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Hydroxyzine Dihydrochloride 25 mg Suppositories

FDA-approved generic
Dose form
Suppository
Active ingredients
Hydroxyzine Hydrochloride

Hydroxyzine Dihydrochloride 25 mg Suppositories are a solid dosage form designed for insertion into a body cavity, typically the rectum, where they dissolve or melt to release medication for systemic absorption. This formulation is used to treat anxiety, nausea, and allergic reactions, providing relief through its antihistamine and anxiolytic properties.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Hydroxyzine Hydrochloride
Suppository
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Hydroxyzine dihydrochloride 25 mg suppositories offer an alternative route of administration for patients requiring antihistamine therapy. As an antihistamine, hydroxyzine is commonly used to treat symptoms associated with allergies, such as itching, hives, and rashes.

The suppository form is particularly beneficial for patients who have difficulty swallowing pills, are experiencing nausea or vomiting, or require rapid absorption of the medication. When inserted rectally, the suppository dissolves and allows hydroxyzine to be absorbed through the rectal mucosa directly into the bloodstream, potentially providing quicker onset of action compared to oral administration.

For prescribers, compounding hydroxyzine dihydrochloride into a suppository form allows for personalized patient care. It ensures that patients with unique needs or limitations can still receive the therapeutic benefits of hydroxyzine. This customized approach can improve compliance and overall treatment outcomes, especially in pediatric, geriatric, or palliative care settings where alternative dosing forms are often necessary.

Patients using hydroxyzine suppositories should follow their healthcare provider's instructions carefully. Proper insertion technique is important for optimal absorption and effectiveness. Common side effects may include drowsiness, dry mouth, blurred vision, or dizziness. Patients should be cautioned about engaging in activities that require mental alertness, such as driving or operating heavy machinery, until they know how the medication affects them.

If you have any questions about hydroxyzine dihydrochloride 25 mg suppositories or how this formulation might benefit you or your patients, please reach out to us.

Drug Interactions

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Hydroxyzine Dihydrochloride 25 mg suppositories are a solid dosage form designed for insertion into a body cavity, such as the rectum or vagina, where they dissolve or melt to release medication for local or systemic absorption. This formulation is used to treat various conditions, including anxiety, nausea, vomiting, allergies, and as a sedative for premedication before surgery. While effective, it is crucial to be aware of potential drug interactions that may affect the safety and efficacy of hydroxyzine suppositories.

Hydroxyzine is an antihistamine with anticholinergic and sedative properties, which can interact with other medications that have similar effects. Concomitant use with other central nervous system (CNS) depressants, such as benzodiazepines, opioids, or alcohol, can enhance the sedative effects, leading to increased drowsiness, dizziness, and risk of respiratory depression. Patients should be advised to avoid or limit the use of alcohol and consult their healthcare provider before using other CNS depressants.

Anticholinergic drugs, including certain antidepressants, antipsychotics, and medications for Parkinson's disease, may interact with hydroxyzine by exacerbating anticholinergic side effects such as dry mouth, constipation, urinary retention, and blurred vision. Patients should be monitored for these effects, and dose adjustments may be necessary.

Hydroxyzine may also interact with medications that prolong the QT interval, such as certain antiarrhythmics, antibiotics, and antipsychotics. This interaction can increase the risk of serious cardiac arrhythmias, including Torsades de Pointes. Patients with a history of cardiac conditions or those taking other QT-prolonging drugs should be closely monitored, and alternative treatments should be considered if necessary.

Additionally, hydroxyzine can interfere with skin allergy tests, as it may suppress the wheal and flare response. It is recommended to discontinue hydroxyzine at least 72 hours before undergoing such tests to avoid false-negative results.

Patients and prescribers should be aware of these potential interactions and take appropriate precautions. It is essential to review the patient's current medication list, including over-the-counter drugs and supplements, to identify any possible interactions. If you have any questions or concerns about using hydroxyzine dihydrochloride 25 mg suppositories, please reach out to us for further guidance and support.

How Does it Work

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Hydroxyzine Dihydrochloride 25 mg suppositories are a specialized formulation designed to deliver medication through insertion into a body cavity, typically the rectum. This solid dosage form is engineered to dissolve or melt at body temperature, facilitating the release of hydroxyzine for absorption. Hydroxyzine is an antihistamine with anticholinergic and sedative properties, commonly used to manage symptoms of anxiety, tension, and allergic reactions, as well as to induce sedation prior to medical procedures.

Upon insertion, the suppository begins to dissolve or melt, allowing the hydroxyzine to be absorbed through the mucous membranes of the rectum. This route of administration can be particularly beneficial for patients who are unable to take oral medications due to nausea, vomiting, or difficulty swallowing. The rectal mucosa provides a rich blood supply, enabling efficient systemic absorption of the medication, which can lead to rapid onset of action.

