Mirtazapine (also known by the brand name, Remeron) is an antidepressant in the class of drugs called atypical tetracyclic antidepressants. The prescription medication is approved to treat major depressive disorder (MDD) and is also used off-label for conditions like anxiety, OCD, PTSD, and insomnia. Despite being known for its efficacy, some people want an alternative to mirtazapine​. This can be due to side effects, cost, lack of effectiveness, or a simple personal preference for a more holistic, non-pharmaceutical approach.

If you’re looking for alternatives to mirtazapine for depression, anxiety, or another mental health condition, it’s important to remember that you have many options. Work with your doctor or a mental health professional before you change your medication or stop taking a drug.

Alternative Medications to Mirtazapine

There are several other drug options to choose from if you’re looking for a mirtazapine alternative. The drugs below can be just as effective in managing symptoms that mirtazapine treats. 

Sertraline (Zoloft)

Sertraline (brand name Zoloft) is an antidepressant medicine in the class of drugs called selective serotonin reuptake inhibitors (SSRIs). It’s commonly prescribed to treat depression and anxiety disorders. A sertraline prescription differs from mirtazapine because it’s much less sedating, so it might be more suitable for someone who wants to avoid drowsiness.

Common side effects of Zoloft can include: 

• Nausea
• Insomnia
• Diarrhea 
• Dry mouth
• Feeling tired or weak
• Sexual dysfunction

Note that many side effects linked to sertraline often diminish over time.

Fluoxetine (Prozac)

Fluoxetine is another SSRI that’s widely prescribed to treat depression, anxiety, and obsessive-compulsive disorder (OCD). Its long half-life reduces the risk of withdrawal symptoms upon discontinuation, making Prozac prescriptions a popular choice for anyone worried about having difficulty coming off a drug. Fluoxetine has a stimulating effect, which can be ideal for people with low energy (which is common with depression). 

Common side effects of Prozac can include: 

• Headache
• Difficulty sleeping
• Nausea
• Diarrhea
• Feeling weak or tired
• Sexual dysfunction 

Escitalopram (Lexapro)

Escitalopram (brand name Lexapro) is a well-tolerated SSRI medicine known for its efficacy in treating depression and generalized anxiety disorder (GAD). This drug also has fewer side effects compared to some other, older SSRIs, which is why a Lexapro prescription is often considered a first-line treatment.

Common side effects of Lexapro can include: 

• Headache
• Nausea
• Dry mouth
• Excess sweating
• Sleep disturbances
• Feeling weak or tired

Duloxetine (Cymbalta)

Duloxetine (Cymbalta) is a serotonin-norepinephrine reuptake inhibitor (SNRI). It can be prescribed to treat depression as well as some chronic pain conditions, like neuropathy or fibromyalgia. Because of its dual action, a Cymbalta prescription is often used when people have comorbid pain symptoms. 

Common side effects of Cymbalta can include: 

• Insomnia
• Dizziness
• Constipation
• Headache
• Fatigue

Venlafaxine (Effexor XR)

Venlafaxine (Effexor XR) is yet another SNRI. It helps manage symptoms of depression and some anxiety disorders. Venlafaxine is an extended-release formula that offers constant, long-lasting relief throughout the day.

Common side effects of venlafaxine can include: 

• Sweating
• Drowsiness
• Seizures
• Constipation
• Headache
• Sexual dysfunction

Note that venlafaxine can cause high blood pressure when used in high doses.

Trazodone

Trazodone is in a different class of drugs known as serotonin receptor antagonists and reuptake inhibitors (SARIs). These work by balancing levels of serotonin in the brain. Trazodone is used to treat depression, anxiety, and insomnia. When this medicine is prescribed at a low dose, its sedative effects can promote sleep. To treat depression though, it’s generally prescribed at a higher dose or as an adjunct medication. 

Common side effects of trazodone can include: 

• Feeling sleepy
• Headaches
• Nausea
• Dry mouth
• Constipation
• Blurred vision 
• Change in sex drive

Amitriptyline

Amitriptyline is a tricyclic antidepressant that can treat depression or be used off-label as a mirtazapine alternative for sleep and chronic pain management — like migraines and neuropathic pain.

Common side effects of Amitriptyline can include: 

• Constipation
• Dizziness
• Feeling sleepy
• Difficulty urinating
• Dry mouth
• Headache

“Common alternatives to Mirtazapine for the treatment of anxiety and depression include Escitalopram and Fluoxetine. Trazodone is a common alternative used for sleep. Trazodone is especially used for patients who desire improved sleep without Mirtazapine’s possible side effect of weight gain.”

– Talkspace therapist Dr. Dion Metzger, MD

Natural/Non-Pharmaceutical Alternatives to Mirtazapine

Some people want a more natural or non-pharmaceutical alternative to mirtazapine. Fortunately, there are options available that may help treat depression, anxiety, and insomnia without using prescription drugs — and for many, they can be very effective. 

Cognitive behavioral therapy (CBT)

Cognitive behavioral therapy (CBT) is a structured form of therapy. It helps you identify and change unhealthy, negative thoughts and behavior patterns that might be contributing to mental health challenges. CBT techniques can be as or more effective than medication when treating conditions like depression and anxiety. 

CBT can be conducted in a one-on-one or group setting, and it typically involves weekly sessions that occur over several months.

Mindfulness-based stress reduction (MBSR)

Mindfulness-based stress reduction (MBSR) combines the power of mindfulness meditation with yoga to reduce stress and enhance emotional and psychological well-being. Research shows that MBSR is effective in reducing anxiety, depression, and stress.

