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Generic Hydroxyzine Information
Introduction
Hydroxyzine is an antihistamine belonging to the piperazine class. It is widely used in Hong Kong for the relief of allergic symptoms, treatment of anxiety‑related tension, and as a sedative before medical procedures. The medication is licensed under the allergy drug group and is recognized by the Hong Kong Department of Health for both its antihistaminic and anxiolytic properties. In addition to its primary indication for allergic skin reactions, clinicians frequently prescribe hydroxyzine to manage generalized anxiety disorder, pruritus, and pre‑operative sedation.
What is Hydroxyzine?
Hydroxyzine is the generic version of Vistaril (also marketed as Atarax in some regions), containing the same active compound hydroxyzine. It was first developed in the 195s by the pharmaceutical company Sanofi‑Aventis (formerly Sanofi‑Synthelabo) and is currently manufactured by several licensed generic producers worldwide. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, ensuring the same therapeutic potency as the original brand.
How Hydroxyzine Works
Hydroxyzine exerts its effect primarily by antagonizing H₁ histamine receptors in peripheral tissues and the central nervous system. By blocking histamine binding, it reduces vasodilation, capillary permeability, and sensory nerve activation that underlie itching, rash, and urticaria. In the brain, hydroxyzine’s H₁ blockade, together with modest antagonism of muscarinic and serotonergic receptors, produces a calming effect that diminishes anxiety and facilitates sedation. Oral absorption is rapid, with a peak plasma concentration occurring within 30–60 minutes. The drug’s elimination half‑life ranges from 20 to 25 hours, allowing once‑ or twice‑daily dosing. Metabolism occurs chiefly via the hepatic cytochrome P450 system (CYP3A4), and metabolites are excreted renally.
Conditions Treated with Hydroxyzine
- Allergic Dermatitis and Urticaria – Hydroxyzine reduces histamine‑mediated itching and swelling, providing prompt relief for acute episodes.
- Pruritus of Chronic Liver Disease – The drug’s central antihistamine action alleviates severe itching that accompanies cholestasis.
- Generalized Anxiety Disorder (GAD) – Low‑dose hydroxyzine offers anxiolysis without the dependence risks of benzodiazepines.
- Pre‑operative Sedation – A single dose administered 30 minutes before minor procedures produces calmness and amnesia of the immediate environment.
In Hong Kong, allergic skin conditions affect an estimated 20 % of the population, with rising incidences due to urban pollution and lifestyle changes. Hydroxyzine’s dual antihistamine and anxiolytic actions make it a versatile choice for clinicians addressing both skin and mental health concerns.
Who is Hydroxyzine For?
Hydroxyzine is appropriate for adult patients (≥ 18 years) who require rapid control of histamine‑driven symptoms or mild‑to‑moderate anxiety. Typical candidates include:
- Individuals with acute urticaria, allergic rhinitis, or contact dermatitis unresponsive to first‑line H₁ antihistamines.
- Patients with chronic pruritus where conventional topical treatments have failed.
- Adults experiencing situational anxiety (e.g., before dental or surgical procedures) who prefer a non‑benzodiazepine option.
Hydroxyzine is contraindicated in patients with known hypersensitivity to hydroxyzine or any piperazine derivative. Caution is advised for those with severe hepatic impairment, congestive heart failure, or a history of prolonged QT interval. Pregnant or breastfeeding women should only use hydroxyzine under specialist supervision.
Risks, Side Effects, and Interactions
Common
- Drowsiness or sedation (most frequent, dose‑related).
- Dry mouth (anticholinergic effect).
- Mild headache.
- Light‑headedness, especially when rising quickly from a seated position.
Rare
- Blurred vision due to cycloplegia.
- Constipation or mild gastrointestinal upset.
- Temporary dysgeusia (altered taste).
Serious
- Cardiac arrhythmias, particularly QT prolongation in patients taking other QT‑prolonging agents.
- Severe skin reactions (e.g., Stevens‑Johnson syndrome, toxic epidermal necrolysis).
- Hepatic injury, manifested by elevated transaminases.
Drug–Drug Interactions
- Concurrent use of central nervous system depressants (e.g., alcohol, opioids, benzodiazepines) may amplify sedation and impair psychomotor performance.
- CYP3A4 inhibitors (e.g., ketoconazole, erythromycin) can increase hydroxyzine plasma levels, raising the risk of adverse effects.
- Co‑administration with other antihistamines or anticholinergics may intensify anticholinergic burden (dry mouth, constipation).
Patients should disclose all current medications, including over‑the‑counter products and herbal supplements, to their healthcare provider before initiating hydroxyzine.
Practical Use: Dosing, Missed Dose, Overdose
- Standard oral dosing for allergic indications typically starts at 25 mg three times daily; clinicians may increase to 50 mg three times daily based on response. For anxiety, a lower regimen of 25 mg once or twice daily is common.
- Intravenous or intramuscular formulations are reserved for procedural sedation, administered as a single 50–100 mg dose.
