhythmias, low blood pressure, tremors, convulsions and disorientation. Doctors observe an increase in anticholinergic effects, a decrease in the activity of liver enzymes.

In the absence of vomiting, you need to cause it artificially, rinse the stomach. Treatment of an overdose is reduced to supportive measures on the following day. There is no specific antidote to eliminate negative effects, hemodialysis is ineffective, if a vasopressor effect is obtained, Norepinephrine, Metaramenol can be used, but Epinephrine cannot be prescribed.

Contraindications

The instructions for use indicate contraindications in which it is forbidden to use the medication for its intended purpose:

• porphyria;
• pregnancy, childbirth, lactation;
• hypersensitivity to the components of the drug, cetirizine, piperazine derivatives, aminophylline, ethylenediamine;
• hereditary galactose intolerance, glucose and galactose absorption dysfunction;
• with caution in myasthenia gravis, prostatic hyperplasia, difficulty urinating, constipation, increased intraocular pressure, dementia, a tendency to seizures and convulsions;
• it is not recommended to apply at disposition to arrhythmia.

Terms of sale and storage

The medication is sold by prescription, stored in a dry place protected from light and children at temperatures up to 25 degrees. The shelf life is five years.

Analogues of Atarax

According to the active substance and pharmacological action, there are analogues of Atarax produced by Russian and foreign companies. The most famous of them:

• Hydroxyzine Canon;
• Phenazepam;
• Betadrine;
• Naloxone;
• Alex plus;
• Relzer;
• Ferretab;
• Serdol;
• Vepeside;
• Albarel;
• Grandaxin;
• duellin;
• Cardilopin;
• Setegis;
• Talliton;
• Tizercin;
• Erolyn;
• Roxyhexal;
• Vermox;
• Gepabene;
• Trimetazid;
• NovoSeven.

Price

You can buy the drug with a prescription from a doctor on hand, on the Internet or in pharmacies of the usual format. The cost depends on the level of the accepted margin in the trading enterprise. The manufacturer of the drug is Belgium, in pharmacies in Russia there is only one format - tablets. Approximate prices for tablets 25 mg 25 pieces:

Video

Many are familiar with the feeling of anxiety and a sense of inner tension. Often this condition is very disturbing in work, family life. Sometimes the condition is so aggravated that a person is forced to resort to the help of tranquilizers. But how do you know which medicine to choose?

The drug Atarax has a relaxing effect, does not reduce the activity of brain activity. It is also very important that this remedy does not cause addiction, mental dependence in the patient. That is why today it is most often chosen by patients. Consider how to properly use the medicine, and when it is better to refuse it.

Functions and application

The active substance of the drug Atarax belongs to the pharmacological group, anxiolytics. The first part of the name in Latin means "anxiety" or "fear". The second part is derived from the Greek word, which translates as "dissolving", "weakening". Another name for the same drug group is tranquilizers (translated as "calm down").

Mechanism of action

Tranquilizers reduce the excitability of the subcortex of the brain (GM): limbic system, thalamus, hypothalamic region (hypothalamus). The funds of this group affect the work of the GM departments responsible for the implementation of a large group of tasks:

1. Maintaining the constancy of the internal environment of the body.
2. Regulation of the functions of internal organs.
3. Control of the activity of the endocrine glands.
4. The secretion of hormones that regulate the functions of organs.
5. Maintaining breathing, circulation, metabolism.
6. Implementation of emotional reactions.
7. Interaction with the cerebral cortex.

Anxiolytics are psychotropic drugs in their properties. The benefits of this group of drugs are:

• reducing anxiety;
• suppression of phobias;
• anxiety;
• emotional stress.

Treatment with tranquilizers is possible only under the supervision of a physician in order to prevent possible harm from inept use. Anxiolytics are not compatible with alcohol in any of its forms.

Indications

Atarax remedy is prescribed to adult patients with various types of anxiety conditions to relieve negative symptoms. The list of what it helps Atarax from is quite large:

The medicine Atarax is used in conditions that are accompanied by strong emotional stress. Indications for use by healthy people include stressful and extreme situations. However, experiences in everyday life are not grounds for treatment with a tranquilizer.

