Hydroxyzine Narcotics

Adults 50 to 100 mg. Hydroxyzine may potentiate concomitant narcotics and barbiturates reduce dosages accordingly. Atropine and other belladonna alkaloids may be given as appropriate. 

If hydroxyzine is used pre- or post-operatively, the dose of narcotic can be reduced... 

Hydroxyzine intramuscular injection can be used prepartum, reducing narcotic requirements by up to 50%... 

The incidence of opioid-induced nausea and vomiting is markedly increased in ambulatory patients. If narcotic analgesic therapy must be continued, nausea and vomiting can be treated with hydroxyzine or a phenothiazine antiemetic. 

Intramuscular hydroxyzine (100 mg q. 4 hours) is indicated for the acutely disturbed or hysterical patient the acute or chronic alcoholic with anxiety withdrawal symptoms or delirium tremens as pre- and postoperative and pre- and postpartum adjunctive medication to permit reduction in narcotic dosage, allay anxiety and control emesis and as an adjunctive therapy in asthma. 

Hydroxyzine may be teratogenic in experimental animals and should not be used in pregnancy. It causes drowsiness, and caution should be exercised while performing tasks requiring alertness. Hydroxyzine potentiates the CNS depressant effects of narcotics and barbiturates. 

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