Atarax 25mg Tablet (Hydroxyzine): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Palpitations, fainting, or irregular heartbeat
- Severe allergic reaction with swelling of face, lips, or throat
- Difficulty breathing or shortness of breath
- Confusion, hallucinations, or severe drowsiness
- Inability to urinate or severe abdominal pain
- Seizures
- Yellowing of skin or eyes, dark urine, or severe abdominal pain
If experiencing severe symptoms, call emergency services immediately.
What is atarax 25mg tablet used for?
This medicine is an antihistamine used to treat itching, allergic skin reactions, anxiety, and nausea. It works by blocking histamine and acetylcholine receptors, causing sedation and reducing allergic symptoms. It is taken orally, usually 25 mg three to four times daily, but the dose must be individualized by a doctor.
- Generic Name: Hydroxyzine
- Manufacturer: Dr Reddy's Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 atarax 25mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा हाइड्रोक्सीज़िन 25 मिलीग्राम की एक टैबलेट है, जिसका उपयोग मुख्य रूप से एलर्जी के कारण होने वाली खुजली, चकत्ते, और सूजन को कम करने के लिए किया जाता है। यह चिंता और तनाव को कम करने में भी मदद करती है और मतली व उल्टी को रोकने के लिए भी इस्तेमाल की जाती है। यह दवा दिमाग में हिस्टामिन नामक पदार्थ को ब्लॉक करके काम करती है, जिससे एलर्जी के लक्षण कम होते हैं और नींद आती है। इस दवा को डॉक्टर की सलाह के अनुसार ही लें। इसे शराब के साथ न लें क्योंकि इससे नींद और बढ़ सकती है। गर्भवती महिलाओं और स्तनपान कराने वाली महिलाओं को इसका उपयोग करने से पहले डॉक्टर से परामर्श करना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुँह सूखना, सिरदर्द और थकान शामिल हैं। कुछ लोगों को चक्कर आना, धुंधली दृष्टि या कब्ज भी हो सकती है। ये प्रभाव आमतौर पर हल्के होते हैं और शरीर के अभ्यस्त होने पर कम हो जाते हैं। गंभीर दुष्प्रभावों में अनियमित दिल की धड़कन, गंभीर एलर्जी प्रतिक्रिया, भ्रम और पेशाब करने में कठिनाई शामिल हैं। यदि आपको कोई गंभीर दुष्प्रभाव महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक को बढ़ाएँ नहीं और न ही इसे निर्देश से अधिक बार लें। जब तक आपको पता न चल जाए कि यह दवा आप पर कैसे असर करती है, तब तक वाहन चलाने या भारी मशीनरी चलाने से बचें, क्योंकि इससे बहुत नींद आ सकती है। इस दवा के साथ शराब न पिएँ, क्योंकि इससे नींद और बढ़ सकती है और आपकी सोचने-समझने की क्षमता प्रभावित हो सकती है। अपने डॉक्टर को उन सभी दवाओं के बारे में बताएं जो आप ले रहे हैं, खासकर जो दिल की धड़कन को प्रभावित करती हैं या नींद लाती हैं। यदि आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं, या स्तनपान करा रही हैं, तो इस दवा का उपयोग करने से पहले अपने डॉक्टर से परामर्श करें। इस दवा को बच्चों की पहुँच से दूर रखें। इसे कमरे के तापमान पर, नमी और सीधी धूप से दूर रखें।
💊 atarax 25mg tablet Uses & Benefits
[{"condition":"Allergic pruritus and urticaria","description":"Relieves itching and skin reactions associated with allergies by blocking histamine H1 receptors.","evidence":"Well-established"},{"condition":"Anxiety and tension","description":"Short-term management of anxiety and tension, often used as a premedication before surgery.","evidence":"Well-established"},{"condition":"Nausea and vomiting","description":"Used as an antiemetic, particularly for motion sickness and postoperative nausea.","evidence":"Moderate"},{"condition":"Preoperative sedation","description":"Provides sedation and reduces anxiety before surgical procedures.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Insomnia","description":"Sometimes used off-label for short-term management of insomnia due to its sedative effects.","evidence":"Limited"},{"condition":"Chronic pruritus in liver disease","description":"May be used off-label to relieve itching in cholestatic liver disease.","evidence":"Limited"}]
Primary treatment for: Allergic pruritus and urticaria
Also treats: Anxiety, Nausea and vomiting, Preoperative sedation
📋 Drug Information
| Generic Name(s) | Hydroxyzine |
| Brand Name | Atarax |
| Manufacturer | Dr Reddy's Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | H1 Antihistaminics (First Generation) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works primarily by competitively blocking histamine H1 receptors in the central nervous system and peripheral tissues. This blockade prevents histamine from binding to its receptors, thereby reducing allergic symptoms such as itching, sneezing, and runny nose. Additionally, it has anticholinergic effects by blocking muscarinic receptors, which contributes to its antiemetic and drying effects. It also has some central nervous system depressant activity, which explains its sedative and anxiolytic properties.