Atarax is not prescribed if the patient is hypersensitive to hydroxyzine and its metabolic product - cetirizine, as well as to ethylenediamine. It is also important to consider other major contraindications to taking Atarax:

Taking Atarax may be dangerous for patients with lactase deficiency. The drug is prescribed with caution:

• To old people;
• with dementia;
• with increased intraocular pressure;
• with diseases of the prostate;
• with constipation.

Composition and form of release of the drug

The active ingredient in Atarax is hydroxyzine hydrochloride (this is its INN or International Nonproprietary Name). It was originally used in dermatology as an antihistamine (antiallergic).

In the 1960s, researchers discovered that high doses of hydroxyzine acted as a tranquilizer. As a result, the description of the drug was supplemented by an indication that it is an anxiolytic. Today, in the annotation, as its main property, the ability to stop anxiety states is called.

Three generations of tranquilizers have already been created (hydroxyzine is one of the first), but Atarax is still in demand. The drug does not cause psychological dependence, withdrawal syndrome, does not impair cognitive abilities.

The actions of Atarax on the body are as follows:

The sedative (calming) effect is manifested in the fact that psychomotor excitability decreases. The tool is used to relieve tension, relax muscles. However, sometimes weakness and lethargy can become a consequence of taking the medicine.

The hypnotic effect is to accelerate the onset of sleep, improve its quality and increase its duration, and the frequency of night awakenings also decreases.

The drug can be used to reduce irritation and itching of the skin in patients suffering from dermatoses: urticaria, dermatitis, eczema. The medicinal substance begins to act 15-30 minutes after taking the tablet inside.

The drug Atarax is a tablet and a solution. The drug is manufactured by the Belgian company UCB Pharma, S.A. The dosage of dosage forms is as follows:

1. Each tablet contains 25 mg of hydroxyzine. It has a white shell, an oblong shape. There is a separating strip at the top and bottom. In total, 25 pieces are packed in one blister.
2. Liquid medicine is a solution for intramuscular injection in 2 ml ampoules. The content of the active substance is 50 mg / ml.

Methods of administration and dosage

Tablets should be taken orally. The solution is used for intramuscular injection. The choice of dosage depends on the cause of anxiety:

The dose for intramuscular injection is prescribed by the attending physician individually. For this dosage form, indications and contraindications are the same as for tablets. Sometimes patients experience prolonged pain at the injection site.

Children with severe itching can take from 1 to 2.5 mg per 1 kg of body weight. The daily dose is divided into several doses. On the night before the operation, the drug is prescribed at a dosage of 1 mg / kg of the child's body weight. Once again, the drug is given in the same dosage 1 hour before surgery.

Possible side effects

When taking Atarax, unwanted reactions may occur. The action of the drug is aimed at regulating the functions of the central nervous system, however, side effects are also observed from other organ systems. Most often they are noted at the beginning of treatment in the elderly. In case of adverse reactions, it is recommended to reduce the dose of the drug.

Adverse reactions to the drug Atarax:

Drug interactions and precautions

The effect of the drug Atarax is enhanced if taken with other drugs from the group of anxiolytics. Atarax also enhances the effect:

• narcotic analgesics;
• barbiturates;
• drugs for anesthesia;
• antihistamines;
• muscle relaxants.

The use of alcoholic beverages during treatment is unacceptable. Ethanol in their composition enhances the inhibitory effect of tranquilizers on the central nervous system. As a result, severe side effects can occur, up to loss of consciousness, respiratory arrest.

At the same time, anxiolytics increase the toxic properties of alcohol and increase its negative effect on the central nervous system. Perhaps the appearance of aggression, pathological intoxication.

With the combined use of Atarax with other sedative drugs, the ability to concentrate is impaired. If there is a need to simultaneously take drugs that depress the functions of the central nervous system, then the doctor selects the dosage and frequency of administration on an individual basis.

Therapy for VVD

Vegetovascular dystonia is not an independent disease, but a complex of signs and symptoms. They indicate a violation of autonomic functions. The syndrome is manifested by jumps in blood pressure, excessive sweating, tachycardia.

Atarax tablets act on some causes of VVD and eliminate a number of symptoms:

Atarax in such situations acts as a sedative, hypnotic, antiphobic and anti-anxiety agent. The drug normalizes the work of the central nervous system, vegetative functions. How to take Atarax with VVD:

If a patient suffering from VVD takes Atarax, then a “side effect” from the nervous and cardiovascular systems, skin and gastrointestinal tract is possible. Sweating increases, tachycardia, lethargy, drowsiness occur.

