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The patient has to, eventually, be their own psychoanalyst.
Hope this is the right section for this question, so here goes.
I ask this because I'm seeing more and more patients w/o insurance who would benefit from Atarax (my favorite anxiety drug) but would benefit even greater from a medicine that worked which could be bought cheaply OTC.
ntubebate The antihistamines that enter the CNS are sedating as a result.
That said, from "most sedating" to "least sedating" (historically) we have available: Diphenhydramine (Benadryl), Dimenhydrinate (Dramamine) [I've never seen this used for anything other than motion sickness but it is a sedating AH in the ethanolamine class] Tripelennamine (Pyribenzamine) Chlorpheniramine (Chlor-trimeton); Brompheniramine (Dimetane) Hydroxyzine (Atarax, Vistaril); Cyclizine (Marezine); Meclizine (Antivert) When Tavist hit the scene, the reps touted it as "non-sedating." It was 1.34mg, I found it didn't work. The use of antihistamines in anxiety relates to their nonspecific sedating activity.
Then 2.68mg dose arrived, and it worked, but it was also sedating at that level. The use of barbiturates in the past was a similar phenomenon.
There's a distributor in Florida called "Anda" - you can but quantities larger than 100/bottle and my guess is Hydroxyzine 25mg will cost you less than 5 cents a dose and you can charge the patient whatever you wish (might depend on your state law, though). I do not know why but banadryl does not do anything for anxiety.