The Dangers of Stopping Hydroxyzine Cold Turkey

Hydroxyzine is a medication commonly prescribed for treating anxiety allergies, nausea vomiting, and trouble sleeping. It works by blocking histamine receptors in the body and central nervous system to provide relief from these symptoms. However, some people may be tempted to stop taking hydroxyzine abruptly or “cold turkey” once their symptoms improve. But is this safe? In this comprehensive guide, we’ll explore the risks of quitting hydroxyzine cold turkey and safer methods for discontinuing use.

What is Hydroxyzine?

Hydroxyzine is classified as an antihistamine. It is sold under brand names like Atarax, Vistaril, and Rezine. Hydroxyzine is available in tablet, capsule, and syrup forms by prescription only. Common uses include:

• Short-term management of anxiety or tension
• Allergic reactions like hives or itching
• Nausea, vomiting, and upset stomach
• Trouble sleeping

While hydroxyzine is not generally considered addictive, stopping it abruptly can still be problematic due to withdrawal side effects.

Why Stopping Cold Turkey Can Be Dangerous

When hydroxyzine is taken regularly over an extended period, the body and brain adapt to the presence of the medication. If hydroxyzine is then stopped suddenly, these systems are thrown off balance. Withdrawal symptoms can range from mild to severe based on factors like:

• Dosage amount and frequency
• Length of time taking hydroxyzine
• Underlying health conditions

Common withdrawal symptoms from quitting hydroxyzine cold turkey include

• Rebound anxiety and agitation
• Insomnia or trouble sleeping
• Headaches, dizziness, tremors
• Nausea, vomiting, diarrhea
• Sweating, flushing, or chills
• Rapid heart rate or palpitations
• Seizures (rarely)

These symptoms may begin within 1-3 days after the last dose and can last up to 2 weeks in some cases. Quitting cold turkey also carries the risk of overdose if hydroxyzine use resumes. For these reasons, medical professionals do not recommend stopping hydroxyzine abruptly.

Gradual Tapering Off Hydroxyzine

The safest method for discontinuing long-term hydroxyzine use is to taper off gradually under medical supervision. This involves slowly reducing the dosage over time to allow the body to adapt and avoid severe withdrawal. Some general tapering guidelines include:

• Decreasing dosage by 25-50% each week
• Never decreasing by more than 50% per week
• Pausing the taper if withdrawal symptoms become unmanageable
• Taking 6-12 weeks or longer to fully taper off hydroxyzine

The specific tapering schedule should be customized to your dosage, duration of use, and withdrawal response. Your doctor can help design the right tapering plan for you.

Seeking Medical Support

Professional medical support can make hydroxyzine withdrawal safer and more comfortable. Your doctor can monitor your progress, adjust the tapering schedule if needed, and prescribe medications to ease specific withdrawal symptoms. For example:

• Anti-anxiety drugs like benzodiazepines may temporarily help with anxiety, agitation, or sleep issues during withdrawal.
• Anticonvulsants can reduce the risk of seizures.
• Antiemetics can relieve nausea and vomiting.

Outpatient addiction treatment programs also provide medical oversight, counseling, and peer support during withdrawal. For severe cases, inpatient medical detox may be recommended. Ongoing therapy and counseling are also crucial for managing psychological dependence.

Coping Tips for Withdrawal Period

There are many self-care steps you can take to cope with hydroxyzine withdrawal:

• Stay hydrated – Drink water, broths, electrolyte beverages
• Try relaxation techniques like deep breathing, meditation, yoga
• Take over-the-counter medications such as NSAIDs for headaches
• Avoid alcohol and caffeine which can worsen symptoms
• Eat small, bland meals that are easy to digest
• Get light exercise such as walking to relieve anxiety
• Get plenty of rest and sleep during the withdrawal period
• Seek support from loved ones, support groups, counseling

Learning healthy coping strategies reduces frustration during the withdrawal process and prevents relapse. Be patient with yourself and allow time for recovery.

Considerations Before Quitting Hydroxyzine

Before deciding to stop hydroxyzine, discuss the pros and cons with your prescribing doctor. Consider if:

• You still require hydroxyzine to manage your symptoms
• Withdrawal is likely to be severe based on your dosage and duration of use
• You have the appropriate medical and psychosocial support in place
• You are mentally prepared to withstand withdrawal discomfort
• You have alternate medications or treatments if hydroxyzine is still needed

Your doctor can help determine if quitting hydroxyzine is medically appropriate at this time. There is no set timeframe for being ready to stop. Focus on becoming stable enough to tolerate withdrawal symptoms safely.

The Bottom Line

While the prospect of quitting hydroxyzine cold turkey may seem appealing for its speed and simplicity, the dangers and suffering make it an unwise choice. Withdrawing from any medication without medical guidance is risky. To safely stop long-term hydroxyzine use, be sure to:

• Consult your doctor about tapering off gradually
• Enlist medical and psychological support
• Stick closely to your tapering schedule
• Use coping strategies to ease withdrawal side effects

With patience and professional help, you can successfully discontinue hydroxyzine use and avoid the hazards of quitting cold turkey. Your health and safety should always come first.