Adverse reactions do not necessarily occur in everyone who takes the drug. Experts assess the likelihood of their development as weak, the risks of most undesirable effects during treatment with the drug are minimized.

Doctors characterize the anxiolytic Atarax as a drug that is milder than the latest generation of tranquilizers.

Specialists, describing the use of this medicine, pay special attention to the anti-anxiety and sedative effects of the remedy. As noted in the reviews, the drug is especially effective for VVD, panic attacks, and depression.

Most patients believe that Atarax successfully copes with anxiety, which disturbs sleep, increases the risk of cardiovascular disease, and complicates a person's communication with others.

Elderly people take the tranquilizer Atarax for the treatment and prevention of age-related neurological disorders. This is a multifunctional tool, so it can be used to eliminate many health problems.

Atarax is a drug, a tranquilizer with a pronounced calming, sedative effect. He is appointed by the attending physician. The medicine is produced in the form of tablets, solutions for intramuscular injection. Excessive use of the drug leads to severe poisoning, and disruption of the whole organism. This article discusses overdose of atarax, its causes, clinical manifestations, as well as first aid and treatment methods for the development of this condition.

Description of the drug

Atarax belongs to the group of tranquilizers. Its active ingredient, hydroxyzine hydrochloride, has an anxiolytic, sedative and antiemetic effect, can reduce itching and allergic reactions by blocking histamine receptors.

Remember that it is dangerous to self-medicate with atarax. This medicinal product can be taken only after the recommendation of the attending physician.

Indications for admission:

• anxiety, panic attacks;
• feeling of inner tension;
• pronounced psychomotor agitation;
• alcohol withdrawal;
• skin itching;
• premedication before surgery;
• adjustment disorder.

Atarax refers to potent medicines, has many contraindications. These include:

• allergy to the components of the drug;
• porphyria;
• period of pregnancy and lactation;
• galactose intolerance;
• children's age up to 3 years;

Also, the drug should be used with caution and only in case of emergency to appoint people with the following diseases:

• myasthenia gravis;
• kidney failure;
• adenoma or prostatic hyperplasia;
• epilepsy;
• glaucoma, increased intraocular pressure;
• tendency to constipation;
• disturbed heart rhythm.

Atarax cannot be combined with many drugs, for example, with other tranquilizers, sedatives, hypnotics, barbiturates, etc. If you need to take other drugs in parallel with atarax, be sure to consult your doctor.

Causes of poisoning

Most often, an overdose develops through the fault of the patient himself. Non-compliance with instructions and medical recommendations, self-medication can lead to acute drug poisoning. The most common causes of overdose include the following:

• Self-selection of the dosage of the drug. The dose of atarax should be prescribed by the attending physician, individually for each patient..
• Taking a large dose of medication during a panic attack or fear. A person in this state may not fully realize the danger of his actions, and, wanting to alleviate his condition as soon as possible, drink a lot of pills.
• The use of the drug by the baby who found the pills. Atarax, like other medicines, should be kept at home out of the reach of the child.
• Combining the drug with alcoholic beverages. Alcohol enhances the effect of this tranquilizer, and leads to the development of severe poisoning.
• Parallel reception of atarax with barbiturates, hypnotics, tranquilizers, sedatives. Also, intoxication can develop when combined with narcotic analgesics, antihistamines and antiarrhythmic drugs.

Clinical manifestations of drug overdose

Overdose symptoms begin to appear clinically during the first 30-60 minutes after taking the medicine inside. Their severity depends on the weight of the patient and the amount of the drug taken.

Death from an overdose can occur within the first hour. It develops as a result of respiratory depression and cardiac activity.

The main clinical manifestations of an overdose of atarax:

• nausea and severe vomiting;
• violation of the heart rhythm, in which the patient himself can feel "failures" in the heart;
• hyperactivity and agitation, which are replaced by lethargy and drowsiness;
• a sharp drop in blood pressure, hypotension;
• slow breathing;
• visual and auditory hallucinations;
• impairment of consciousness, in which the patient gradually falls into a soporous, and then a coma.

First aid and treatment of drug intoxication

In acute and severe poisoning, symptoms increase rapidly the patient's condition worsens. An ambulance must be called immediately.

