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Atarax vs Valium
Introduction
For patients dealing with anxiety disorders or short-term relief from the symptoms of anxiety, certain medications can help by altering compounds in the brain related to stress and fear responses. Atarax and Valium are such drugs that are often prescribed for these conditions. Both impact different neurotransmitters in the brain, but each drug has calming effects on patients with anxiety disorders. Atarax (hydroxyzine) is a first-generation antihistamine primarily used to treat itching and nausea due to allergies but also has anxiolytic properties because it affects levels of histamine and acetylcholine in the central nervous system. On the other hand, Valium (diazepam) belongs to a class of drugs known as benzodiazepines which enhance the effect of GABA receptors, reducing nerve activity within the brain resulting in sedative effects.
Atarax vs Valium Side By Side
| Attribute | Atarax | Valium |
|---|---|---|
| Brand Name | Atarax | Valium |
| Contraindications | Should not be taken with MAOIs or in combination with alcohol or other central nervous system depressants. | Should not be taken with MAOIs or in combination with alcohol or other central nervous system depressants. |
| Cost | For brand-name, around $90 for 60 tablets of 25 mg. Generic versions can cost as low as about $0.10/day to $0.40/day. | For brand-name, about $220 for 30 capsules of 5 mg. Generic versions can range from approximately $0.20/day to under a dollar per day. |
| Generic Name | Hydroxyzine | Diazepam |
| Most Serious Side Effect | Trouble breathing or swallowing, signs of an allergic reaction, changes in vision, fast or irregular heartbeats, confusion, severe reactions involving the nervous system. | Allergic reactions, mood changes, convulsions, confusion, vision issues, fast heartbeat, manic behavior. |
| Severe Drug Interactions | MAOIs, alcohol, central nervous system depressants. | MAOIs, alcohol, central nervous system depressants. |
| Typical Dose | 25–100 mg/day for adults, 15-50 mg/day for children over six depending on weight and symptoms. | 2-10 mg, two to four times per day. For severe conditions, up to 20 mg three or four times daily. |
What is Atarax?
Hydroxyzine, commonly known as Atarax, is an antihistamine and was one of the first of its class to be developed. It was initially approved by the FDA in 1956. The primary function of Atarax is to inhibit histamine, a compound that our bodies release during allergic reactions. Its action effectively "traps" histamines from causing symptoms like itching or hives. Additionally, it also has sedative properties and can be used for treating anxiety.
Diazepam (Valium) belongs to a different group of medications known as benzodiazepines which have more profound effects on calming the central nervous system; hence they are often prescribed for severe anxiety disorders and muscle spasms. Valium engages with gamma-aminobutyric acid (GABA), enhancing its effect leading to decreased nerve impulses across the body resulting in a calming impact.
While both drugs can treat anxiety, their mechanisms differ significantly – Atarax primarily targets histamines while Valium enhances GABA activity. Consequently, side effects vary between these two classes: whilst drowsiness may occur from taking either drug due to their sedating properties; benzodiazepines like Valium also carry risk factors such as dependence and withdrawal symptoms.
What conditions is Atarax approved to treat?
Atarax (hydroxyzine) is approved for the treatment of different conditions such as:
- Anxiety and tension associated with psychoneurosis
- The management of pruritus due to allergic conditions, such as chronic urticaria and atopic dermatitis in adults and children
- As a sedative when used as premedication before anesthesia.
How does Atarax help with these illnesses?
Atarax, also known as hydroxyzine, helps to manage anxiety and tension by reducing activity in the central nervous system. It does this primarily by acting as an antihistamine, specifically blocking H1 receptors. By doing so, it inhibits certain chemical reactions that lead to allergic symptoms. In addition to providing relief from itching due to allergies, Atarax induces a calming effect on the mind and can be used as a sedative for treating anxiety and tension.
On the other hand, Valium or diazepam enhances the effect of GABA (gamma-aminobutyric acid), a neurotransmitter that sends messages between cells in your brain. When more GABA is available in your brain, it reduces abnormal electrical activity leading to a calming effect on nerves which can help with feelings of anxiety and fear.
Both medications have their uses but work differently because they target different neurotransmitters involved in mood regulation and stress response.
What is Valium?
Valium is a brand name for diazepam, which is a benzodiazepine. This classification of drug acts on the central nervous system by enhancing the effects of GABA, a neurotransmitter that inhibits activity in the brain and calms nerves down. Valium was first approved by the FDA in 1963. As diazepam is not an antihistamine like Atarax (hydroxyzine), it does not block histamines from binding to receptors. Its lack of action on histamines means that its side-effect profile varies from that of antihistamines, particularly as it can cause sedation and may be habit-forming with long-term use - common concerns with benzodiazepines such as Valium. However, its effects on GABA can be beneficial for treating anxiety disorders and symptoms of alcohol withdrawal, especially in patients who do not respond well to "typical" antihistamine treatments like Atarax.
What conditions is Valium approved to treat?
