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Atarax (Hydroxyzine)

Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Atarax Oral Solution
Manufacturer: Brand
Country: Turkey
Dosage: 10 mg/5 ml/200 ml
Qty-Price (USD):
Type: drug type
Product: Atarax Tablet
Manufacturer: Brand
Country: India
Dosage: 10 mg
Qty-Price (USD):
Type: drug type
Product: Atarax Syrup
Manufacturer: Erfa
Country: Canada
Dosage: 10 mg/5 ml/473 ml
Qty-Price (USD):
Type: drug type
Product: Atarax Tablet
Manufacturer: Brand
Country: Turkey
Dosage: 25 mg
Qty-Price (USD):

Generic Equivalent of Atarax
Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Hydroxyzine Capsule
Manufacturer: Generic
Country: Canada
Dosage: 10 mg
Qty-Price (USD):
Type: drug type
Product: Hydroxyzine Capsule
Manufacturer: Generic
Country: Canada
Dosage: 25 mg
Qty-Price (USD):
Type: drug type
Product: Hydroxyzine Capsule
Manufacturer: Generic
Country: Canada
Dosage: 50 mg
Qty-Price (USD):

Atarax Information

portrait medically reviewed by Dr. HaVy Ngo, Pharmacist on January 9, 2026.

Atarax and Hydroxyzine at CanadaPharmacyOnline.com

Atarax’s (hydroxyzine) manufacturer varies significantly across regions because the brand-name version has been discontinued in some markets while remaining available in others. In the United States, the brand-name Atarax was discontinued by its original manufacturer, Pfizer, in 2004; it is now available only as a generic medication produced by companies such as Teva and Northstar. In Canada, the brand is currently manufactured and marketed by Searchlight Pharma Inc. In contrast, in many international markets, such as India, Dr. Reddy's Laboratories is the primary company responsible for its production.

Generic hydroxyzine is sourced from manufacturers that meet applicable regulatory standards. The specific manufacturers of your dispensed medication may vary.

Important Information about Generic Hydroxyzine

Generic hydroxyzine contains the same active ingredient as brand-name Atarax and must meet the same effectiveness and quality standards. This means it is designed to work in the same way as Atarax. Studies have shown that generic hydroxyzine is bioequivalent to brand-name Atarax, meaning it has similar absorption and achieves comparable blood concentrations. However, individual responses to medication can vary due to factors such as metabolism, genetics, and other health conditions.

For more information about generic drug approval and bioequivalence, please visit Access to Generic Drugs in Canada | Canada.ca.

Dosage:

Atarax (hydroxyzine hydrochloride) is available in the following strengths and forms:
• Tablets: 10 mg, 25 mg, 50 mg, and 100 mg.
• Oral Solution and Syrup: 10 mg per 5 mL. It is commonly packaged in 120 mL, 200 mL, and 473 mL (16 oz) bottles.

Generic hydroxyzine is available in two different chemical forms:
• Hydroxyzine Hydrochloride (HCl): Typically sold as tablets (10 mg, 25 mg, 50 mg).
• Hydroxyzine Pamoate: Typically sold as capsules (25 mg, 50 mg, 100 mg).

Your doctor will determine the appropriate dose based on your individual needs and medical conditions.

Usage:

Atarax (hydroxyzine) is a multipurpose medication primarily used to relieve itching associated with allergic skin conditions such as hives or eczema. Because it belongs to an older class of antihistamines that cross the blood-brain barrier, it also acts as a sedative, making it effective for the short-term treatment of anxiety and tension. Additionally, doctors may prescribe it as a premedication before surgery to help patients feel calm or to control nausea and vomiting related to anesthesia.

Mechanism of Action
Atarax is a first-generation antihistamine that acts as a potent H1-receptor inverse agonist. Rather than simply "competing" for space, it binds to these receptors and flips their activity to an "off" state, effectively blocking the actions of histamine.

Beyond its role in treating allergies, it has a significant impact on the central nervous system. It suppresses activity in certain key regions of the subcortical area (the parts of the brain below the cerebral cortex), which accounts for its powerful anti-anxiety and sedative effects. Additionally, Atarax possesses anticholinergic and antiemetic properties, which help reduce nausea and prevent motion sickness, making it a "multi-system" medication.

Take Atarax exactly as your doctor prescribes, following the instructions in the product monograph in Canada. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before starting Atarax, it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below outlines potential side effects of Atarax (hydroxyzine). It is not an exhaustive list, and individual reactions can vary.

Common side effects: These are common side effects of Atarax; others are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning, or if you experience any other concerning symptoms.
• Drowsiness (often significant)
• Dry mouth
• Fatigue
• Headache

Other Potential Side Effects (less common):
• Agitation
• Confusion
• Dizziness
• Nausea

Serious Side Effects: Seek immediate medical attention or call emergency services if you experience any of the following symptoms:
• Anaphylaxis: A severe allergic reaction involving swelling of the face or throat, hives, or difficulty breathing.
• Convulsions (Seizures)
• Heart Rhythm Changes (QT Prolongation and Torsade de Pointes): Seek help if you feel a racing or pounding heartbeat, severe dizziness, or fainting.
• Severe Skin Reactions: Such as Acute Generalized Exanthematous Pustulosis (AGEP), which is characterized by a fever and numerous small, white pustules on the skin.