Before the arrival of doctors, try to independently provide first aid to the poisoned person. For this you need:

1. Remove the remaining tablets from the stomach. The patient should drink several glasses of water in one gulp and induce vomiting. This procedure should be carried out as soon as possible after swallowing a dangerous dose of the drug. Gastric lavage is not carried out in case of impaired consciousness of the patient.
2. Give the poisoned person to drink sorbents. It can be activated charcoal, sorbex, atoxil, smecta, or any other representative of this drug group. The dosage of the sorbent should be carefully read in the instructions for it.
3. Give the patient to drink plain non-carbonated water or sweet tea. If a person vomits constantly, let him drink little by little, in small sips and often.
4. In case of loss of consciousness, the patient should be laid on a flat and hard surface and turn his head to one side. It is necessary to control the presence of his breathing and pulse. In their absence, an indirect heart massage should be done.

After arriving at the call, EMS doctors will check the pulse, pressure, respiration and saturation and begin to provide first aid. If necessary, they will perform gastric lavage through a tube. They will also be administered drugs that regulate pulse and blood pressure.

Treatment of overdose is carried out in toxicology. Serious patients are hospitalized in the intensive care unit. There is no specific antidote for atarax, the treatment is aimed at removing drug residues from the body, normalizing the patient's vital signs.

Atarax belongs to the group of tranquilizers. It should only be taken as directed by your doctor. In case of an overdose, combination with alcohol or some other drugs, severe poisoning develops, which can lead to respiratory failure, heartbeat and death. Treatment of overdose is carried out in the toxicology department. With timely seeking medical help, the prognosis for life in most cases is favorable.

Today I will tell you about a drug that I really like for its mild effect. True, it does not always help with severe anxiety, but it is still one of the safest tranquilizers.

Atarax contains the active ingredient hydroxyzine, which is in many ways similar to cetirizine (cetrin), which many people take for allergies. Atarax, by the way, will also help those who itch - but not from allergies, but from nerves.

This is a tranquilizer, and in fact the mildest. And, by the way, considering that other tranquilizers (except for phenazepam), after being placed by our wise government in the III list, are now very difficult to get, then atarax becomes very attractive in the eyes of many.

What helps atarax?

First of all, anxiety. However, it should not be "outrageous", otherwise he will not cope. With medium and light, it will do its job perfectly.

It also has a slight antispasmodic effect, especially if your stomach hurts from nerves. It really does help, I've tested it myself.

Perfectly normalizes sleep, but, again, in mild cases. It does not "cut down" like other tranquilizers, but gently soothes.

Well and plus - a nervous itch. I didn't check it here, but I recommend taking my word for it 🙂

Dosage

The instructions indicate the standard scheme - half a tablet in the morning and afternoon and a whole one at night. Doctors usually prescribe it one tablet at a time in the evening - I don’t know why they like this particular regimen, since this is clearly not enough in the treatment of anxiety. But see for yourself - if a small dose helps you, then you can stay on it, if it doesn’t help, you can raise it.

Also, the drug can be drunk once, with anxiety attacks. One tablet will be enough.

How long can Atarax be taken?

The instruction states that the drug is not addictive, so, in theory, it can be taken for as long as you like. However, uncontrolled long-term use has not yet been useful to anyone. So, as with other tranquilizers, I do not recommend taking it for more than a month. Moreover, he gives an exclusively symptomatic treatment of anxiety, that is, as long as you take it, the effect will be, as soon as you finish it, it will evaporate. For the long-term treatment of anxiety, however, antidepressants are more suitable.

Differences of atarax from other tranquilizers

The most important thing is that it does not cause addiction and withdrawal syndrome, so it will not be easy to get hooked on it. However, this does not mean that there will be no psychological addiction, that is, without the drug, it will begin to cover you. So be careful with psychotropic drugs, these are not sweets for you.

The action of atarax, as I already wrote, is milder than that of other tranquilizers. You will just feel calm, not the desire to lie down and not get up. True, he will not cope with severe anxiety, but there are still other medicines for this.

And one more significant difference - it does not cause dullness. From phenazepam, my speech even slows down, and my thoughts barely toss and turn in my head. And atarax doesn't do anything to me. The manufacturer says that it even improves the thinker, and it works by reducing anxiety. I don’t know, I didn’t become smarter from him, but the fact that I didn’t become stupid is already good.