Physical lifestyle changes

Fundamental, easy-to-implement physical changes — like regular exercise, eating well, and staying physically active — can improve mood and sleep quality. Commit to working out, like walking, swimming, or cycling. Even just 30 minutes of exercise a day can drastically reduce symptoms of anxiety and depression. Maintaining a healthy sleep routine and creating a restful sleep environment can also improve insomnia.

Nutritional support and supplements

Natural supplements have become increasingly popular in recent years. These non-pharmaceutical options that may help treat mental health are options for people who want to try a holistic approach to their mental well-being. 

• Omega-3 fatty acids: Fish oil contains omega-3 fatty acids, which have been linked to improved mood and cognitive function.
• Vitamin D: Research suggests that vitamin D deficiency is associated with depression and anxiety. Thus, supplements might be beneficial for some people. 
• St. John’s Wort: An herbal remedy that some studies suggest can be effective for mild to moderate depression. However, it can interact with various medications, so it’s crucial to consult a healthcare provider before using it. More research is still needed on this natural alternative to mirtazapine, but current data is promising. 
• Chamomile: Some herbal supplements promote relaxation. Chamomile was shown to improve sleep and reduce anxiety.

It’s essential that you approach natural supplementation carefully — natural doesn’t always mean safe. Talk to your doctor about anything you’re considering trying before you make the switch. Some holistic supplements can interact with other medications, and side effects are possible, so you should tell your doctor what you want to try so they can monitor you.

Considerations When Choosing a Mirtazapine Alternative

When choosing a mirtazapine alternative, certain factors — like your health background, how well you tolerate side effects, the cost of medicine, and your lifestyle — will all play a role in determining what medication might be the best option for your needs. Your doctor can help you decide on the right alternative treatments while ensuring your safety.

When selecting an alternative to Mirtazapine, consider personal factors like:

• Health history: Pre-existing and current medical conditions as well as certain medications can impact which alternative treatment might be best for you.
• Side effect tolerability: Your sensitivity to potential side effects can help guide your decision between medications or non-pharmaceutical options.
• Cost: Financial considerations, including insurance coverage and out-of-pocket expenses, can also impact treatment decisions.
• Lifestyle: Personal preferences, habits, and routines can affect how well you adhere to a treatment plan.  

When you consult with a healthcare provider about making changes to your treatment plan, they can provide you with personalized recommendations and monitor your reactions and progress. They’ll also be able to adjust things like dose or medication to ensure you’re safe and getting the best outcomes possible. 

Find the Right Alternative with Talkspace

Choosing the right alternative to mirtazapine is easier when you take a personalized approach that’s guided by a trained, experienced mental health professional. Talkspace offers online psychiatry services that make getting help convenient. With Talkspace, you’ll have access to licensed professionals who can help you with therapy, medication management, and guidance to alternatives if you want to go on a different path. 

Connect with an online psychiatrist today to learn more about how to get a mirtazapine prescription or explore alternative non-pharmaceutical options. 

If not done correctly, coming off a medication like Topamax (topiramate) can significantly impact your physical and mental health. Topamax is a commonly prescribed drug approved to treat migraines and conditions like epilepsy. It can also be used off-label for things like anxiety, bipolar disorder, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). However, the side effects of Topamax may lead some people to consider stopping. Like many medications, abruptly discontinuing Topamax can result in uncomfortable, sometimes dangerous, withdrawal symptoms, especially if you are taking a high dose. 

Read on to learn why talking to your doctor is so important before you quit taking Topamax. They’ll help provide a safe and gradual transition away from the drug while minimizing potential problems. Here, we’re outlining everything you should know about Topamax withdrawal symptoms, timelines, and how to manage the process. 

Can You Stop Taking Topamax Immediately?

The short answer is no — you should not stop taking a medication like Topamax cold turkey. Doing so can result in withdrawal symptoms and adverse health complications. Specifically, it can cause rebound migraines, seizures, mood disturbances, and more. Topamax works by altering brain chemistry, so when you suddenly stop using the medication, your body and brain might not have time to adjust.

Talk to your doctor about coming off Topamax. They’ll assess your medical history, dose, duration of use, other medications you’re taking, and any comorbid conditions you might be dealing with. Then they can help you create a treatment plan to taper your Topamax or topiramate dose slowly. A tapered approach helps ensure a safer and more comfortable transition, giving your body time to get used to not having the drug in your system. 

Withdrawal Symptoms of Topamax

Abrupt cessation of Topamax can cause a range of physical and emotional withdrawal symptoms affecting both your body and mind. Which symptoms you have — and how severe they are — can depend from person to person. Factors like how long you’ve been on Topamax, what mg/day dosage you’ve been taking, and your overall general health will all influence the symptoms you experience. 

Physical symptoms

There are several possible physical symptoms some people experience when going through Topamax withdrawal. They can vary widely but often include discomfort that might impact overall well-being. These symptoms are the body’s way of responding to the absence of a medication it’s used to having.

• Fatigue and low energy levels
• Headaches or rebound migraines
• Seizures
• Dizziness or lightheadedness
• Dehydration
• Insomnia or disrupted sleep patterns
• Tremors or shaking
• Nausea and vomiting
• Changes in appetite or nausea
• Muscle pain or weakness
• Tingling sensations (paresthesia)

Emotional symptoms

Emotional withdrawal symptoms from Topamax are just as important to learn about. They can be extremely challenging to manage without expert guidance. The following emotional effects aren’t uncommon as the brain adjusts to functioning without Topamax.

