Hydroxyzine and Alcohol

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Although hydroxyzine is generally considered to be a harmless medication that isn’t habit forming, if it is mixed with alcohol it can have very serious side effects. Because of the perceived innocence of the drug, people don’t even ask the questions ‘can you drink on hydroxyzine’ or ‘can I take hydroxyzine after drinking.’ This can lead to some grave side effects and serious harm. Read on to learn hydroxyzines interactions with alcohol, and the dangers of mixing hydroxyzine and alcohol.

What is Hydroxyzine? 

Hydroxyzine, sold under the brand names Hydroxyzine HCL, Vistaril, Atarax, Hyzine and Vistazine is an antihistamine used for the short-term treatment of anxiety. Hydroxyzine was once the go-to medicine used during drug detox to treat anxiety and mood-related withdrawal symptoms like restlessness and anxiety. Hydroxyzine for alcohol withdrawal was the main medication used to treat alcohol withdrawal until 1969 when it was replaced with Librium. Hydroxyzine primarily functions to reduce brain activity, aiding in the management of anxiety. It also blocks histamines associated with allergic reactions, especially itching. Because hydroxyzine is also a sedative, it is sometimes administered prior to surgery to help with sedation.

Dangers of Mixing Hydroxyzine and Alcohol 

Mixing hydroxyzine with alcohol can lead to some serious hydroxyzine and alcohol side effects including:

  • Central Nervous System Depression: Since both hydroxyzine and alcohol are central nervous system depressants, taking them together can lead to central nervous system depression.
  • Increased Drowsiness (Tiredness): Combining hydroxyzine and alcohol can intensify the sedative effects of both substances, leading to excessive drowsiness and an increased risk of accidents or injuries.
  • Thinking Difficulties: The combination may result in difficulty concentrating, confusion, and memory problems.
  • Breathing Difficulties: Central nervous system depression can affect respiratory function, leading to slowed breathing, which can be dangerous, especially in individuals with breathing problems.
  • Hypotension (Low Blood Pressure): Both hydroxyzine and alcohol can cause a drop in blood pressure. Combining them may lead to further decreases in blood pressure, potentially causing dizziness and fainting.
  • Increased Risk of Overdose: Combining hydroxyzine and alcohol increases the risk of unintentional overdose, as the effects of each substance are enhanced when taken together.

What Are Some Effects of Hydroxyzine on the Body?

 Hydroxyzine is primarily used as an antihistamine in order to treat allergic reactions.

It can help alleviate symptoms related to histamine release such as:

 

  • Itching
  • Sneezing
  • Runny nose

One of the notable side effects of hydroxyzine is sedation. It has a central nervous system depressant effect, leading to tiredness. This sedative property is sometimes utilized in the treatment of anxiety, tension and pre-surgery sedation. Hydroxyzine also has muscle relaxation properties, which contribute to its potential in managing anxiety. Its antiemetic properties can help reduce nausea and vomiting in certain situations.

Hydroxyzine has mild anticholinergic effects, meaning it can interfere with the activity of a neurotransmitter called acetylcholine. This can lead to side effects like:

 

  • Dry mouth
  • Blurred vision
  • Constipation (particularly in older individuals)

In some cases, hydroxyzine can cause urinary retention, which is a difficulty or inability to urinate (pee).

What Are Some Effects of Alcohol on the Body?

These are some of the short-term effects of alcohol on the body:

  • Central Nervous System (CNS): Alcohol is a depressant that affects the brain, leading to impaired decision making, coordination, and slowed reaction times. It can also cause tiredness and dizziness.
  • Cardiovascular System: Alcohol can temporarily increase one’s heart rate and dilate blood vessels, leading to feelings of warmth. However, drinking too much alcohol can contribute to high blood pressure and heart problems.
  • Digestive System: Alcohol can irritate the gastrointestinal tract, leading to symptoms like nausea and vomiting. It can also interfere with nutrient absorption.
  • Liver: The liver metabolizes alcohol, but excessive drinking can lead to liver inflammation, fatty liver, alcoholic hepatitis, and cirrhosis.

 

These are some of the long-term effects of alcohol on the body:

  • Brain: Chronic alcohol abuse can lead to cognitive deficits (thinking problems), memory problems, and an increased risk of neurological disorders.
  • Heart: Long-term alcohol use is associated with an increased risk of heart disease, including cardiomyopathy (heart muscle disease) and arrhythmias (irregular heartbeats).
  • Pancreas: Alcohol abuse can cause pancreatitis (inflammation of the pancreas), which can be a serious and life-threatening condition.
  • Immune System: Chronic alcohol use can weaken the immune system, making the body more susceptible to infections.
  • Cancer: Chronic alcohol consumption is linked to an increased risk of several types of cancer, including liver, breast, esophageal, and colorectal cancer.
  • Mental Health: Alcohol can contribute to mental health issues, including depression and anxiety. It can also impair sleep patterns.

Treatment Protocol for Alcohol and Hydroxyzine Abuse

In order to treat an addiction to alcohol and hydroxyzine, a thorough medical assessment is necessary to evaluate the extent of abuse, identify any underlying health issues, and assess your overall physical condition.

For alcohol dependence, medically supervised detoxification may be required to manage withdrawal symptoms safely. This often takes place in an inpatient setting like Avenues Recovery where healthcare professionals can monitor and manage potential complications.

Medications may be used to help manage alcohol withdrawal symptoms and cravings. For alcohol dependence, medications such as benzodiazepines (e.g., diazepam) or others like naltrexone, acamprosate, or disulfiram might be considered.

To withdraw from hydroxyzine, you will most likely be advised to taper off slowly by taking smaller and smaller doses over time with medical guidance. You may also get guidance on an improved diet and exercise regime to help you manage the symptoms of detox from hydroxyzine.

Therapies Used For Alcohol and Hydroxyzine Abuse Treatment

Various forms of behavioral therapy, such as cognitive-behavioral therapy (CBT) and motivational enhancement therapy (MET), are commonly used in addiction treatment to address the psychological aspects of substance abuse.

Participation in support groups, such as Alcoholics Anonymous (AA) or SMART Recovery, can provide a sense of community and encouragement for individuals in recovery.

Individual or group counseling sessions with a mental health professional can help address underlying issues contributing to substance abuse and provide coping strategies.

A comprehensive treatment plan is essential, addressing the physical, psychological, and social aspects of addiction. It should be tailored to the individual's specific needs and circumstances.

Long-term recovery often requires ongoing support. This may include continued therapy, participation in support groups, and involvement in aftercare programs.

Conclusion:

If you or a loved one suffer from hydroxyzine and alcohol abuse, reach out to us at Avenues Recovery so we can guide you on your path to recovery. Our staff are experts in the field of addiction and will do everything to help you reach sobriety. We have helped thousands of people recover and we can help you too. Our dedicated and professional staff use a wide array of therapies and personalize treatment plans to give every individual the unique help they need. At Avenues Recovery you will find unparalleled support and professionalism. We are committed to being there for you every step of the way to recovery. If you are serious about addiction recovery, contact us today so that we can begin the admission process. Reach out to take your first step towards a happier, healthier and sober future.

 

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