Atarax: reviews of doctors

Doctors are very fond of this drug and willingly prescribe it. For them, it becomes a real alternative to the heavier phenazepam. True, some argue that atarax will completely cope with everything that other tranquilizers do, but remember - this is not so. In action, it is much weaker. But if the doctor insists on replacing the same phenazepam with atarax, try it. He may be able to handle your situation.

Atarax: patient reviews

As a patient, I can say that atarax really helps, besides, the fact that it is not addictive warms my heart very much. True, for a long time I still do not drink it, but in anxious situations - it is quite possible.

The disadvantage, according to many patients, is the cost of atarax - more than 300 rubles for 25 tablets. This, of course, is not prohibitive, but for some it is a little expensive, especially if you drink according to the instructions, 2 tablets per day. There is also hydroxyzine canon, which is 100 rubles cheaper. But I have not tried it and I can not say how much it helps. If you tried - write in the comments, share your experience.

Can you buy atarax without a prescription?

Personally, even with a recipe, they will stare at us as if I stole this recipe. I don't know why. This happens in almost all commercial pharmacies, so I usually go to the state prescription department - pharmacists are normal there. Why in commercial drugstores such hogwash - I do not understand. And I have not yet gone there with a prescription for phenazepam ...

Well, in general, some say that atarax can be bought without a prescription. This is still not a "full-fledged" tranquilizer, but a hint of it. So if you look, you might find it.

Atarax and anesthesia

To me, as a person who periodically treats teeth while under psychotropic drugs, this question was very interesting. And here's what I found out - atarax reacts with adrenaline / epinephrine, which is contained in many anesthetics. It reduces its effect, so if the same articaine does not work on you separately from adrenaline, then the anesthesia will not be very good. For those who, like me, are terribly afraid of treating their teeth, I still advise you to take phenazepam before taking it - first, of course, after consulting with your doctor.

Atarax is no ordinary tranquilizer. It's not as effective, but it's not addictive. Perfect for those who are looking for a light drug that does not cause dullness.

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Atarax for panic attacks

Panic attacks can occur regardless of gender or age. The main reason for their appearance is stress and depression. The presence of regular dizziness indicates a violation of the function of the autonomic system. To stop unpleasant symptoms and the accompanying feeling of fear, tranquilizers and antidepressants are prescribed. "Atarax" with panic attacks is one of the effective means, which is aimed at eliminating anxiety and irritability. But the drug has its own characteristics, and before using it, you need to know the features, contraindications and possible side effects.

Release form and composition

"Atarax" are made in the form of tablets. Each of them has an oblong shape and a white shell. There is also a transverse risk on both sides. The drug is sold in cartons. The blister contains 25 tablets of 25 mg.

The active substance that is part of the drug is hydroxyzine hydrochloride. As additional components, the agent contains monohydrate, titanium dioxide, silicon anhydride, microcrystalline cellulose and other substances.

Properties

The drug belongs to the group of tranquilizers. The active substance contained in each tablet in the amount of 25 mg has a sedative, hypnotic, relaxing and anti-anxiety effect. "Atarax" is not a tranquilizer, but it perfectly helps to cope with a depressive state and restores mental state with regular use.

Due to the special composition, the product differs from others, as it has several distinctive characteristics:

• Helps relieve muscle spasm.
• Normalizes sleep, fights insomnia.
• Reduces muscle tone.
• Removes fatigue.
• Does not allow mental overwork.
• Eliminate the unpleasant feeling of anxiety.
• Stops irritability and nervousness.
• Activates the working capacity of the brain.
• Improves memory.

Indications and contraindications

"Atarax" is used for panic attacks, when a person is haunted by feelings of fear, dizziness and pain in the chest area. The drug is also prescribed for:

• Vegetative-vascular dystonia.
• Skin itching.
• Anxious states.
• Prolonged insomnia.

Short-term use of the drug does not adversely affect the organs and systems of the body. In this case, the medication should be abandoned in the following cases:

• The period of pregnancy and lactation.
• Hypersensitivity or allergy to the components of the product.
• diagnosed with glaucoma.
• Lactose intolerance.
• Myasthenia.

Before using the funds, it is necessary to consult with your doctor, as the drug has a number of contraindications that cannot be independently identified at home.