• Anxiety or restlessness
• Mood swings or irritability
• Crying spells
• Depression or feelings of hopelessness
• Difficulty concentrating or brain fog

How Long Does Topamax Withdrawal Last?

On average, Topamax withdrawal symptoms can last a few days to several weeks, depending on individual recovery. The exact Topamax withdrawal timeline ​depends on several things, like your tapering schedule, individual health, and body chemistry. Other potential factors include the dosage you’re on, other medications you take, your age, how long you’ve been taking Topamax, and any dependency issues.  

Mild symptoms, like headaches and fatigue, will often resolve within a week or so. More severe reactions, like rebound migraines or mood disturbances, can persist for a few weeks. Closely following the taper schedule your doctor recommends can drastically shorten the withdrawal period and reduce the severity of symptoms.

Managing Topamax Withdrawal Symptoms

Fortunately, it is possible to manage withdrawal symptoms from Topamax. The following tips can help make the discontinuation process much more bearable:

• Taper your dosage: Your doctor will create what’s known as a taper schedule to slowly reduce your dosage in careful measures. The tapering process gives the body time to adapt, which can minimize symptoms.
• Stay hydrated and eat balanced meals: Eating a healthy diet and drinking enough water can combat fatigue and reduce nausea. Be sure to eat nutrient-dense, minimally processed foods to support your overall well-being.
• Use natural remedies: Research shows that ginger or peppermint can reduce stomach discomfort, while ginger and rosemary oil are believed to alleviate muscle pain in some people.
• Incorporate relaxation techniques: Practicing deep breathing, yoga, or mindfulness meditation can help manage anxiety and mood swings during withdrawal.
• Maintain a consistent sleep schedule: Good sleep hygiene prevents fatigue and can reduce irritability. Create a calming bedtime routine and limit screen time to promote restful sleep and support mental health.
• Engage in light exercise: Even gentle physical activity like walking or stretching can boost mood and energy levels.

“If you want to stop taking Topamax, it’s important to talk to your doctor first and avoid stopping suddenly. Gradually reduce your dosage under your doctor’s guidance and monitor any symptoms during the tapering process to prevent severe withdrawal effects.”

– Talkspace therapist Dr. Olga Molina, D.S.W., LCSW 

Talk with a Licensed Psychiatrist

Before you stop taking a drug like Topamax, you should know the complexities of discontinuing. When you decide to quit using a medication, you should always ask your doctor or a licensed psychiatrist to help. A licensed psychiatrist will monitor your symptoms and offer support and guidance along the way. 

Avoid or reduce Topamax withdrawal symptoms by connecting with a Talkspace mental health provider. Talkspace psychiatrists can offer you a personalized tapering plan and ongoing support. 

Taking control of your health starts with empowering yourself to make informed decisions. With the right help and expert knowledge, you can successfully transition off Topamax and take healthy steps toward your wellness goals. Connect with an online psychiatrist today to learn more about medication management and potential Topamax alternatives.

Choosing the right medication for anxiety can be a complex, personal journey. There are countless drugs on the market that can alleviate your symptoms. Figuring out which one is right for you isn’t as straightforward as you might think. Two drugs commonly used to treat anxiety are Hydroxyzine Pamoate and Xanax. Both can treat the same condition, but there are significant differences between these medications, which is why it’s important to compare the two medications thoroughly to understand their unique benefits. 

The mechanism of action, suitability for long-term use, and potential for misuse or addiction differ between Hydroxyzine and Xanax. Hydroxyzine belongs to the antihistamine class of drugs and offers a non-addictive alternative for anxiety relief. In contrast, Xanax is a benzodiazepine (often referred to as a “Benzo”), which can be effective for short-term anxiety management but carries a higher risk of dependence and misuse with prolonged use, even when taken as prescribed. Each drug requires a specific prescription and dosage guided by a healthcare provider to ensure safe use.

Understanding the differences between Hydroxyzine vs Xanax​ can help you decide on treatment options. If you’re wondering if Hydroxyzine is like Xanax​, keep reading as we explore the similarities and differences and answer common questions about these drugs.

Drug	Drug Class	Conditions Treated	Common Side Effects	Key Considerations
Xanax	Benzodiazepine	Anxiety disorders, panic disorders, anxiety caused by depression	Drowsiness, dizziness, feeling light-headed, headache, sexual dysfunction, appetite change, dry mouth	Risk of dependence and misuse, not ideal for long-term use, faster-acting
Hydroxyzine	Antihistamine	Anxiety, sleep disturbances, allergies, nausea	Drowsiness, dizziness, blurred vision, constipation, dry mouth	Non-addictive, suitable for short-term use, slower onset

Differences Between Hydroxyzine and Xanax

While both Hydroxyzine (brand name Vistaril) and Xanax are used to manage anxiety, there are some primary differences between them. For example, they’re in different drug classes, they work differently, one is effective longer than the other, and there’s a different risk for abuse or addiction between them. They also have slightly different side effects, withdrawal symptoms, and additional uses each might be suitable for. 

Exploring the differences can help you decide which medication might be better for your specific needs. 

Drug class

Hydroxyzine belongs to the class of medications called antihistamines, which can have sedative and calming effects. These drugs work by blocking the histamine chemical released when you have an allergic reaction, minimizing reaction side effects. Hydroxyzine can be used to treat allergies, but it is also approved and effective in treating generalized anxiety disorder (GAD). 

