Hydroxyzine for Sleep: Dosage, Benefits, and Side Effects

Hydroxyzine is a medication used to treat itching or hives caused by an allergic reaction. It belongs to a class of drugs called antihistamines. Hydroxyzine works by blocking the effect of histamine, a substance released by the body that promotes an allergic reaction. It also has sedative effects, which means it induces sleepiness and, therefore, is used as a sedative to relieve anxiety and tension in children and adults.

Hydroxyzine is not FDA-approved for the treatment of insomnia, but may sometimes be prescribed as a sedative. Only a licensed healthcare provider can determine the effective dosage of the medications.

If you are struggling with sleep issues, anxiety, or stress, consult your doctor to discuss your symptoms and receive the right treatment plan tailored to your specific needs.

Prevalence of Sleep Deprivation in the United States

• Many people in the United States face the problem of sleep deprivation. 1 in 3 Americans doesn’t get enough sleep they need to maintain their mental health.
• Studies found that nearly 14.5% of adults experience difficulty falling asleep most days or daily. (2020)
• Women (17.15%) are more likely to experience difficulty falling asleep compared to men (11.7%)

That is why many people start taking medication to improve their sleep. One such medication is Hydroxyzine. However, consulting a doctor is essential before taking any new medication. 

What is Hydroxyzine and is It Used for Sleep?

Hydroxyzine is an antihistamine used to control itching caused by allergies. It is FDA-approved for the treatment of anxiety (short-term treatment of anxiety and stress) or as a sedative before and after anesthesia. 

While it has sedative effects, causing drowsiness and sleepiness, this does not mean it is officially approved for sleep. Doctors may sometimes prescribe it off-label for sleep, particularly when insomnia is due to anxiety. However, it is best to consult a doctor before using it for sleep issues or insomnia.

Hydroxyzine comes in the following forms:

1. Tablet
2. Capsule
3. Syrup

Follow the doctor’s advice and take it as prescribed to ensure safety and effectiveness.

How Does Hydroxyzine Work for Sleep?

Imagine that your body has worry signals triggered by a chemical messenger named Histamine. Hydroxyzine works like a blocker. It blocks the worry signal and reduces the body’s sensitivity to these signals, leading to drowsiness. It helps with allergies and sleep problems. Hydroxyzine provides relief to individuals who experience sleep disturbances as a result of anxiety or stress.

Dosage Guidelines of Hydroxyzine for Sleep and Anxiety

1. For anxiety relief

i. Children

The dosage for children may depend on body weight. A typical dose for children is 2 mg/kg per day, divided into 3 or 4 doses.

ii. Adults

For adults, it’s 50-100 mg taken up to 4 times a day.

2. For Allergic reactions

i. Children

The dosage for children is 50-100mg daily

ii. Adults

For adults, it is 25mg twice or thrice daily

3. As a sedative

i. Children

The recommended dose for children is 0.6 mg/kg orally

ii. Adults

For adults, it is 50-100mg.

It is always essential to consult your doctor before taking Hydroxyzine. Only a licensed healthcare provider can determine the right dosage for you or your child. Self-medication can lead to overdose, misuse, and serious harm.

Overdose of Hydroxyzine

If you have taken more medication than prescribed (overdose), you may experience symptoms such as:

1. Nausea and vomiting
2. Severe drowsiness
3. Tremors
4. Loss of consciousness
5. Blurred vision
6. Seizures (in severe cases)

If you suspect an overdose, call 911 immediately (for the U.S) or seek emergency medical attention at the nearest hospital.