Dosage

"Atarax" should be used in those dosages that the doctor will prescribe, depending on the severity of the course of a panic attack and the individual characteristics of the patient's body. The remedy is recommended for VVD to be used as follows:

Useful information: Citramon is an effective remedy for headaches

1. The dosage for an adult is from 25 to 100 mg no more than three times a day. Increases only in exceptional cases to 250 mg.
2. For children, the dosage is calculated depending on the weight of the child, but not more than 2 mg per kilogram of weight per day.

For elderly patients, even in the case of pronounced symptoms of a panic attack or dystonia, the dosage of the drug is halved. This is necessary in order to avoid the occurrence of side effects.

The drug must be taken orally. In this case, in the first days you should carefully monitor your condition and in case of side effects, you should immediately consult a doctor.

Side effects and overdose

Exceeding the indicated dosage may cause some side effects. The most common are nausea and vomiting. In addition, the effect of the drug on the nervous system increases, heart palpitations and an increase in body temperature are observed.

Side effects also include drowsiness, impaired blood pressure and pupillary reflexes. Significantly increases the risk of cardiorespiratory collapse, as well as coma.

In the event of signs of an overdose, it is necessary to quickly flush the stomach with the help of artificial induction of a gag reflex. As a symptomatic therapy, thiamine and glucose are indicated. In order to achieve a vasopressor effect, it is necessary to take Norepinephrine.

"Physostigmine" is prescribed in case of an overdose of "Atarax" with the onset of an anticholinergic effect that occurs in a severe form. The tool is not used in the event of sinus arrhythmia.

Among the side effects are observed:

• Constipation.
• Pain when urinating.
• Lethargy.
• Drowsiness.
• Dryness of mucous membranes.
• Migraine-like headaches.
• Chills.
• Violation of coordination of movement.
• Lowering blood pressure.
• Increased sweating.

Side effects may occur in cases of overdose and are not life-threatening. If they occur, you should stop taking the drug and consult your doctor.

special instructions

The drug should be taken with caution in established renal failure. In this case, the dosage is reduced by half. When taking Atarax at a course, you should not drive a car, it is recommended to abandon activities that require increased attention and concentration. "Atarax" can be used in the treatment of children from one year to relieve itching.

The drug is not used in combination with hypnotics and antispasmodics, since when combined, the drug negatively affects the nervous system.

When taken simultaneously with antipsychotics, the drug can cause dizziness and muscle weakness. An overdose occurs when using Atarax and Cimetidine, as the concentration of the active substance in the body increases.

"Atarax" in panic attacks is prescribed to relieve anxiety and other signs of an attack. It is necessary to use the drug only as prescribed by the doctor in the indicated dosage.

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How long can I take Atarax for?

Hello, Alexey, please, tell me, how long can you take Atarax? The fact is that in the area where I live, we do not have specialists on this issue. I was very worried about anxiety and a sense of fear, I decided to drink atarax. I read your article about Atarax http://neurosys.ru/lechenie/lekarstva/ataraks but did not find how long it takes to take this drug.

Hello. The question is interesting and complex in your case. Atarax is a prescription drug, I am not entitled to make any recommendations about taking this drug without first consulting you with a full-time doctor's consultation. And the duration of the intake directly depends on the severity of the manifestations, the set medical tasks, the effectiveness of the drug in dynamics. if the drug does not help, if you have chosen the wrong dose for yourself, if you are not drinking it for what you need (and it helps with anxiety, first of all), then there is no point in drinking Atarax at all. The only thing I will say is that treatment courses last more than 2 months, as a rule. are not used.

Issue resolved

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"Atarax" and alcohol: consequences. "Atarax": indications, instructions for use, analogues, reviews

To date, there are a large number of drugs that have a sedative, anti-stress and antidepressant effect. Atarax tablets are no exception. Instructions for use, reviews, indications, contraindications, as well as interaction with alcohol are described in this article.

Indications for use

This drug is widely used in such cases:

To eliminate anxiety, general calm.

With psychomotor tension and increased irritability.

Somatic diseases.

Symptomatic treatment of itching.

For the treatment of withdrawal syndrome in the presence of chronic alcoholism.

The medicine can be used as a sedative.