Mechanism Steps
💡 How to Take atarax 25mg tablet
Strength: 25 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for anxiety is 25 mg to 100 mg taken three to four times daily. For itching, the usual dose is 25 mg taken three to four times daily. For nausea and vomiting, the dose is 25 mg to 100 mg taken every 4 to 6 hours as needed. The maximum recommended dose is 100 mg per day for anxiety and 600 mg per day for other indications, but these limits may vary. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to the sedative and anticholinergic effects of this medicine. The starting dose should be lower, and the dose should be titrated slowly. Use with caution due to increased risk of confusion, falls, and urinary retention. |
| Renal Impairment | Dose adjustment may be necessary in patients with renal impairment. Consult your doctor for specific dosing recommendations. |
| Hepatic Impairment | Dose adjustment may be necessary in patients with hepatic impairment. This medicine is contraindicated in severe liver disease. Consult your doctor for specific dosing recommendations. |
| Maximum Daily Dose | The maximum daily dose for adults is generally 100 mg for anxiety and up to 600 mg for other indications, but this must be individualized by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of atarax 25mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| CNS depressants | Major | |
| QT-prolonging drugs | Major | |
| MAOIs | Major | |
| Anticholinergic drugs | Moderate | |
| Opioid analgesics | Moderate | |
| Beta-blockers | Moderate | |
| Corticosteroids | Minor | |
| Sympathomimetics | Minor |
🚨 Major Interactions
- CNS depressants (e.g., opioids, benzodiazepines, alcohol)
- QT-prolonging drugs (e.g., amiodarone, sotalol, certain antipsychotics)
- Monoamine oxidase inhibitors (MAOIs)
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., benztropine, oxybutynin)
- Opioid analgesics
- Beta-blockers
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can significantly increase sedation, drowsiness, and impair your ability to drive or operate machinery. It can also increase the risk of respiratory depression.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to hydroxyzine or any component of the formulation","Prolonged QT interval or history of torsades de pointes","Severe liver disease","Use with MAOIs","Pregnancy (especially third trimester)","Breastfeeding"]
⚠️ Warnings & Precautions
["May cause significant drowsiness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol and other CNS depressants.","Use with caution in elderly patients due to increased risk of confusion, falls, and urinary retention.","Use with caution in patients with glaucoma, urinary retention, or prostatic hyperplasia.","May prolong QT interval; use with caution in patients with cardiac disease or electrolyte abnormalities.","Do not stop abruptly if taken for long periods; consult your doctor for tapering.","Keep out of reach of children."]
🤱 Lactation Safety
This medicine passes into breast milk and may cause drowsiness in a nursing infant. It is not recommended for use during breastfeeding. If you must take this medicine, consult your doctor to discuss the risks and benefits, and monitor your baby for excessive sleepiness.
💊 Overdose Management
Overdose of this medicine can cause severe drowsiness, confusion, seizures, respiratory depression, and cardiac arrhythmias. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic, including monitoring of vital signs, ECG, and management of seizures or arrhythmias. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase the dose or take it more often than directed. Avoid driving or operating heavy machinery until you know how this medicine affects you, because it can cause significant drowsiness. Do not drink alcohol while taking this medicine, as it can increase sedation and impair your ability to think clearly. Tell your doctor about all other medicines you are taking, especially those that affect heart rhythm or cause drowsiness. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of the reach of children. Store it at room temperature, away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative and anticholinergic effects of this medicine. They are at higher risk of confusion, falls, urinary retention, and constipation. The starting dose should be lower, and the dose should be titrated slowly. Regular monitoring for these side effects is recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly necessary. Discuss alternative treatments that may be safer for you and your baby.