- Missed dose – If a dose is forgotten and the scheduled time is not yet near the next dose, take the missed tablet. If it is close to the next dose, skip the missed tablet and resume the regular schedule; do not double‑dose.
- Overdose – Symptoms may include profound sedation, hypotension, and cardiac rhythm disturbances. Immediate medical attention is required; supportive care and monitoring are the mainstays of treatment.
- Precautions – Avoid alcohol and sedating antihistamines while using hydroxyzine. Take the medication with food to reduce gastrointestinal irritation. Patients with renal impairment may need dose adjustment; a healthcare professional should evaluate renal function before prescribing.
Buying Hydroxyzine from Our Online Pharmacy
Hydroxyzine can be purchased discreetly from our online pharmacy in Hong Kong. Our service offers several advantages:
- Affordable pricing – Generic hydroxyzine is supplied at near‑manufacturer cost, providing significant savings over brand‑name products.
- Verified quality – We source only from licensed international suppliers that meet stringent GMP standards, ensuring product purity and potency.
- Guaranteed delivery – Orders are dispatched via express courier (typically 7 days) or regular airmail (approximately 3 weeks). All shipments are packaged discreetly to protect patient privacy.
- Online‑only access – Our pharmacy broker model partners with overseas licensed pharmacies, granting Hong Kong residents access to medications that may be limited in local retail outlets.
Patients who encounter barriers to obtaining hydroxyzine through traditional pharmacies or insurance schemes can safely acquire the generic alternative through our platform, respecting both cost considerations and confidentiality.
FAQ
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Is Hydroxyzine available in both brand‑name and generic forms in Hong Kong?
Yes. The medication is marketed under the brand names Vistaril and Atarax, as well as generic hydroxyzine produced by multiple manufacturers. Generic versions contain the same active ingredient and are typically more affordable. -
What is the recommended storage condition for hydroxyzine tablets?
Hydroxyzine tablets should be kept at room temperature (15–30 °C), protected from excess moisture, direct sunlight, and heat sources. Storing them in a bathroom cabinet is discouraged because humidity can degrade the formulation. -
Does hydroxyzine require any special handling when traveling internationally?
When traveling, keep the medication in its original packaging with a copy of the prescription or a letter from a healthcare provider, as some jurisdictions may request documentation for personal import. Avoid exposing the tablets to extreme temperatures during transit. -
Are there differences in hydroxyzine formulations between regions such as the US, EU, and Asia?
Minor formulation variations exist, primarily in inactive excipients used to stabilize the tablet. The active hydroxyzine hydrochloride content remains consistent worldwide, ensuring equivalent therapeutic effects. -
Can hydroxyzine be safely imported for personal use in Hong Kong?
The Hong Kong Customs and Excise Department permits personal import of up to a 30‑day supply of prescription medications for personal use, provided a valid prescription is presented. Our online pharmacy assists in complying with these regulations. -
What are the known contraindications for hydroxyzine in Asian populations?
No specific ethnic contraindications have been identified. However, clinicians may monitor Asian patients more closely for QT‑interval prolongation, as some studies suggest a modestly higher prevalence of certain cardiac channelopathies. -
Does hydroxyzine interact with common over‑the‑counter antihistamines?
Combining hydroxyzine with other antihistamines can increase anticholinergic side effects (dry mouth, constipation) and may enhance sedation. Patients should consult a pharmacist before using multiple antihistamines simultaneously. -
How does hydroxyzine compare to older antihistamines such as diphenhydramine?
Hydroxyzine shares sedative properties with diphenhydramine but has a longer half‑life and a broader anxiolytic profile. It is often preferred for chronic anxiety and pruritus because it provides sustained relief without the rapid anticholinergic peaks seen with diphenhydramine. -
What laboratory tests are advisable before starting hydroxyzine?
Baseline liver function tests are recommended, especially in patients with known hepatic disease. An ECG may be warranted for individuals with cardiac risk factors, to assess QT interval before initiating therapy. -
Is hydroxyzine compatible with alcohol consumption?
Alcohol potentiates the central nervous system depressant effects of hydroxyzine, increasing drowsiness and impairing coordination. Patients are advised to avoid or limit alcohol while taking the medication.
Glossary
- Histamine H₁ Receptor
- A protein on cell surfaces that, when activated by histamine, leads to allergy symptoms such as itching, vasodilation, and increased vascular permeability.
- QT Interval
- A measurement on an electrocardiogram representing the time for ventricular depolarization and repolarization; prolongation can predispose to arrhythmias.
- Cytochrome P450 (CYP) Enzymes
- A family of liver enzymes responsible for metabolizing many drugs, including hydroxyzine (primarily CYP3A4).
⚠️ Disclaimer
The information provided about Hydroxyzine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Hydroxyzine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Hydroxyzine in online pharmacy asia
Please note that this medicine is a generic version of Hydroxyzine.One can buy Generic Hydroxyzine online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to hydroxyzine and fully familiar with medication Hydroxyzine;
- No paper instructions about side effect warnings or usage directions are sent with Generic Hydroxyzine medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.