Are there any contraindications

Atarax tablets, the indications for which are described above, also have contraindications. Therefore, before you start taking this remedy, be sure to read the instructions for use, and also consult your doctor.

With extreme caution, you can drink Atarax tablets, the analogues of which are described below, for people with hereditary galactose intolerance, as well as for patients with improper absorption.

Pay attention to cases when the use of the tool is prohibited:

Pregnancy, as well as lactation;

You can not drink pills with porphyria;

Do not use this drug in the presence of hypersensitivity to at least one component that is part of it.

Atarax contains: hydroxyzine hydrochloride (active ingredient) and microcrystalline cellulose , lactose monohydrate, magnesium stearate , colloidal silicon anhydride , macrogol , titanium dioxide , hydroxypropyl methylcellulose .

Release form

Produced in the form of oblong tablets with a white shell. They have
dividing transverse risk on both sides. Tablets of 25 mg are packaged in blisters of 25 pieces, sold in cardboard packs.

pharmachologic effect

The main active ingredient of Atarax is hydroxyzine dihydrochloride is a derivative diphenylmethane . The drug is not a CNS depressant, but it can have a depressing effect on the activity of some areas of the subcortical region.

Atarax has a bronchodilatory and antihistamine effect on the body. If you take it in a therapeutic dose, there is no effect on the secretory and acid-forming functions.

Has an effective effect in the course of therapy skin itching , allergic dermatitis , . If the patient has impaired liver function, the duration of the antihistamine action increases to 96 hours.

There is a sympatholytic, antispasmodic, mild analgesic effect. After taking the drug, patients note an increase in the total duration of the sleep period, a decrease in awakenings at night and their period, and a decrease in muscle tone. In this case, no memory impairment occurs.

Pharmacodynamics and pharmacokinetics

The drug Atarax is absorbed in the gastrointestinal tract and quickly enters the bloodstream. The highest plasma concentration is observed 2 hours after taking the tablets. Bioavailability after oral administration is 80%. Active substance hydroxyzine distributed throughout the body and mainly accumulates in the tissues.

Hydroxyzine can pass through the placental and blood-brain barrier. As a result, it accumulates in the tissues of the fetus in high concentration. Metabolites also pass into breast milk.

During the metabolism of hydroxyzine, it is predominantly formed cetarizine , which has the properties of a histamine receptor antagonist.

Metabolites of the drug are excreted from the body unchanged in the urine.

It should be borne in mind that in the elderly, as well as in those who suffer from impaired liver and kidney function, an increased concentration of metabolites in the blood is noted during drug treatment. Therefore, to avoid side effects, you need to reduce the dose. How many tablets can be taken, in this case, the attending physician should determine.

Indications for use

Atarax tablets are prescribed for the treatment of adult patients in the following cases:

• In order to eliminate the manifestations of anxiety, internal tension, psychomotor agitation, high irritability in the treatment of patients with neurological, somatic, mental diseases.
• In chronic alcoholism, as well as to eliminate the withdrawal syndrome, which is accompanied by psychomotor agitation.
• As a somatic agent during premedication.
• As a symptomatic remedy .

Indications for the use of Atarax are determined by the attending physician. As a rule, indications for the use of the drug are available for a variety of skin diseases, which are accompanied by severe skin itching.

Contraindications

Atarax should not be taken if a person has the following diseases or conditions:

• tribal activity;
• porphyria;
• high sensitivity to the components of the drug;
• high sensitivity to cetirizine , derivative piperazine , as well as to ethylenediamine or .

Due to the fact that the product contains lactose, Atarax should not be taken by those who have hereditary galactose intolerance, malabsorption of glucose and galactose.

Side effects

Atarax can provoke the manifestation of side effects due to the effect of the drug on the central nervous system. In particular, sometimes it causes depression of functions, paradoxical stimulation, and has an antichodinal effect.

• Functions of the cardiovascular system : rarely decreases, increases heart rate.
• Functions of vision : decreased clarity of vision, disturbance of accommodation.
• Functions of the gastrointestinal tract : a feeling of dry mouth, rarely - vomiting, nausea, problems with intestinal motility and, as a result,.
• Functions of the immune system : hypersensitivity, anaphylactic shock can rarely develop.
• Functions of the urinary system : Urinary retention is rarely possible.
• Functions of the respiratory organs : rarely - bronchospasm and suffocation.
• Neurological disorders : drowsiness, headache, insomnia, rarely - convulsions.
• Mental disorders Rare: possible arousal , hallucinations.
• Skin : itching, rash, rarely - swelling.
• General violations : weakness, fever, fatigue.