For patients experiencing anxiety or tension, hydroxyzine works by suppressing activity in certain areas of the central nervous system, providing a calming effect. Its antihistamine properties help alleviate symptoms of allergic reactions by blocking the action of histamine, a substance in the body that causes allergic symptoms. Additionally, the sedative effects of hydroxyzine can be useful in preparing patients for surgical or diagnostic procedures by reducing anxiety and inducing relaxation.

Prescribers may choose this formulation for patients who require a non-oral route of administration or for those who need a rapid onset of action. The rectal delivery system bypasses the gastrointestinal tract, reducing the risk of gastrointestinal side effects and first-pass metabolism in the liver, which can alter the effectiveness of the medication. This can be particularly advantageous in achieving the desired therapeutic effects with potentially lower doses.

It is important for both patients and prescribers to understand the proper administration technique for suppositories to ensure optimal absorption and effectiveness. Patients should be advised to store the suppositories in a cool place to prevent melting and to follow specific instructions for insertion. If you have any questions or need further information about hydroxyzine dihydrochloride 25 mg suppositories, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries or concerns you may have regarding this formulation.

Other Uses

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Hydroxyzine Dihydrochloride 25 mg suppositories are primarily used for their antihistamine and anxiolytic properties, often prescribed for the treatment of anxiety, nausea, and allergic reactions. However, this formulation can also be considered for other uses due to its pharmacological profile. One potential off-label use is for the management of pruritus, or severe itching, which can be associated with various dermatological conditions or systemic diseases. The rectal administration of hydroxyzine can be particularly beneficial for patients who have difficulty swallowing oral medications or for those who experience gastrointestinal disturbances that may affect the absorption of oral formulations.

Additionally, hydroxyzine suppositories may be utilized in palliative care settings to help manage symptoms such as anxiety and agitation in patients who are unable to take medications orally. The systemic absorption through rectal administration can provide a calming effect, which is valuable in end-of-life care where comfort is a priority. Furthermore, hydroxyzine's sedative properties can be advantageous in preoperative or postoperative settings to help reduce anxiety and induce sedation, especially in patients who are unable to tolerate oral medications due to nausea or vomiting.

For prescribers, it is important to consider the patient's overall health status, potential drug interactions, and specific needs when prescribing hydroxyzine suppositories for off-label uses. Patients should be informed about the potential side effects, such as drowsiness, dry mouth, and dizziness, and advised to avoid activities that require mental alertness until they know how the medication affects them. As with any medication, the benefits and risks should be carefully weighed, and the decision to use hydroxyzine suppositories for off-label purposes should be based on clinical judgment and individual patient circumstances.

If you have any questions or need further information about the use of hydroxyzine dihydrochloride suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Hydroxyzine Dihydrochloride 25 mg Suppository used for?

Hydroxyzine Dihydrochloride 25 mg Suppositories are used to treat anxiety and tension, as well as to manage pruritus due to allergic conditions. They may also be used as a sedative to treat sleep disorders or to manage nausea and vomiting.

How do I use Hydroxyzine Dihydrochloride Suppositories?

To use a Hydroxyzine Dihydrochloride Suppository, insert it into the rectum or vagina as directed by your healthcare provider. Ensure your hands are clean before and after insertion, and follow any specific instructions provided with your prescription.

How does a suppository work?

A suppository is a solid dosage form that is inserted into a body cavity, such as the rectum or vagina. It dissolves or melts at body temperature, releasing the medication for local or systemic absorption.

What should I do if I miss a dose?

If you miss a dose of Hydroxyzine Dihydrochloride Suppository, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Hydroxyzine Dihydrochloride Suppositories?

Common side effects may include drowsiness, dry mouth, and dizziness. If you experience severe side effects such as difficulty breathing, swelling, or severe rash, seek medical attention immediately.

Can I use Hydroxyzine Dihydrochloride Suppositories if I am pregnant or breastfeeding?

Consult your healthcare provider before using Hydroxyzine Dihydrochloride Suppositories if you are pregnant or breastfeeding. They will assess the potential risks and benefits to determine if this medication is appropriate for you.

How should I store Hydroxyzine Dihydrochloride Suppositories?

Store Hydroxyzine Dihydrochloride Suppositories at room temperature, away from moisture and heat. Keep them out of reach of children and pets.

Can I use Hydroxyzine Dihydrochloride Suppositories with other medications?

Before using Hydroxyzine Dihydrochloride Suppositories, inform your healthcare provider about all other medications you are taking, including over-the-counter drugs and supplements, to avoid potential interactions.

What should I do if I experience an allergic reaction to the suppository?

If you experience signs of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek emergency medical help immediately.

How long does it take for the suppository to dissolve and take effect?

The time it takes for a suppository to dissolve and take effect can vary. Generally, it begins to dissolve within minutes after insertion, and the effects may be felt shortly thereafter. Follow your healthcare provider's instructions for optimal results.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Hydroxyzine Dihydrochloride 25 mg Suppositories
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Every 6 hours as needed