Xanax (alprazolam), a well-known brand of anxiety medication, is a benzodiazepine. Benzos are a class of drugs specifically designed to target anxiety and panic disorders. They work by enhancing the calming effects of gamma-aminobutyric acid (GABA) in the brain.

Mechanism of action

The mechanism of action for Hydroxyzine vs. Xanax is another difference between these two popular drugs. By blocking histamine receptors in the brain, Hydroxyzine creates a calming effect that can help reduce anxiety. 

Xanax, however, works by increasing the activity of GABA, a neurotransmitter in the brain that promotes relaxation and slows brain overactivity.

Duration of action

Two things to keep in mind when you’re looking for a medication and developing a treatment plan include: how long it takes to work and how long relief lasts. Most people find that Hydroxyzine has a longer onset of action but that the effects of each dose can last up to 6 hours.

Xanax begins working much more quickly. Most people who take it start to feel the effects within about 20 – 30 minutes, and they typically find relief for between 4 – 6 hours. Some experience relief in as little as 5 – 10 minutes after taking Xanax. For this reason, it’s often the drug of choice for those with acute anxiety episodes.

Addiction potential

One of the most significant and serious differences between Hydroxyzine and Xanax is their potential for addiction.

Hydroxyzine is not addictive, does not cause physical dependence, and is not classified as a controlled substance. In contrast, Xanax carries a high risk of addiction and dependence, even when taken as prescribed. Research estimates that approximately 17% of adults in the U.S. have misused benzodiazepines within the past year.

“Xanax is a very potent calming medication. It works fast and for a short period of time (several hours), which makes it a high risk for dependence. Patients may build a tolerance where they start needing higher doses to get the same effect. When someone stops Xanax suddenly after continuous use, they can have very uncomfortable withdrawal symptoms. This can lead to a cycle of continuous Xanax use.”

Talkspace therapist Dr. Dion Metzger, MD

Side effects

There are some common side effects that Hydroxyzine and Xanax share — like dizziness and drowsiness. In addition to those, though, Hydroxyzine side effects can also cause blurred vision and dry mouth. Xanax has the potential to cause memory problems and difficulty concentrating, and it has a higher risk of developing tolerance than Hydroxyzine.

Withdrawal

Whenever you stop taking a drug, it’s essential to consider potential withdrawal symptoms. For most people, there’s a lower risk of  Hydroxyzine withdrawal, which makes it somewhat safer for extended use (although Hydroxyzine is typically only used as a temporary solution for anxiety relief). 

On the other hand, Xanax withdrawal can be more severe. When not done carefully, reducing Xanax dosages may cause insomnia, irritability, seizures, and rebound anxiety. You must talk to your doctor before you stop taking Xanax — they can help you come up with a taper plan that can reduce the chance and severity of withdrawal symptoms. 

Additional uses

Most medications serve more than one purpose, and Hydroxyzine and Xanax are no exception. However, these two differ in the additional uses they treat. Hydroxyzine is frequently prescribed not only for anxiety but also for allergies, nausea, and sleep disturbances. Xanax, on the other hand, is primarily used for anxiety and panic disorders but is sometimes prescribed off-label for conditions like insomnia or any situation requiring short-term sedation or relaxation.

These extra benefits might influence which medication fits your lifestyle and health needs best.

Similarities Between Hydroxyzine and Xanax

Despite their differences, Hydroxyzine and Xanax do have several similarities. Understanding how they’re similar, what their shared properties are, and what therapeutic benefits they have can offer insight into why these drugs are used.

Used for anxiety treatment

Hydroxyzine and Xanax can both effectively treat anxiety with the proper dosage of each medication. Hydroxyzine is more commonly used to treat generalized anxiety disorder (GAD), whereas Xanax is often reserved for acute anxiety episodes or panic attacks.

“Hydroxyzine is not as potent as Xanax and does not have a risk for dependence. This would be a better choice for patients with a history of substance dependence. It is also commonly used to manage milder acute anxiety symptoms. In contrast, Xanax is more potent and typically reserved for short-term use in situations where its strength is necessary, such as managing severe panic symptoms during air travel. In such cases, Xanax is usually taken shortly before or during the flight.”

Talkspace therapist Dr. Dion Metzger, MD

Sedative properties

These drugs each offer sedative effects, which means they’ll promote relaxation and reduce tension. This is an important consideration to note since sedation generally leads to drowsiness, which can be challenging if you’re trying to complete daily activities. 

Fast onset of action

Both anxiety medications work relatively quickly. Xanax can work in as little as 20 – 30 minutes for most people, and Hydroxyzine doesn’t take much longer — the effects can usually be felt in about 30 – 45 minutes, depending on the dose and individual response.  

Short-term use

Both Hydroxyzine and Xanax are typically prescribed for short-term use, but for slightly different reasons. Hydroxyzine’s short-term use is mainly due to its sedative side effects, which can impact daily activities over time. Xanax, on the other hand, is limited to short-term use because of its higher risk of dependency and misuse. 

Side effect overlap

There are some common side effects that might be experienced when taking Xanax or Hydroxyzine. Some people feel drowsy, dizzy, or fatigued with the use of these medications. It’s crucial to monitor the side effects of any drug you’re taking, especially if you’re driving, using heavy machinery, or need to be fully alert.

