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Atarax (hydroxyzine hydrochloride): Online prescriptions for anxiety

Atarax (hydroxyzine hydrochloride) is a prescription antihistamine with calming effects, useful for short-term relief of anxiety symptoms. Licensed psychiatric providers at Talkspace can evaluate your symptoms over video and provide an online prescription if appropriate, with fulfillment available locally or through Amazon Pharmacy.

An initial evaluation by a Talkspace psychiatric provider is required before medication is prescribed. If appropriate, medication will be prescribed for home delivery or for pickup at your local pharmacy. Medication prices are not included in the evaluation price. Talkspace psychiatric providers are unable to prescribe controlled substances and stimulants.

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Here’s how it works

Schedule a video assessment

Answer a few questions online, then meet virtually with a psychiatric provider within a week. Appointments covered by insurance are available for members 18 and older.

Get a diagnosis and prescription

During the appointment, your Talkspace provider will listen to and evaluate your symptoms and, if appropriate, prescribe medication. Build a plan together that feels right.

Begin treatment

Your prescription will be sent to your pharmacy, and you'll have follow-up appointments with the same psychiatric provider. 

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Is Atarax (hydroxyzine hydrochloride) right for you?

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What is Atarax used for?

Atarax (hydroxyzine hydrochloride) is FDA-approved for short-term relief from symptoms of anxiety. 

Atarax can help treat symptoms of anxiety like: 

  • Excessive worry 
  • Nervousness
  • Restlessness 
  • Agitation
  • Trouble sleeping  
  • Racing thoughts
  • Physical symptoms like rapid heart rate 
  • Muscle tension

Who shouldn't take Atarax?

Atarax isn't recommended for people who:

  • Are in early pregnancy
  • Have a known hypersensitivity to hydroxyzine or cetirizine
  • Have a prolonged QT interval or are taking other medications that prolong QT
  • Have narrow-angle glaucoma or severe urinary retention (use with caution and physician guidance)

What are the side effects of Atarax?

Medication may be prescribed when clinically appropriate based on an evaluation by a licensed healthcare provider.

Common side effects of Atarax (Hydroxyzine Hydrochloride) may include:

  • Drowsiness
  • Dizziness
  • Dry mouth
  • Blurred vision
  • Fatigue
  • Headache

You may experience side effects when you first begin taking Atarax that lessen or dissipate once you’ve been taking it for several weeks or months. Treatment results may vary by individual. If you experience any concerning side effects after taking hydroxyzine HCl, contact your doctor immediately.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers have specialization in 150+ conditions, treatment approaches, and mental health needs.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers specialize in 150+ mental health conditions and treatment approaches. Get online therapy and medication management on one platform with ongoing care

Depression
Relationships
Anxiety & Stress
Parenting
LGBTQIA+
Chronic Illness
Eating Disorders
OCD
Anger Management
childhood abuse
Mood Disorders
trauma & Grief
Loneliness
Family Conflict
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Licensed Talkspace provider Elizabeth Keohan, LCSW-C

Elizabeth Keohan, LCSW-C

Licensed Talkspace provider Jill Daino, LCSW-R

Jill Daino, LCSW-R

Chief Medical Officer at Talkspace, Nikole Benders-Hadi

Nikole Benders-Hadi, MD, CMO

Medications we prescribe online

Talkspace psychiatric providers diagnose and treat a wide variety of mental health conditions, including anxiety, depression, ADHD, and others. For some people, their treatment involves medication. Your provider can prescribe you medication if appropriate for your treatment.
Note: Talkspace does not prescribe controlled substances.

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“I found a great therapist on Talkspace and she's noticed that I might be needing some help from a psychiatrist, so she placed a referral. I was able to see a psychiatric ARNP via video visit the next day! I'm definitely on my way to feeling better.

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See a provider today to get a new Atarax (hydroxyzine hydrochloride) prescription or refill

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Any questions?

Find trust-worthy answers on all things mental health at Talkspace.

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Do you need a prescription for hydroxyzine HCl?

Yes, you need a prescription for hydroxyzine HCl. To obtain one, you must consult a licensed healthcare provider who can assess your condition and symptoms and determine if it’s the right option for you.

What is Atarax (hydroxyzine hydrochloride)?

Atarax is a prescription antihistamine primarily used to treat allergies and itching. It also has calming effects, making it effective for short-term anxiety relief. By blocking histamine receptors in the brain, hydroxyzine hydrochloride promotes relaxation and helps soothe the nervous system, offering sleep support and reducing anxiety symptoms for some individuals.

Can I get hydroxyzine HCl online?

Yes, you can get a prescription for hydroxyzine HCl online if your provider evaluates that it’s right for you and after a thorough virtual consultation with a licensed Talkspace provider.

Can I get hydroxyzine HCl over the counter?

No, hydroxyzine HCl is not available over the counter. You must have a valid prescription from a licensed healthcare provider.

What is hydroxyzine HCl used to treat?

Hydroxyzine HCl is FDA-approved for treating:

  • Short-term anxiety relief
  • Allergies and allergic reactions
  • Itching from dermatitis, hives, or other skin conditions
  • Nausea and vomiting
  • Insomnia (in some cases)

Can I get a new prescription or prescription refill for Hydroxyzine HCI from Talkspace?

Yes, Talkspace providers can prescribe and refill hydroxyzine HCl prescriptions online after a virtual consultation to treat symptoms of anxiety. 

Can I use my health insurance for online hydroxyzine HCl prescriptions and refills?

If you need to get a hydroxyzine HCl prescription online, Talkspace accepts major insurance plans to provide coverage, including:

Coverage can vary, so be sure to check with your provider about your benefits.

How much does hydroxyzine HCl cost?

The cost of hydroxyzine HCl varies based on factors such as insurance, pharmacy, dosage, and any applicable coupons or discount cards. The average cost can range from $5 to $10 per month, but the price may differ.

How do you take hydroxyzine HCl?

Hydroxyzine HCl should be taken exactly as your doctor or psychiatrist prescribes it. It can be taken one to four times daily, with or without food. Avoid alcohol while taking this medication, as it can increase drowsiness.

Is hydroxyzine HCl hard on the heart?

In some individuals, hydroxyzine HCl may cause irregular heartbeats (QT prolongation). If you have a heart condition or take medications that affect heart rhythm, consult your doctor before using hydroxyzine HCl.

Why is Atarax discontinued in the US?

Atarax (the brand-name version of hydroxyzine HCl) is no longer available in the U.S. due to a shift toward more cost-effective generic alternatives. However, hydroxyzine HCl remains widely prescribed for anxiety. It’s important to note that the discontinuation of Atarax was not due to safety concerns.

Disclaimer
Talk to your psychiatrist or healthcare professional about the possible risks and benefits associated with the above medications before starting treatment. It’s up to your psychiatric clinician’s professional judgment whether medication is prescribed. If you are in a life threatening situation – don’t use this site. Call +1 (800) 273-8255 or use these resources to get immediate help.