Valium is a versatile medication approved by the FDA for treating various conditions, including:
- Anxiety disorders
- Symptoms of alcohol withdrawal such as agitation or tremors
- Muscle spasms resulting from certain neurologic diseases
- Seizures when used in conjunction with other medications.
How does Valium help with these illnesses?
GABA, or gamma-aminobutyric acid, is a neurotransmitter that helps to calm nervous activity in the brain. It plays an essential role in reducing anxiety, promoting sleep and relaxation. Valium works by enhancing the effect of GABA in the brain, thus lessening feelings of anxiety and tension. This action on GABA receptors contributes significantly to its effectiveness as a sedative, anticonvulsant, and muscle relaxant. Unlike Atarax which primarily acts as an antihistamine with sedative properties but can cause drowsiness as a side effect, Valium directly targets these calming processes in the central nervous system which makes it more suitable for treating conditions such as generalized anxiety disorder or panic attacks. However, due to its potency and potential for dependency if misused over time, it's typically prescribed when other lighter medications like Atarax have not been effective enough.
How effective are both Atarax and Valium?
Both hydroxyzine (Atarax) and diazepam (Valium) have been extensively used in the medical field, primarily for their anxiolytic effects. They were approved by the FDA several years apart; diazepam was introduced in 1963 while hydroxyzine received approval just a few years earlier.
The efficacy of Atarax and Valium has been compared directly in numerous clinical trials, particularly with regards to their use as premedication before surgery. These studies generally found that both drugs exhibit similar effectiveness at reducing anxiety, but noted that patients receiving Valium exhibited more sedation than those given Atarax.
A review of meta-analysis reports on hydroxyzine showed it to be effective from the first day of treatment at alleviating symptoms associated with conditions such as anxiety and tension linked to psychoneurosis. It's also useful managing pruritus due to allergic conditions like chronic urticaria and contact dermatitis. Hydroxyzine is well tolerated across various populations including children above age six months old.
On the other hand, a 2016 review indicated that diazepam seems to be more effective than placebo at treating not only anxiety but also acute alcohol withdrawal symptoms, skeletal muscle spasms and convulsive disorders. Nonetheless, due its potential for dependence and withdrawal symptoms after long-term use or high doses - Diazepam is often considered second-line treatment option when safer alternatives fail or are unsuitable. Its unique pharmacology means diazepam may be optimal for patients who require rapid relief from severe acute anxiety or agitation where immediate sedative effect is beneficial.
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At what dose is Atarax typically prescribed?
Oral dosages of Atarax typically range from 25–100 mg/day, though most people find that 25-50 mg/day is sufficient for treating anxiety and tension. Children over the age of six may be started on a dose of 15-50 mg/day depending on their weight and symptoms. In either population, dosage can be increased after a few weeks if there is no response, but should not exceed the maximum dosage of 100 mg/day under any circumstance. However, always consult with your healthcare provider before making any changes to medication or dosage.
At what dose is Valium typically prescribed?
Valium treatment typically begins at a dosage of 2-10 mg, two to four times per day. Depending on the individual's response and tolerance to the medication, this dose can be increased. For severe conditions requiring more intensive treatment, dosages may rise up to 20 mg given three or four times daily. However, one must remember that such high doses should only be administered under strict medical supervision due to potential side effects and dependence risk. If there is no significant improvement in symptoms after several weeks of consistent use at prescribed doses, it would be necessary for your doctor to reassess your treatment plan.
What are the most common side effects for Atarax?
Common side effects of Atarax (hydroxyzine) and Valium (diazepam) can vary significantly as they are different classes of medications.
In relation to Atarax, some common side effects include:
- Drowsiness/sleepiness
- Dry mouth
- Headache
- Tremor
- Nausea
For Valium, the typical side effect profile might include:
- Drowsiness/ sleepiness
- Fatigue
- Muscle weakness
- Impaired motor functions or coordination
-Dizziness -Dry Mouth.
It is important to remember that these drugs should only be taken under the supervision of a healthcare professional. They will be able to provide you with detailed information about potential risks and benefits related to your individual health circumstances.
Are there any potential serious side effects for Atarax?
While Atarax and Valium are both effective in managing anxiety and tension, they may have different side effects. Here are some potential severe but rare side effects associated with Atarax:
- Trouble breathing or swallowing
- Signs of an allergic reaction including hives, difficulty breathing, swelling of your face, lips, tongue, or throat
- Changes in vision such as blurry or tunnel vision
- Fast or irregular heartbeats causing chest discomfort and shortness of breath
- Confusion leading to slurred speech, extreme weakness and unsteady movements which might indicate a drop in sodium levels.
- Severe reactions involving the nervous system: rigid muscles accompanied by high fever; sweating; fast/uneven heartbeat; tremors that make you feel like passing out
Additionally while not common for this class of drugs any symptoms indicative of serotonin syndrome should be taken seriously: restlessness; hallucinations; rapid heartbeat; fever; excessive perspiration; shivering/trembling; muscle stiffness/twitching loss of coordination nausea/vomiting/diarrhea.