FAQs About Hydroxyzine and Xanax

Before deciding to take Hydroxyzine or Xanax, you should consider their use, effectiveness, and potential risks. Below are frequently asked questions and answers designed to help clarify misconceptions about these drugs. 

If you’re unsure which option is right for you, explore these FAQs as a starting point and then talk to your healthcare provider or psychiatrist about finding relief for your anxiety.

Is Hydroxyzine a controlled substance?

No, Hydroxyzine is not a controlled substance. This means there’s considered no potential for abuse or addiction, which can make it a safer option for anxiety management if you’re concerned about misuse or addiction. 

Does Hydroxyzine feel like Xanax?

Hydroxyzine can produce calming effects similar to Xanax, but it lacks the euphoric sensation that some people may experience with Xanax due to its action on the brain’s GABA receptors. Hydroxyzine is often described as less intense while still effective for managing mild to moderate anxiety.

Does Hydroxyzine work as well as Xanax?

Hydroxyzine can be effective for managing certain types of anxiety, such as generalized anxiety disorder (GAD). However, because Hydroxyzine has a slower onset of action compared to Xanax, it is less suitable for treating acute or urgent anxiety episodes, such as panic attacks. Xanax, with its fast-acting properties, is often preferred in situations requiring immediate relief.

What calms you down like Xanax?

If you’re looking for medication alternatives that calm you down like Xanax, options like Ativan (lorazepam), Klonopin (clonazepam), or Valium (diazepam) may be prescribed by a doctor. These are benzodiazepines, similar to Xanax, and work in a similar way to help reduce anxiety. 

Non-benzodiazepine options like Hydroxyzine, Buspirone, or natural approaches like deep breathing, meditation, and progressive muscle relaxation can help calm anxiety. However, always consult your doctor for the best alternative based on your needs.

Which Medication is Right for You?

Choosing between Hydroxyzine and Xanax depends on several factors, like your individual needs, medical history, and the severity of your symptoms. 

When Hydroxyzine may be better:

• Generalized anxiety disorder
• Sleep disturbances related to anxiety
• There’s a history of substance abuse

When Xanax may be better:

• Short-term relief of acute anxiety attacks
• Panic disorders that demand immediate relief

Talk to your healthcare provider or a mental health professional to figure out the most appropriate and effective prescription and treatment plan for your needs. 

Get Professional Guidance with a Prescription

Finding the right medication for anxiety can be a lengthy process. It involves careful consideration and discussions with your doctor about the benefits and risks associated with each option. Hydroxyzine and Xanax both offer advantages, but which one is best for you depends on your circumstances, condition, and medical history.

Working with a psychiatrist or other mental health professional ensures your treatment aligns with your needs. Online psychiatry services at Talkspace offer you convenient access to licensed, trained experts who can help you manage your anxiety with medication. While Talkspace providers do not prescribe Xanax, they can suggest Xanax alternatives or prescribe Hydroxyzine online.

Reach out to Talkspace today to connect with an online psychiatrist about Hydroxyzine or Hydroxyzine alternatives.

Topamax (topiramate) is a commonly prescribed medication that’s FDA-approved to treat epilepsy and migraine headaches. This medicine is also used with other drugs or off-label (meaning it’s not approved to treat but still may offer benefits) for several conditions, including bipolar disorder depression, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). 

If you’ve recently started taking Topamax or you’re thinking about trying this medicine for your mental health, talking to your doctor is the first step. They’ll explain to you how the medication should work, the dosage you’ll start at, and what potential side effects you should be aware of. 

Understanding how long it takes for the effects of Topamax or topiramate to work depends on multiple factors — like the condition you’re treating, other medications you’re taking, comorbid conditions you’re managing, and individual responses to the medication. Continue reading to learn when and how you’ll know if Topamax is working, along with what to do if you’re not getting the results you want.

How Fast Does Topamax Start to Work?

When we look at how long it takes Topamax to work, it’s important to note that timelines won’t be the same for everyone. However, there are some basic guidelines you can follow. 

• Migraine prevention: Studies have found that Topamax medicine can be an effective preventive therapy for migraines. Many people who use the drug start noticing improvements in symptoms or fewer headaches within 4 weeks of starting treatment, but it can take up to 2 – 3 months to experience the full preventive effects.
• Epilepsy: Research supports that Topamax is an excellent drug choice for treating epileptic seizures. It can start reducing seizure frequency within 2 – 4 weeks. 
• Bipolar depression: Topamax likely won’t begin working for bipolar depression until you’ve taken it for several weeks. 
• OCD: It can take several weeks up to a few months before Topamax offers a noticeable difference in OCD symptoms. 
• PTSD: Some studies show that Topamax might be effective in treating post-traumatic stress disorder (PTSD). The drug typically needs to be used consistently for at least 2 weeks before you notice any effects or improvements in symptoms.

Factors That Affect How Long Topamax Takes to Work

Multiple factors can influence the time it takes for Topamax to take effect. Dosage, your condition, the severity of symptoms, and other medications you take can all impact efficacy and timelines.

Dosage adjustments

To minimize unwanted side effects of Topamax, like fatigue, impaired thinking, or dizziness, doctors typically start with a low dose of this medicine. This initial dose is gradually increased in a process called titration. While titration helps reduce side effects, it can also delay the medication’s therapeutic benefits.

For bipolar disorder, the starting dosage is often 25mg, with gradual increases to a daily range of 100mg to 300mg. For OCD, some studies have shown promising results when treatment begins with 25mg per day. The dosage is then increased by 25mg each week until a maximum dose of 50mg twice daily is reached.