Contraindications:

The following is not an exhaustive list of contraindications. Before starting Atarax, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Do not take Atarax/hydroxyzine if:
• Allergies: You have a known allergy to hydroxyzine, cetirizine (Zyrtec), or levocetirizine (Xyzal), as these are chemically related.
• Early Pregnancy: You are in your first trimester. Safety during this period has not been established, and it is strictly contraindicated.
• Heart Rhythm Issues: You have a history of QT prolongation or are taking other medications that can cause dangerous changes in heart rhythm (torsades de pointes).
• Porphyria: You have this rare genetic blood disorder, as hydroxyzine is considered unsafe for these patients.

Tell your doctor about all of your medical conditions, past and present, before starting Atarax. This is crucial as certain conditions affect the drug’s safety.
• Breathing Problems: Such as asthma or COPD, as the medication can thicken mucus in the lungs.
• Enlarged Prostate or Glaucoma: The "drying" effect of Atarax can make it harder to urinate or increase pressure in the eyes.
• Kidney or Liver Disease: These organs clear the drug from your body, and you may need a lower dose to avoid excessive sedation.
• Seizures: Hydroxyzine may increase the risk of seizures in people who already have them.

Drug Interactions:

Before taking Atarax, discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, please visit the patient medication information from Searchlight Pharma at https://searchlightpharma.com/wp-content/uploads/2023/10/Atarax-PM-ENG-Oct2022.pdf.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, herbal supplements, recreational drugs, and any significant dietary changes, as these may interact with Atarax. Atarax may interact with other medicines, including but not limited to:
• Anticholinergics: Medications such as benztropine or specific OTC sleep aids can increase the risk of dry mouth, blurred vision, and urinary retention when taken with Atarax.
• Antipsychotics and Antiarrhythmics: Drugs such as haloperidol or amiodarone, when combined with Atarax, can increase the risk of serious heart rhythm problems (QT prolongation).
• Cholinesterase Inhibitors: Atarax may oppose the effects of medications used to treat dementia or Alzheimer’s, such as donepezil or rivastigmine.
• CNS Depressants: This includes alcohol, benzodiazepines (such as Xanax), opioids, and barbiturates. Atarax significantly amplifies the sedative effects of these substances, which can lead to extreme drowsiness or dangerous respiratory depression.

Pregnancy and Breastfeeding:

Atarax (hydroxyzine) is strictly contraindicated during the first trimester of pregnancy. While it may be used in later stages if the benefits outweigh the risks, it is still generally avoided. If taken near the time of delivery, it may cause the newborn to experience symptoms such as excessive sleepiness, muscle weakness (hypotonia), or even seizures. Regarding breastfeeding, Atarax is discouraged because it passes into breast milk and can cause significant drowsiness or irritability in the infant. Additionally, its "drying" effects can potentially reduce a mother's milk supply.

Use in Children:

Atarax is used in pediatric patients under a pediatrician's supervision, with the FDA label providing weight-based dosing guidelines for children under and over sx years of age. Its use in infants requires extreme caution, as safety in very young children has not been fully established. It is most frequently used to treat severe itching from hives or eczema that disrupts sleep. It is also utilized as a sedative to help children remain calm before surgery. Pediatricians calculate the dose precisely based on the child's weight (usually in mg per kg) to ensure effectiveness while minimizing excessive grogginess.

Frequently Asked Questions about Atarax at Canada Pharmacy Online

Why is Atarax more affordable in Canada than in the United States?

Prescription drug prices, including Atarax, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower prices than in the US, where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy is dedicated to offering you the lowest prices on high-quality products.

How do I place an order with your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on how many Atarax I can order at once?

CanadaPharmacyOnline.com can dispense up to a three-month supply of Atarax per prescription from your doctor.

Can I buy Atarax over the counter from you?

No, Atarax requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes between 7 and 18 business days to receive your order from our pharmacy.

Is there a generic for Atarax?

Yes, there is a generic alternative to Atarax: Hydroxyzine.

Blog Post:

The Delta Variant: Tips to Help You Navigate the Fall Season

Latest News:

Cold Urticaria: Why Some People Break Out Into Hives From Cold Exposure And How To Treat It, Per Doctors (article published on December 18, 2025)

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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Prescriptions Dispensed from Canada are Dispensed by Candrug Pharmacy #18985. 202A 8322-130th Street, Surrey, British Columbia, Canada V3W 8J9, 604-543-8711. Pharmacy Manager: Carol Hou.
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