Measure the medicine with a marked measuring spoon, oral syringe, or medicine cup. The dose of this medicine will be different for different patients. The average household teaspoon may not hold the right amount of liquid. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. Do not keep outdated medicine or medicine no longer needed. Include providing total management of long-term anxiety and tension, managing anxiety and tension in which the causative stress is temporary (e.g., dental or other surgical procedures), providing preoperative sedation, allaying of apprehension and anxiety in the cardiac-risk patient, and managing nausea and vomiting. as a sole drug is limited to the management of children with mild-to-moderate fear. It is often used in combination with either meperidine or chloral hydrate for management of more fearful pediatric patients. will potentiate the CNS-depressant actions of drugs such as barbiturates, opioids, alcohol, sedative-hypnotics, and antianxiety drugs. Dosages of these drugs should be decreased by 50% when they are administered concurrently with pamoate (Vistaril) are indicated for administration in patients who are older than 3 years, including adolescents. It is most effective in the management of very apprehensive, excited, agitated, and emotionally disturbed children. 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Use of hydroxyzine for premedication as a sedative has no effects on tropane alkaloids, such as atropine, but may, following general anesthesia, potentiate meperidine and barbiturates, and use in pre-anesthetic adjunctive therapy should be modified depending upon the state of the individual. The administration of hydroxyzine in large amounts by ingestion or intramuscular administration during the onset of pregnancy can cause fetal abnormalities—when administered to pregnant rats, mice and rabbits, hydroxyzine caused abnormalities such as hypogonadism with doses significantly above that of the human therapeutic range. Hydroxyzine is contraindicated for intravenous (IV) injection, as it has shown to cause hemolysis. Insomnia is a major problem in the population with over thirty percent of people reporting some difficulties with falling asleep or staying asleep. One of the main complaints reported by individuals coming into treatment for addiction is insomnia. Clinical research has demonstrated that insomnia is often related to medical conditions but also related to psychological disorders, including substance abuse and dependence. This article will discuss some of the most commonly used medications for the treatment of insomnia in a chemical dependency setting, as well as the more commonly used cognitive and behavioral techniques used to treat insomnia. This article is not intended to cover every medication available for insomnia, such as hypnotics (e.g. Ativan), nor is this article intended to address the more common side effects of the medications discussed. This article is intended to provide an overview of real life practice in a residential treatment program. The number one complaint that I hear from clients is insomnia, and the number one concern is how I will treat their insomnia. Hydroxyzine hcl 25 mg tablet for sleep What is Vistaril Hydroxyzine? 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