The Uses of Hydroxyzine Dihydrochloride
News 2025-04-08
1. Clinical Therapeutic Uses
- Anxiolytic and Sedative:
- Effective in managing anxiety, tension, and agitation associated with neuroses and psychoneurotic disorders.
- Reduces emotional and psychic stress, often used in pre-operative settings to induce relaxation.
- Antiemetic:
- Mitigates nausea and vomiting by antagonizing histamine H1 receptors in the central nervous system and vestibular apparatus.
- Antipruritic:
- Alleviates itching caused by allergic conditions (e.g., urticaria, dermatitis) via H1 receptor blockade.
- Adjunctive Therapy:
- Used alongside analgesics (e.g., opioids) to enhance pain relief by potentiating sedative effects without increasing respiratory depression.
2. Pharmacological Research and Development
- Anxiolytic Activity Studies:
- Utilized in preclinical models to evaluate comparative anxiolytic efficacy against other drugs (e.g., benzodiazepines).
- Histamine Receptor Research:
- Acts as a selective H1 receptor antagonist, facilitating studies on histamine-mediated pathways in inflammation, allergy, and neurological disorders.
- Drug Development:
- Serves as a reference compound in developing newer-generation antihistamines and anxiolytics.
3. Preclinical and Experimental Applications
- Neuroscience Research:
- Investigates roles in modulating neurotransmitter systems (e.g., serotonin) and their implications in anxiety, mood disorders, and addiction.
- Immunology Studies:
- Explores interactions with mast cells and immune responses in conditions like allergic encephalomyelitis and neurogenic bladder inflammation.
- Pharmacokinetics:
- Examines absorption, distribution, metabolism, and excretion profiles to optimize drug formulations and dosing regimens.
4. Chemical Synthesis and Precursor Role
- Intermediate in Drug Synthesis:
- Used to synthesize metabolites like cetirizine (a second-generation H1 antagonist) via hepatic metabolism.
5. Safety and Considerations
- Contraindications:
- Avoid in patients with hepatic/renal impairment, prostatic hyperplasia, or glaucoma.
- Adverse Effects:
- Potential for drowsiness, dry mouth, and rare cases of dependence with prolonged use.
- Drug Interactions:
- Enhances CNS depressant effects when combined with opioids, barbiturates, or alcohol.