Condition being treated

A big part of how long it takes Topamax to work depends on what you’re using it for. 

• When taken to reduce the frequency of migraines, many people respond quickly, often seeing preventive benefits within weeks.
• When treating epilepsy, due to the complex nature of seizure disorders, it can take some time before the full impact of the drug is felt.
• When treating bipolar depression, OCD, or PTSD, it can take 2 weeks before you start feeling the effects of Topamax.

Individual factors 

Individual differences can impact how well and how quickly a medication like Topamax or topiramate works. Factors like metabolism, genetic factors, age and weight, and overall health can all influence when Topamax begins working. 

Comorbid conditions (occurring at the same time) or other medications you’re on can also affect Topamax’s efficacy. It’s important to keep in mind that people metabolize drugs differently — which means a drug might not work the same way for two people, even if the condition being treated and the dosage is the same because their bodies’ chemistries are different.  

Combination with other medications

Topamax can be used in combination with other drugs, like some weight loss drugs, antidepressants, allergy medication, or other anticonvulsants. 

Interactions with some medications can alter how well Topamax works and how quickly it takes effect. To prevent an adverse reaction with topiramate, tell your doctor about everything you take — including supplements and over-the-counter vitamins or medications. Your doctor will closely monitor you to ensure that any drug combination you’re taking is working.

“Topamax can take 2-4 weeks to start showing benefits. Factors that could delay its benefit or decrease its effects include alcohol use and combining Topamax with other medications. Specifically, other seizure medications such as Depakote or Tegretol can lead to Topamax being less effective.”

– Talkspace psychiatrist Dr. Dion Metzger, MD

Signs That Topamax Is Working

Most people will see signs indicating that Topamax is taking effect. These signals can vary depending on the condition being treated and the dose of medicine: 

• For migraines: When Topamax works, you’ll notice reduced frequency, intensity, or duration of your migraines. You might also experience fewer instances or severity of other migraine symptoms, like nausea or light sensitivity.
• For epilepsy: If Topamax is effective in treating your epilepsy, you’ll have fewer and less severe seizures.
• For PTSD: Topamax can reduce the frequency and severity of PTSD symptoms like nightmares and flashbacks.
• For bipolar depression: You might notice reduced depressive symptoms and improved feelings of hopelessness if Topamax is working for bipolar disorder depression. 
• For OCD: If Topamax is helping your OCD, you can see a noticeable decrease in how often and how intense your obsessive thoughts and compulsive behaviors are.

“Topamax will start taking effect with positive changes in the mood and daily functioning. This can happen gradually and the benefits can appear as improved sleep, less irritability, better concentration, less feelings of sadness, and a decrease in suicidal thoughts.”

– Talkspace psychiatrist Dr. Dion Metzger, MD

It’s best to log any changes in symptoms after you start taking a drug like Topamax. When you track your progress, be sure to share your observations with your doctor or healthcare provider during follow-up appointments. This can help determine how well the medicine is working for you and if any adjustments are needed to reduce problems or reactions.

What to Do If Topamax Is Not Working

If you’ve been taking Topamax for a while, but it’s not working, don’t lose hope. You can take actionable steps with your healthcare provider to address issues with your treatment plan. 

Consult your doctor to reassess the treatment plan

Contact your doctor if you ever feel like your topiramate medication isn’t working. They’ll evaluate your overall treatment plan to determine the next steps to ensure you’re getting the best results. 

Review dosage or discuss possible adjustments

It’s not uncommon for a doctor or healthcare provider to make slight changes to a medication treatment plan. They might increase or decrease your dosage, switch the time of the day you take it, change the drug form from tablets to capsules, or suggest other possible adjustments.  

Allow sufficient time for the medication to take effect

Patience is key when you start taking a drug like Topamax. The effects often aren’t seen or felt immediately — you should be prepared for it to take several weeks to months before you see the full benefits of the medicine’s use.  

Assess adherence to the prescribed regimen

It’s crucial to take Topamax exactly as prescribed. Missing doses or stopping the medication abruptly can impact how well it works. It may even cause unpleasant symptoms of Topamax withdrawal so be sure to talk to a psychiatrist or doctor before changing anything.

Check for interactions with other medications

Some medications or supplements can interfere with Topamax’s effectiveness. To identify potential interactions, inform your doctor about all prescription, supplements, or over-the-counter products you use.

Explore alternative treatments if necessary

If Topamax isn’t giving you the desired results after sufficient time and recommended dosage adjustments, you might want to consider alternative treatments. This can mean switching to a different medication, adding another drug to your treatment plan, or incorporating therapy, where you can address underlying issues with a skilled therapist or psychiatrist. Topamax alternatives may provide better treatment for your condition, but it’s important that you consult with your doctor before coming to a final decision. 

“The combination of Topamax and talk therapy brings the best results. The medication alone is not enough to see an optimal response. While the medication reduces the symptoms, therapy will give the patient tools on how to recognize symptoms when they occur and the best way to cope with these challenges. Also, the more patients learn about their symptoms and triggers in therapy, this increases the likelihood they will stay on their medication to prevent pitfalls.”

  – Talkspace psychiatrist Dr. Dion Metzger, MD

Get Personalized Psychiatric Advice with Talkspace

Topamax can be an effective drug for managing migraines, epilepsy, OCD, PTSD, bipolar depression, and other conditions, but finding the right balance can take time and patience. 

