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Compare Vistaril vs. Ativan

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Hydroxyzine (Vistaril) and lorazepam (Ativan) are both medications that treat anxiety. Hydroxyzine is an antihistamine that can also treat allergy-related symptoms. It's typically only used for short-term anxiety treatment and isn't usually a first-choice treatment option. Lorazepam is a benzodiazepine that works by increasing the levels of a chemical called GABA, which helps calm the mind and body. Lorazepam is a controlled substance due to its risk of dependence and misuse. Both medications can cause drowsiness and should not be mixed with alcohol.

  • Hydroxyzine pamoate (Vistaril)
    Lorazepam (Ativan)
  • Hydroxyzine pamoate (Vistaril)
    Lorazepam (Ativan)

  • Summary of Vistaril vs. Ativan

    Summary for Antihistamine
    Prescription only

    Hydroxyzine pamoate (Vistaril) is a prescription antihistamine. It's taken by adults and children to treat anxiety and to ease itching from allergies. It's also used as a sleep aid (sedative) before and after general anesthesia. Hydroxyzine pamoate (Vistaril) comes as a capsule that's taken by mouth up to 4 times daily. Some common side effects of this medication include sleepiness, dry mouth, and headache. It's best to avoid drinking alcohol while taking hydroxyzine pamoate (Vistaril) because doing so can worsen drowsiness.

    Summary for Benzodiazepine
    Prescription only

    Lorazepam (Ativan) is a benzodiazepine used for short-term treatment of anxiety. The oral tablets and solution are taken by mouth, typically 1 to 3 times daily, depending on the formulation. Lorazepam is also available as an injectable medication that's given by healthcare professionals in a hospital setting to control seizures. Sleepiness and dizziness are the most common side effects of lorazepam (Ativan).

  • Indications of Vistaril vs. Ativan

    Indications for
    •Anxiety
    •Itching from allergic skin conditions (e.g., hives, eczema, etc.)
    •Sleep aid (sedative) while receiving general anesthesia for surgery
    Indications for
    •Anxiety disorders
    •Anxiety associated with depressive symptoms
    •Short-term relief of anxiety
    •Seizures lasting longer than 5 minutes - injection only
    •Surgery-related anxiety, usually given shortly before anesthesia - injection only

  • Pros and Cons of Vistaril vs. Ativan

    Pros and Const for Antihistamine
    Pros
    •Helps relieve itching and anxiety within 30 minutes
    •An option for children
    •Taken by mouth
    Cons
    •Sleepiness and dizziness are common side effects
    •Can rarely cause sexual side effects
    •Might need to take up to 4 times a day
    Pros and Const for Benzodiazepine
    Pros
    •Taken by mouth
    •Might start to work within 30 minutes to manage anxiety symptoms
    •Available as oral solution, good option for those who can't swallow tablets
    •Some forms available as a lower-cost generic
    Cons
    •Short-term use only because risk of dependence and memory problems
    •Can drowsiness, and dizziness
    •Can cause withdrawal symptoms if stopped suddenly
    •Can't take with alcohol

  • Common Side Effects of Vistaril vs. Ativan

    Common Side Effects for
    •Sleepiness
    •Dry mouth
    •Headache
    Common Side Effects for
    •Sleepiness (16%)
    •Dizziness (7%)
    •Weakness (4%)
    •Unsteadiness (3%)

  • Warnings of Vistaril vs. Ativan

    Common Side Effects for
    •Sleepiness
    •Heart rhythm problems (QT prolongation)
    •Higher risk of side effects in people over 65
    •Severe allergic and skin reactions
    Common Side Effects for
    •Sedation and difficulty breathing
    •Misuse, dependence, and withdrawal
    •Depression and suicidal thoughts or behaviors
    •Effect on driving and concentration
    •Trouble breathing
    •Risk of agitation and restlessness
    •Harm to babies
    •Serious allergic reaction (Loreev XR only)

  • Prices with our coupons for Vistaril vs. Ativan

    Learn more about Hydroxyzine pamoate
    Learn more about Lorazepam

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