🏥 Post-Surgery Considerations
This medicine may be used as a premedication before surgery to reduce anxiety and provide sedation. After surgery, it may be used for nausea and vomiting. However, it can increase the sedative effects of anesthesia and other postoperative medications. Inform your surgeon and anesthesiologist that you are taking this medicine.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it can cause dry mouth and increase the risk of dental problems. It may also interact with sedatives used during dental procedures. Your dentist may recommend adjusting your dose or taking precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, which may affect your ability to exercise safely. Avoid activities that require alertness, such as weightlifting or high-intensity interval training, until you know how the medicine affects you. If you experience dizziness or lightheadedness during exercise, stop and rest.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause significant drowsiness, which may affect your ability to perform tasks that require alertness, such as driving, operating machinery, or working at heights. It is advisable to avoid these activities until you know how the medicine affects you. If your work requires mental alertness, discuss with your doctor about timing the dose to minimize impact.
🛑 When to Stop This Medicine
Do not stop taking this medicine abruptly without consulting your doctor, especially if you have been taking it for a long time. Your doctor may recommend a gradual tapering schedule to avoid withdrawal symptoms. If you experience any serious side effects, seek medical attention immediately.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to tolerance to its sedative effects, and there is a risk of dependence. It may also cause anticholinergic side effects such as dry mouth, constipation, and urinary retention. Regular monitoring of heart rhythm, liver, and kidney function may be necessary with prolonged use. It is important to review the need for continued use with your doctor periodically.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Effective for anxiety and insomnia without medication side effects.
Evidence: Well-establishedDeep breathing, meditation, and yoga can help reduce anxiety and improve sleep.
Evidence: Well-establishedFor allergic symptoms, topical treatments may be an alternative.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a vaccine, inform your healthcare provider that you are taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. This is important for customs and security checks. If you are crossing time zones, adjust your dosing schedule gradually to avoid missing doses. Store the medicine in a cool, dry place, and avoid exposing it to extreme temperatures. If you are traveling by air, keep it in your carry-on luggage to prevent loss. Consult your doctor before traveling if you have any concerns about taking this medicine while away from home.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 15 to 30 minutes after oral administration, with peak effects in 2 to 4 hours.
A: This medicine can be taken daily for short periods as prescribed by your doctor. Long-term use should be monitored by a healthcare professional.
A: Avoid alcohol, driving, and operating heavy machinery until you know how this medicine affects you. Also avoid other CNS depressants unless approved by your doctor.
A: This medicine is not considered habit-forming in the traditional sense, but it can cause dependence if used for long periods. It should be used only as prescribed.
🤔 Common Patient Concerns
🔄 Substitutes for atarax 25mg tablet
View AllAlternative brands with exact same active ingredient:
-
hydrogn 25 tabletZeelab Pharmacy Pvt Ltd ₹8.00 92.5% CHEAPER
-
d rax 25mg tabletD D Pharmaceuticals ₹14.00 86.8% CHEAPER
-
drhyd 25mg tabletDR Best pharmaceuticals Pvt Ltd ₹14.06 86.8% CHEAPER
-
geozen 25mg tabletDermawin Pharmaceuticals ₹14.06 86.8% CHEAPER
-
zoxin 25mg tabletPifer Pharmaceuticals Pvt Ltd ₹14.06 86.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: This medicine is an antihistamine with sedative properties, but it is not approved as a primary treatment for insomnia. It is used for allergies, anxiety, and nausea. - Myth: This medicine is safe to take with alcohol.
Fact: Alcohol should be avoided because it can increase sedation and impair your ability to drive or operate machinery. - Myth: This medicine can be taken indefinitely without any monitoring.
Fact: Long-term use should be monitored by a doctor, especially for heart rhythm, liver, and kidney function.
🔄 Alternative Options
Generic Alternatives
- Hydroxyzine hydrochloride
Brand Alternatives
- Atarax 25mg Tablet