Hydroxyzine
As-needed anxiety and sleep support, non-habit-forming
An antihistamine with genuine anxiolytic effect, used as needed for situational anxiety or difficulty falling asleep. Like buspirone it carries no DEA schedule, which is why it is here and the sedative-hypnotics patients ask about are not.
Our nurse practitioner treats uncomplicated depression and anxiety within primary-care scope. We are not a psychiatric practice. Bipolar disorder, psychosis, eating disorders, substance use disorder, active suicidal thinking and anyone already under a psychiatrist are referred out rather than started here — and we will help you find that care. We also do not prescribe benzodiazepines, stimulants or any other controlled substance.
Regulatory status
FDA-approved finished drug product.
Frequency
As needed, oral
Route
Oral
Supply
30-day supply
Minimum age
18+
What patients get from this
- Works within an hour, unlike a daily SSRI
- No dependence or withdrawal
- Useful for sleep onset as well as anxiety
- Not a controlled substance
We will not prescribe this if
- Congenital long QT syndrome
- Concurrent QT-prolonging medication
- Current pregnancy or breastfeeding
- Narrow-angle glaucoma
The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.
Labs your NP may order
- No routine baseline labs are required for this treatment.
Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.
Please read
- Causes drowsiness. Do not drive or operate machinery until you know how it affects you.
- For occasional use. Daily reliance on a sedating antihistamine is a reason to revisit the plan with your NP.
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