Application instruction of Atarax (Way and dosage)

Instructions for Atarax should be strictly observed during treatment with the drug. The medicine is taken orally. In the treatment of anxiety, it is recommended to use 0.05 tablets daily. If the patient has a severe degree of anxiety, 0.3 g of the drug can be taken per day.

If itching is being treated, then initially the patient is recommended to use 0.025 g of the drug. If necessary, this dose of Atarax can be taken 3-4 times a day. The largest dose taken at the same time should not exceed 0.2 g, and the dose per day should not exceed 0.3 g.

In the treatment of itching in preschool children (from 3 years old), a daily dose of 0.001-0.0025 g / kg of the child's weight is used.

Wikipedia shows that the dose is most often selected individually. It depends, first of all, on how the body reacts to treatment.

Overdose

In case of an overdose of the drug, the following phenomena can be observed:

• increased anticholinergic effects;
• paradoxical stimulation or depression of the central nervous system;
• manifestations of involuntary motor activity;
• nausea, vomiting;
• impaired consciousness and hallucinations;
• arterial hypotension,;
• in rare cases with severe overdose - convulsions , tremor , .

When taking too much of the drug, it is important to induce vomiting, rinse the stomach. Practice activities that are aimed at supporting the vital functions of the body. The patient is monitored until all symptoms of intoxication disappear.

Interaction

The effect of the drug on the body is enhanced if it is taken simultaneously with drugs that suppress the function of the central nervous system. If there is a need to take such drugs at the same time, then the doctor conducts the selection of doses on an individual basis.

Atarax should not be taken at the same time and drugs that belong to the group MAO inhibitors and anticholinergics .

If taken at the same time Cimetidine and Atarax, the concentration of hydroxyzine in plasma increases, the concentration of metabolites decreases.

Atarax interferes with the metabolism of substrate preparations for uridine diphosphate and glucuronyltransferase .

When taking Atarax, the effect of drugs that depress the central nervous system is potentiated: barbiturates , opioid analgesics , tranquilizers , sleeping pills, ethanol.

Atarax stops the pressor action a (adrenaline ) and anticonvulsant action phenytoin , prevents the impact and cholinesterase blockers .

Terms of sale

It is available in pharmacies with a doctor's prescription.

Storage conditions

It is necessary to store Atarax in a dark and dry place where the temperature is not more than 25 degrees Celsius.

Shelf life

You can store the drug for 5 years.

special instructions

If the patient needs to undergo allergic tests, treatment with the drug is stopped five days before the study.

Patients who drive a car should take into account that the drug may affect the speed of reaction and concentration.

If the patient has a history of convulsions, then treatment with the drug should be carried out very carefully.

Given the fact that Atarax has an anticholinergic effect, it should be carefully used to treat patients with, constipation , . You should refrain from taking sedatives during treatment with this drug.

Caution in prescribing the drug to patients with cardiac arrhythmia those who use antiarrhythmic drugs. In the treatment of the elderly, half the dose of the drug is initially prescribed.

Analogues

In the pharmacy network, you can buy analogues of this drug. One of the analogues of the drug is Hydroxyzine . The price of this drug is lower (about 260 rubles for a pack of 25 tablets). Other analogues of the drug do not have a completely similar composition.

Which is better: Phenibut or Atarax?

children

The medicine is used to treat children from one year of age, but it is necessary to strictly adhere to the indicated dosage and use Atarax only after a doctor's prescription.

With alcohol

Alcohol and Atarax cannot be combined, since the use of alcohol enhances the effect of the drug. The use of Atarax with alcohol causes a significant inhibition of the functions of the central nervous system. Such a combination can increase the state of intoxication, reduce blood pressure, cause allergic reactions.

During pregnancy and lactation

Atarax should not be used for the treatment of pregnant women, as well as during labor. The drug crosses the placenta and enters the fetus directly. In the process, the drug can disrupt the course of labor, as it relaxes the smooth muscles of the uterus and prevents its contraction. When breastfeeding, Atarax enters the mother's milk, and a child under one year old is not treated with this remedy.