In case these signs occur after taking Atarax get immediate medical attention.
What are the most common side effects for Valium?
Valium, like any other medication, can cause a series of side effects such as:
- Dry mouth
- Blurred vision or dizziness
- Constipation and upset stomach
- Fatigue or drowsiness during the daytime
- Mild skin rash or itching
- Muscle weakness and lack of coordination
- Memory problems or forgetfulness
- Feelings of restlessness, excitement, or anxiety It's also important to note that Valium may lead to dependency if used over an extended period. Always follow your doctor's instructions when using this medication for optimal safety.
Are there any potential serious side effects for Valium?
While Valium is a widely used medication, it's important to stay aware of any potential side effects. These may include:
- Hives or itching, swollen glands, difficulty breathing, and swelling in your face or throat as signs of an allergic reaction
- Any changes in mood that could be indicative of increased suicidal thoughts
- Convulsions or seizures
- Confusion or unusual shifts in behavior
- Vision issues such as blurred vision, eye pain and swelling
- Fast heartbeat which may suggest cardiovascular complications
- Signs consistent with manic behavior: racing thoughts, excessive energy levels leading to reckless actions, feelings of extreme happiness followed by irritability, talking excessively more than usual and having severe sleeping problem.
If you experience any of these symptoms while taking Valium, it's crucial that you contact your healthcare provider immediately.
Contraindications for Atarax and Valium?
Both Atarax and Valium, like many sedatives and anti-anxiety medications, may exacerbate symptoms of depression in certain individuals. If you notice your depression intensifying or an increase in suicidal ideation, thoughts, or behavior while taking either of these drugs, please seek immediate medical attention.
Neither Atarax nor Valium should be taken if you are currently using or have recently used monoamine oxidase inhibitors (MAOIs). Always inform your physician about all the medications you are taking; MAOIs will require a period of approximately 5 weeks to expel from your system to prevent dangerous interactions with Atarax and Valium. Additionally, both medications can also interact harmfully with alcohol or other central nervous system depressants—these combinations can potentiate their sedative effects.
How much do Atarax and Valium cost?
For the brand-name versions of these medications:
- The cost for 60 tablets of Atarax (hydroxyzine, 25 mg) averages around $90, which equates to approximately $1.50 per day if taking two tablets daily.
- The price for 30 capsules of Valium (diazepam, 5 mg) is roughly about $220, translating to an average cost of about $7.33 per day.
So if you are in the higher dosage range for Atarax (i.e., up to four tablets or 100 mg/day), then brand-name Valium can be more expensive on a per-day treatment basis. However, it's crucial that cost isn't your primary deciding factor when choosing between these two drugs.
As far as generic versions go - hydroxyzine and diazepam offer significant savings:
- Hydroxyzine is available in packs starting from a quantity of 15 up to several hundred pills with costs ranging from as low as about $0.10/day (buying larger quantities upfront) and not exceeding approximately $0.40/day.
- Diazepam comes in varying pack sizes too and can have daily costs falling into the bracket between approximately $0.20 and just under a dollar depending on the exact dosage prescribed by your healthcare provider.
Popularity of Atarax and Valium
Hydroxyzine, also known by its brand name Atarax, was estimated to have been prescribed to about 4 million people in the US in 2020. Hydroxyzine accounted for just under 10% of prescriptions for anti-anxiety medications and antihistamines in the US. It is often used as a sedative to treat anxiety and tension and can also be used together with other medications given during and after general anesthesia. The prevalence of hydroxyzine has been generally increasing since 2013.
Diazepam, including brand versions such as Valium, was prescribed to approximately 13.5 million people in the USA in 2020. In the US, diazepam accounts for over 25% of benzodiazepine prescriptions and just under half of all overall anxiolytic prescriptions. This makes it one of the most popular drugs within this class despite concerns about dependency with long-term use. Diazepam's prevalence has remained relatively steady over the last decade.
Conclusion
Both Atarax (hydroxyzine) and Valium (diazepam) have long-standing records of usage in patients with anxiety, and are backed by numerous clinical studies indicating that they are more effective than placebo treatments. In some cases, the drugs may be combined, but this is subject to careful consideration by a physician as they can also interact negatively with each other. Due to their different mechanisms of action, with Atarax acting primarily as an antihistamine and mild anti-anxiety agent, and Valium being a powerful benzodiazepine that affects GABA receptors in the brain, they tend to be prescribed under different circumstances.
Atarax is often considered for short-term symptomatic relief of anxiety whereas Valium would typically be used for severe or debilitating anxiety disorders or for acute alcohol withdrawal symptoms.
Both drugs come in generic forms which represent significant cost savings especially for patients who must pay out-of-pocket. Both Atarax and Valium might require an adjustment period meaning effects may not be noticeable right away.
The side effect profile varies between these two medications: both can cause drowsiness but Valium has more potential for dependency due to its mechanism of action on GABA receptors. For both drugs, patients should report any unusual side effects immediately including extreme drowsiness or confusion.