Over 80-year-old male with undiagnosed neurodegenerative disease. Haven't yet been receiving any specific treatment for that so far. Memory loss and disorientation in the reality leads to strong and uncontrollable anxiety, restlessness, and aggression attacks. No allergies known.
Atarax is an antihistamine. Its been around for a long time and has been used safely. It is cautioned in the elderly because there is the chance they won't metabolize it as fast and the side effects can be increased. As long as the person is observed for excessive drowsiness and dizziness, it would be ok. My biggest concern would be the chance of falls from the side effects. The other choices for this would be even worse with the side effects.
I think starting with 25mg would suffice but if you want to be more cautious and start lower that would be ok too. I read that the normal starting dose is 50mg.
DOSAGE AND ADMINISTRATION
For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: in adults, 50-100 mg q.i.d.; children under 6 years, 50 mg daily in divided doses; and over 6 years, 50-100 mg daily in divided doses.
For use in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus: in adults, 25 mg t.i.d. or q.i.d.; children under 6 years, 50 mg daily in divided doses; and over 6 years, 50-100 mg daily in divided doses.
As a sedative when used as a premedication and following general anesthesia: 50-100 mg in adults, and 0.6 mg/kg in children.
When treatment is initiated by the intramuscular route of administration, subsequent doses may be administered orally.
As with all medications, the dosage should be adjusted according to the patient's response to therapy.
Geriatric Use: A determination has not been made whether controlled clinical studies of VISTARIL (hydroxyzine) included sufficient numbers of subjects aged 65 and over to define a difference in response from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function and of concomitant disease or other drug therapy.
The extent of renal excretion of VISTARIL (hydroxyzine) has not been determined. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selections.
Sedating drugs may cause confusion and over sedation in the elderly; elderly patients generally should be started on low doses of VISTARIL (hydroxyzine) and observed closely.
- Atarax Information for Consumers
- Atarax Information for Healthcare Professionals (includes dosage details)
- Side Effects of Atarax (detailed)
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