If you’re looking for support on your mental health journey, Talkspace is there for you. You can connect with mental health providers for convenient and affordable online psychiatry and therapy services tailored to your condition and symptoms. If you need help managing your medication, are searching for coping skills to help you deal with symptoms or side effects, or have other mental health concerns, licensed Talkspace professionals are here to guide you. 

Reach out today to connect with a psychiatrist and get Topamax prescribed online or discuss whether Topamax is right for you. 

Topamax (topiramate) is a widely used medication that’s FDA-approved to treat epilepsy and prevent migraines. The drug is also sometimes used off-label — meaning not officially labeled for but has been seen to help — for conditions like bipolar disorder, anxiety, OCD, and PTSD. While Topamax can be effective for many, it’s not right for everyone’s health needs or condition treatment plan. Some people might seek alternatives due to unwanted Topamax side effects, not getting the results they want, or because they want a more cost-effective or natural alternative to topiramate​.

Exploring Topamax alternatives is critical before you try to change or improve your treatment plan. Several other options are available if you want a substitute for Topamax, including different drugs and a natural, holistic approach to treating your symptoms. It’s important to work with a doctor or healthcare provider to determine the best fit for your needs. 

Read on to learn about various pharmaceutical and natural alternatives to Topamax so you can make the best, most informed decision about your medication alternative.

Alternative Medications to Topamax

If you find your Topamax prescription isn’t a good fit for any reason, other prescribed drugs might provide the relief you’re seeking. The following alternatives can have different mechanisms of action, which might better suit your needs and comfort level. 

Name	Generic name	Class of drug	Conditions treated	Top side effects
Depakote	Divalproex	Anticonvulsant	Epilepsy, migraines, bipolar disorder	Nausea, weight gain, dizziness
Neurontin	Gabapentin	Anticonvulsant	Epilepsy, nerve pain, anxiety, migraines, depression	Drowsiness, selling
Lamictal	Lamotrigine	Anticonvulsant	Epilepsy, bipolar disorder	Skin rash, dizziness
Zonegran	Zonisamide	Anticonvulsant	Epilepsy, migraines, mood disorders	Drowsiness, loss of appetite

Depakote (divalproex sodium)

Depakote is an anticonvulsant medication similar to Topamax, primarily prescribed for managing epilepsy, manic episodes of bipolar disorder, and preventing migraines. It works by increasing levels of gamma-aminobutyric acid (GABA), a neurotransmitter that helps calm electrical activity in the brain, making it a potential alternative to Topamax.

However, Depakote comes with its own set of considerations. Common side effects of Depakote include nausea, dizziness, weight gain, and hair thinning.

Neurontin (gabapentin)

Gabapentin is an anticonvulsant commonly prescribed to manage nerve pain (such as postherpetic neuralgia) and epilepsy. While it is not FDA-approved for treating migraines, some clinical studies suggest it might offer moderate relief when other options have failed. However, more research is needed before it can be considered a primary migraine treatment.

Gabapentin is also sometimes prescribed off-label for managing anxiety, particularly generalized anxiety disorder. Its role in treating depression is limited and not well-supported by research.

Like Topamax, Gabapentin has side effects to consider including drowsiness, dizziness, and swelling of extremities. If you’re wondering how this works as an alternative, learn more from this comparison of Topamax and Gabapentin.

Lamictal (lamotrigine)

Lamictal is a versatile anticonvulsant often prescribed on its own or alongside other medications to manage epileptic seizures and bipolar disorder. Interestingly, recent studies indicate it may also help prevent migraines with aura, adding another potential benefit to its list.

Common side effects of Lamictal include skin rash, dizziness, and headaches—making it important to discuss any concerns with your doctor when considering this medication.

Zonegran (zonisamide)  

Zonegran is an anticonvulsant often considered an alternative to Topamax for managing epileptic seizures. Like Topamax, it works by stabilizing electrical activity in the brain to help reduce seizures. Additionally, Zonegran is sometimes used off-label to address migraines and mood disturbances, broadening its potential applications.

Common side effects of Zonegran include drowsiness, loss of appetite, and nausea. If you’re exploring this medication, be sure to discuss its benefits and risks with your healthcare provider.

Natural/Non-Pharmaceutical Alternatives to Topamax

If you’re considering a natural alternative to Topamax (topiramate), there are several holistic approaches worth exploring. These options focus on empowering you to take proactive steps toward managing your symptoms. Lifestyle changes, supplements, and therapeutic techniques can all play a role in improving your condition and potentially reducing the need for medication.

Here are some effective natural treatment options to get you started.

Magnesium supplements

Magnesium plays a crucial role in brain function and neurotransmitter activity, making it a promising natural alternative to Topamax for migraines and anxiety. Research suggests that magnesium deficiency is linked to an increased risk of migraines, and supplementation may help reduce both the frequency and severity of migraine attacks. Additionally, magnesium has shown potential in easing anxiety symptoms by regulating the brain’s stress-response systems.

Magnesium helps relax blood vessels in the brain, preventing the constriction and dilation that often trigger migraines. It may also block the cortical spreading depression—a wave of abnormal brain activity thought to underlie certain migraine symptoms. For anxiety, magnesium helps modulate the release of stress hormones, supporting a calmer and more balanced mood.

Acupuncture

Acupuncture is a traditional Chinese medicine practice that involves inserting thin needles into specific points on the body. Research indicates that acupuncture can be effective in reducing migraine frequency and intensity. Some studies even find it to be superior to Topamax. There’s also evidence to suggest that acupuncture can be effective in relieving symptoms of PTSD, OCD, depression associated with bipolar disorder, and anxiety, all with fewer side effects than drugs like Topamax. 

