Hydroxyzine Pamoate (Vistaril)

Yes, you can get a prescription for hydroxyzine pamoate (Vistaril) online after a video consultation with a licensed psychiatry provider, if the provider decides that medication is an appropriate treatment for you. Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. You’ll be able to schedule a video appointment with your provider usually within two weeks, often sooner. At your video appointment your psychiatry provider will ask questions about your symptoms and health history, and you can share your questions about medication and anything else. If your provider writes you a prescription for hydroxyzine pamoate they will send it to a local pharmacy of your choice and you will pick up and pay for the medication at the pharmacy. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure hydroxyzine pamoate is working for you and address any mental health needs.

No. Hydroxyzine pamoate ( and its brand name, Vistaril) is a prescription medication, so you cannot purchase it over-the-counter. You will need to have [hydroxyzine pamoate prescribed to you by a licensed provider who is able to prescribe medications, like a doctor or nurse practitioner. You can get a prescription for hydroxyzine pamoate online through Talkspace after a video consultation with a licensed psychiatry provider, if the provider decides that hydroxyzine is an appropriate treatment for you. 

Side effects of hydroxyzine pamoate and its brand name, Vistaril, are often mild, but can include drowsiness, nausea, dry mouth, dry eyes and blurred vision. Seek immediate medical attention if you experience seizures, uncontrolled movement, rash, swelling, fever, or sores. It’s important to take hydroxyzine pamoate exactly as prescribed by your healthcare provider.

Yes, you can get a hydroxyzine pamoate (Vistaril) prescription or refill from Talkspace, after a video consultation with one of our licensed psychiatry providers (assuming the provider determines that it is an appropriate treatment for you). Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. At your video appointment your psychiatry provider will ask questions about your symptoms and health history. If you are already taking hydroxyzine pamoate and simply want to continue with a renewal of your prescription or refill, your Talkspace provider can continue your prescription if they determine it is medically appropriate. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure hydroxyzine pamoate (Vistaril) is working for you and address any mental health needs.

Talkspace is in-network with most major health insurance plans, which means that when you have a video appointment with a Talkspace psychiatric provider to receive a hydroxyzine pamoate (Vistaril) prescription or refill, Talkspace will bill your insurance plan directly for your online prescription appointment and you will only have to pay a copay (typically around $15, though many covered members pay $0). You will pay for the medication itself when you pick it up from a pharmacy of your choice, and you can have the pharmacy bill your insurance plan for the medication.

The price you pay for hydroxyzine pamoate (Vistaril) will depend on whether or not you’re paying with insurance and what your insurance copay is. The prices of prescription medications sometimes vary a lot by pharmacy, so to get the best price for hydroxyzine pamoate (Vistaril) you might want to look at websites like GoodRx and CostPlusDrugs. You should also contact your insurance company to find out the most affordable way to get your prescription for hydroxyzine. Some insurance companies charge less when you fill your prescriptions through their mail-order pharmacies.

The dosage and frequency of your hydroxyzine pamoate (Vistaril) prescription depends on your mental health condition and the treatment plan prescribed by your healthcare provider. Hydroxyzine pamoate is usually taken on a short-term basis before other medications start working.

There are several drugs that should not be taken with Hydroxyzine as they might increase the risk of QT prolongation (abnormal heart rhythm). It’s recommended that you don’t take the following with hydroxyzine: arsenic trioxide, chlorpromazine, droperidol, mefloquine, moxifloxacin, pentamidine, pimozide, probucol, quinidine, sotalol, tacrolimus, or thioridazine.

Hydroxyzine is used to treat and control tension and anxiety. It can be an effective way to manage anxiety and, when used with other medications, can promote sleep before surgical procedures. It’s also commonly prescribed for people living with sleep disorders like insomnia.

There are several different medications your psychiatrist may prescribe for anxiety or insomnia.

Other medications for anxiety include:

• • Buspar (Buspirone)
  • Lexapro (Escitalopram)
  • Propranolol (Hemangeol)
  • Zoloft (Sertraline)
  • Depakote (divalproex sodium)

Hydroxyzine pamoate, which also goes by the brand name Vistaril, is an antihistamine medication similar to the widely used ones Benadryl and Zyrtec. In mental health care, hydroxyzine pamoate is sometimes prescribed as a short-term treatment option for anxiety and insomnia. It works by affecting the histamine and serotonin levels in the body, reducing anxiety or helping you sleep. 

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