Hydroxyzine HCL 50mg

Generic For: Vistaril

Hydroxyzine HCL 50mg (brand name Vistaril) is a prescription antihistamine used to relieve anxiety and tension, calm itching caused by allergic skin conditions, and provide sedation before or after certain medical procedures. After a licensed provider reviews your prescription, your order ships from a licensed U.S. pharmacy.

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Buy Hydroxyzine HCL 50mg Online

An antihistamine tablet used for anxiety, itching from allergic skin conditions, and pre-procedure sedation

Hydroxyzine HCL 50mg Quick Facts

Drug classFirst-generation antihistamine
TreatsAnxiety, allergic itching (pruritus), pre-procedure sedation
FormTablet
Typical dosingTake 1 tablet by mouth up to 3 times daily as needed for allergy symptoms or itching.
Prescription requiredYes — prescription only

What Is Hydroxyzine HCL 50mg?

Hydroxyzine HCL is a first-generation antihistamine available under the brand name Vistaril. It works by blocking histamine, a natural substance involved in allergic reactions, and it also has calming effects on the central nervous system. Doctors prescribe hydroxyzine HCL for short-term relief of anxiety and tension, itching from allergic conditions such as hives and contact dermatitis, and as a sedative before or after anesthesia. It is available by prescription only in tablet form.

What Does Hydroxyzine HCL 50mg Treat?

Anxiety and tension (short-term symptomatic relief)
Itching (pruritus) from allergic conditions
Chronic hives (urticaria)
Atopic and contact dermatitis
Sedation before and after general anesthesia
Histamine-mediated pruritus

Hydroxyzine HCL 50mg Dosage

Anxiety: 50–100 mg by mouth 4 times daily.
Pruritus: 25 mg by mouth 3–4 times daily.
Pre/post-anesthesia sedation: 50–100 mg by mouth as a single dose.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Hydroxyzine HCL 50mg Side Effects

Common side effects

  • Drowsiness
  • Dry mouth
  • Dizziness
  • Headache
  • Blurred vision
  • Constipation
  • Confusion (especially in older adults)

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Irregular or fast heartbeat (QT prolongation, torsade de pointes)
  • Severe skin reactions (rash, blistering, pustules)
  • Involuntary movements or tremor
  • Seizures
  • Signs of allergic reaction (swelling, difficulty breathing)

Warnings & Interactions

Do not use in early pregnancy; contraindicated in pregnancy per FDA labeling
Avoid alcohol and other CNS depressants; effects may be intensified
May cause QT prolongation; use caution with heart rhythm conditions or QT-prolonging drugs
Causes drowsiness; do not drive or operate machinery until you know how it affects you
Use caution in older adults due to increased sedation and anticholinergic effects
Contraindicated with known hypersensitivity to hydroxyzine or cetirizine
Tell your provider about all medications, including sedatives, opioids, and antidepressants

Tell your prescriber about all medications, supplements, and health conditions before starting hydroxyzine hcl 50mg.

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Frequently Asked Questions

What is hydroxyzine HCL used for?

Hydroxyzine HCL is an antihistamine prescribed for short-term relief of anxiety and tension, itching caused by allergic skin conditions such as hives and dermatitis, and sedation before or after medical procedures. Your provider will determine whether it is appropriate for your situation.

Do I need a prescription for hydroxyzine HCL 50mg?

Yes. Hydroxyzine HCL is a prescription-only medication in the United States. A valid prescription from a licensed healthcare provider is required before we can dispense it.

How does ordering and shipping work?

After you place your order and provide a valid prescription, a licensed pharmacist reviews it for safety and accuracy. Once approved, your medication ships from our licensed U.S. pharmacy in discreet packaging.

Is hydroxyzine HCL the same as Vistaril?

Vistaril is a brand name associated with hydroxyzine; hydroxyzine HCL is the generic hydrochloride salt form available as tablets. Both contain the same active ingredient and are used for similar FDA-approved indications.

How quickly does hydroxyzine HCL work?

Hydroxyzine typically begins working within 15 to 30 minutes of an oral dose, with effects that may last several hours. Follow your provider's directions on dose and timing.

Can I drink alcohol while taking hydroxyzine HCL?

No. Alcohol can intensify the drowsiness and sedation caused by hydroxyzine and should be avoided. Also tell your provider about other sedating medications you take.

Is hydroxyzine HCL habit-forming?

Hydroxyzine is not a controlled substance and is not considered habit-forming. However, it should only be used as directed and for the duration your provider recommends.