Anxiety disorders affect approximately 40 million Americans , making it one of the most common mental illnesses. There are a variety of types of treatment for anxiety. Cognitive-behavioral therapy focuses on identifying, understanding, and changing your thinking and behavioral patterns to help you better cope with your anxiety. Alternative treatments such as yoga, meditation, and acupuncture have proven effective for some in alleviating anxiety.
Treatment with medication remains a predominant mode of treatment for anxiety. There are several classes of medications indicated in the treatment of anxiety including selective serotonin reuptake inhibitors SSRIs , selective norepinephrine reuptake inhibitors SNRIs , tricyclic antidepressants, and benzodiazepines. Your healthcare provider may recommend a combination of treatment types based on your symptoms.
Vistaril hydroxyzine pamoate is a piperazine class sedating antihistamine used commonly in the treatment of transient anxiety symptoms. Vistaril is a prescription-only drug. It blocks the H1 histamine receptor. Its exact mechanism for relieving anxiety is unknown, though we do know that blocking the H1 receptor in the central nervous system leads to sedation, antiemetic, analgesic, and skeletal muscle relaxant effects. Vistaril What is Vistaril? Sign up for Vistaril price alerts and find out when the price changes!
Get price alerts. Xanax alprazolam is a benzodiazepine used commonly in the treatment of short-term anxiety and generalized anxiety disorder. Other benzodiazepines include Ativan lorazepam , Klonopin clonazepam , and Valium diazepam. Xanax is a prescription-only drug and is also categorized as a controlled substance by the Drug Enforcement Agency DEA.
Xanax works through the central nervous system CNS by inhibiting reticular pathways responsible for many types of emotional responses, including anxiety.
Xanax What is Xanax? An extended-release tablet is available in strengths of 0. Vistaril is indicated in the treatment of anxiety , tension, and psychomotor agitation in conditions of emotional distress. Due to its actions on histamine receptors, Vistaril is also indicated in treating pruritus itching due to conditions of chronic urticaria, contact dermatitis, and atopic dermatitis. Vistaril is used in the treatment of nausea and vomiting due to both pregnancy and post-operative causes.
It is also approved to provide sedation for procedures. Vistaril is also used off-label for some indications. Vistaril is used off-label for the temporary treatment of insomnia due to its somnolence effects.
It is also used off-label to treat seasonal allergic rhinitis season allergies. Xanax is indicated in the treatment of transient symptoms of anxiety as well as generalized anxiety disorder GAD. It is also indicated in the treatment of panic disorder. Xanax can be used off-label to relieve anxiety and mood disorders related to premenstrual dysphoric disorder PMDD. A double-blind, controlled clinical study compared the anxiolytic, sedative, amnesia, and safety effects of the ingredients of Vistaril and Xanax on pre-procedural patients.
This study found that Vistaril produced essentially no effect on anxiety for these patients, compared to a moderate effect produced by Xanax. The two drugs were comparable in regards to effects in somnolence and memory, but the effects of hydroxyzine lead to a more pronounced decrease in blood pressure. While they are both effective pre-procedural drugs, Xanax may be preferred due to its more pronounced effect on anxiety and adverse event profile.
Only your doctor can decide which anxiety treatment is best for you. If you are experiencing anxiety or other symptoms of a mental health disorder, seek medical advice. Do not attempt to self-medicate or take over-the-counter medications. Vistaril is a prescription medication that is typically covered by both Medicare and commercial insurance plans.
Xanax is a prescription medication that is typically covered by commercial insurance plans. Medicare drug plans may or may not cover Xanax. It is excluded from some plans. Use the SingleCare discount card.
Anticholinergic side effects are common with both Vistaril and Xanax forms of arrhythmia. Drowsiness, or somnolence, is a side effect of both drugs. Drowsiness can affect daily productivity and should be weighed against the benefits of treatment. Dry mouth also affects patients taking either Vistaril or Xanax. While there are remedies for dry mouth such as gum and mouth rinse, it may be very bothersome for some. Vistaril is known to cause QT prolongation and Torsade de Pointes forms of arrhythmia.
Vistaril should be avoided in patients with a known history of QT prolongation or risk factors such as pre-existing cardiac disease, electrolyte imbalances, and drug use. The following list is not intended to be a comprehensive list of adverse events. Consult your healthcare provider for a complete list of potential side effects. Vistaril should be avoided with both long- and short-acting beta agonists, such as albuterol or formoterol.
Beta agonists are linked to the incidence of QT prolongation and Torsade de Pointes, and concurrent use with Vistaril increases the risk of these adverse events. Vistaril and Xanax combined with opioid agonists may greatly increase the risk of severe drowsiness and somnolence. Xanax combined with opioid agonists may lead to severe respiratory depression and hypotension low blood pressure. Diazepam Valium , temazepam Restoril and alprazolam Xanax are prescribed to treat anxiety.
And doxylamine Unisom is a sleep aid. But considering the powerful nature of the drugs in the mix, say doctors, it's little surprise that the drug combination turned out to be fatal.
Ledger's death may even serve as a warning sign for those who take prescription medications regularly for both pain relief and anxiety. Donna Seger, associate professor of medicine and emergency medicine at Vanderbilt University Medical Center in Nashville. To continue to have effect, doses have to be increased. Despite the potential for danger, it is not uncommon for a doctor to prescribe both a painkiller and an anti-anxiety medication to a single patient.
Thakkar agrees. The combination would have had what is known as an additive effect. In short, this means that the depressive effects of each of these medications would have piggy-backed on each other. Hydrocodone and oxycodone, for example, can depress activity in the area of the brain that tells you to breathe, Zacny says. Diazepam, temazepam and alprazolam in high or combined doses can decrease respiration.
On top of this, the sleeping pill Ledger took could have further depressed the systems in his body that kept him breathing. But how could Ledger have gotten access to all these medications? Fairly easily, Thakkar notes.
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