How Long Does Hydroxyzine (Vistaril) Take to Work for Anxiety?

Anxiety can feel overwhelming—whether you're stuck in Atlanta traffic on I-85 or facing a stressful work deadline in Gwinnett County. If your psychiatrist has prescribed hydroxyzine (brand names Vistaril or Atarax), you're probably wondering how quickly it will help. The good news: hydroxyzine typically starts working within 15-30 minutes, making it one of the faster-acting anxiety medications available.

What Is Hydroxyzine?

Hydroxyzine is an antihistamine medication that's FDA-approved for treating anxiety and tension. While it's primarily known for treating allergies, hydroxyzine also has calming properties that suppress certain activity in the brain's emotional centers.

One significant advantage that appeals to many of our patients at Next Step Psychiatry is that hydroxyzine isn't a controlled substance—unlike benzodiazepines such as Xanax. This means there's no risk of developing a substance use disorder, making it a safer long-term option for many people.

How Quickly Does Hydroxyzine Work?

Hydroxyzine is rapidly absorbed by your body, which means you can expect to feel its anxiety-relieving effects relatively quickly:

• 15-30 minutes: Initial calming effects begin
• 2-3 hours: Full benefits of the medication are typically felt

Individual responses vary based on factors like age, metabolism, and any existing health conditions. Dr. Aneel Ursani and Fathima Chowdhury PA-C at our Lilburn office work with each patient to find the right dose and timing.

Signs Hydroxyzine Is Working

How will you know hydroxyzine is helping? Look for these positive changes:

• Racing thoughts begin to slow down
• Physical tension in your body decreases
• Breathing becomes easier and more relaxed
• Overall sense of calm replaces anxious feelings

Remember that everyone responds differently to medication. While some patients experience significant relief, others may need dosage adjustments or a different medication altogether. That's why regular follow-up appointments are so important.

Common Side Effects to Know

The most frequently reported side effects of hydroxyzine include:

• Drowsiness or sleepiness (the most common effect)
• Dry mouth
• Headache
• Dizziness

These side effects are typically mild and short-lasting. If you experience drowsiness, avoid driving or operating machinery until you know how hydroxyzine affects you. Contact our office if side effects persist or worsen.

Important Safety Considerations

To ensure your safety while taking hydroxyzine, be aware of these interactions and precautions:

• Avoid alcohol: Can increase drowsiness significantly
• Other sedating medications: Including OTC antihistamines like Benadryl, opioids, and muscle relaxants
• Pregnancy and breastfeeding: Discuss with your provider and OB/GYN before taking

Always inform your psychiatrist about all medications and supplements you're taking—even over-the-counter products.

What If Hydroxyzine Isn't Working?

If you're not experiencing relief from hydroxyzine, don't adjust your dose on your own. Instead, schedule a follow-up with your provider. There are numerous other anxiety treatment options available, including:

• SSRIs like Lexapro or Zoloft
• SNRIs like Effexor or Cymbalta
• Buspirone (BuSpar)
• Beta-blockers for physical symptoms
• Therapy approaches like CBT

Comprehensive Anxiety Treatment in Metro Atlanta

At Next Step Psychiatry, we understand that managing anxiety requires more than just medication. Our team provides comprehensive psychiatric care to residents throughout Lilburn, Lawrenceville, Stone Mountain, Tucker, and the greater Gwinnett County area.

Whether you're a busy professional in Peachtree Corners, a student at Georgia Gwinnett College, or a retiree in Snellville, we're here to help you find the right treatment approach for your unique situation.

Frequently Asked Questions

Is hydroxyzine the same as Xanax?

No. Hydroxyzine is an antihistamine, while Xanax is a benzodiazepine. Hydroxyzine is not addictive and is not a controlled substance, making it a safer option for many patients.

Can I take hydroxyzine every day?

Hydroxyzine can be taken as needed or on a scheduled basis depending on your treatment plan. Your psychiatrist will determine the best approach for your situation.

Will hydroxyzine make me feel "high" or sedated?

Hydroxyzine may cause drowsiness, but it doesn't produce the euphoric effects associated with controlled substances. Many people find the calming effect helpful without feeling impaired.