Acupuncture stimulates nerves, muscles, and connective tissue to promote blood flow and reduce inflammation.

”Complementary therapies like acupuncture and dietary adjustments can offer relief for individuals dealing with chronic pain, digestive disorders, and stress-related conditions. Acupuncture helps stimulate the nervous system, promoting pain relief and relaxation, while dietary changes can reduce inflammation, support gut health, and improve overall well-being.”

– Talkspace therapist Bisma Anwar, LPC, LMHC

Biofeedback

Biofeedback is a mind-body technique that teaches people how to control bodily functions like heart rate, muscle tension, and breathing patterns. It can also be effective in reducing stress-related conditions like migraines, anxiety, and chronic pain.

During a biofeedback session, you’ll use visual or auditory feedback to learn physical signs of stress and anxiety. This allows you to recognize and reduce or stop the resulting tension.

Cognitive behavioral therapy (CBT)

Cognitive behavioral therapy (CBT) is a widely used form of psychotherapy that helps individuals identify and reframe negative thought patterns that can contribute to mental health symptoms. As a natural alternative to Topamax, particularly for anxiety and mood disorders, CBT empowers individuals to address the underlying cognitive and behavioral triggers of their symptoms without medication.

CBT helps you develop healthier coping mechanisms by challenging unhelpful thoughts and replacing them with more constructive ones. For anxiety, it can reduce the intensity and frequency of anxious episodes by teaching practical strategies to manage stress. Additionally, CBT is often tailored to address migraines linked to stress or emotional triggers, making it a holistic and non-pharmaceutical way to support mental and physical well-being.

Considerations When Choosing a Topamax Alternative

Choosing the right alternative to Topamax is an individualized process that depends on a range of factors. Your medical history, lifestyle, usual prescription medication, and personal preferences can all impact which Topamax alternatives might work best for you. 

Always consult a healthcare provider before you make any changes to your treatment plan. They can provide personalized recommendations based on your current needs and medical history.

• Medical history: Alternative treatment forms should not conflict with other mental or physical health conditions or medications.
• Potential side effects: All medications and treatments have the potential for side effects. Understanding them ensures you can make an informed decision about your treatment plan.
• Lifestyle compatibility: Non-pharmaceutical alternatives like acupuncture or CBT often require more time and commitment before results are apparent, and medications may require daily adherence. It’s important to create a plan that works in your life.

“A thorough assessment of a patient’s history, treatment goals, and potential genetic factors allows for a more personalized medication plan. Reviewing medical history helps identify past drug reactions and underlying conditions. Genetic testing can reveal how an individual metabolizes certain drugs, ultimately leading to safer and more effective treatment outcomes.”

– Talkspace therapist Bisma Anwar, LPC, LMHC

Find the Right Alternative with Talkspace

Your search for the best treatment for your mental health might be overwhelming, but you’re not alone on this journey. Talkspace offers online psychiatry services that connect you with licensed providers who will be there as you explore pharmaceutical and natural alternatives to Topamax.

Whether you’re looking for medication that better aligns with your mental health goals, trying to avoid Topamax withdrawal as you switch medications, or exploring natural approaches, you can enjoy personalized support with Talkspace, all from the comfort of your home. 

Connect with an online psychiatrist today to discuss your options and take the first step toward a treatment plan that’s tailored to you.

When managing anxiety, choosing the right medication is crucial for finding relief. Two commonly prescribed drugs for anxiety are Buspirone and Hydroxyzine, but they work in very different ways.

• Buspirone is an anti-anxiety medication that affects brain chemicals, specifically serotonin, to help reduce anxiety over time. It’s generally prescribed for long-term anxiety management and is often favored for its minimal sedative effects.
• Hydroxyzine, on the other hand, is an antihistamine with sedative properties. While it’s used for short-term anxiety relief, it works by blocking histamine receptors in the brain, leading to quick relief from anxiety and associated symptoms like restlessness or tension.

Both medications are effective, but their differences in how they work, how fast they take effect, and how long they’re used can make one a better choice depending on your specific needs.

Drug	Conditions treated	Main side effects	Key considerations
Buspirone	Generalized anxiety disorder	Dizziness, headache, nausea, or vomiting	Takes time to work; used long-term
Hydroxyzine	Anxiety, allergic urticaria, allergies, nausea or vomiting, pain, pruritus, sedation, tension	Drowsiness, dizziness, headache, blurred vision, constipation, dry mouth	Treats symptoms of anxiety and anxiety disorders in some people; used short-term

Keep reading to explore the similarities and differences between Buspirone and Hydroxyzine for anxiety and help decide which might be right for you.

Hydroxyzine (Vistaril) is a commonly prescribed medication used to treat physical and mental health conditions, including allergies, anxiety, and sleep disorders. It is available in its generic form and is commonly known by two brand names: Vistaril and Atarax.

It’s important to note that Atarax was discontinued in the U.S. in 2021 due to business reasons—not safety concerns. While the brand name Atarax is no longer available, the generic version, Hydroxyzine Hydrochloride, still is.

Both Vistaril and Atarax share the same active ingredient in different formulations, but they have distinct uses, formulations, and side-effect profiles. Understanding these differences can help you determine which medication may be best suited for your needs.

Drug	Generic version	Conditions treated	Main side effects	Key considerations
Vistaril	Hydroxyzine Pamoate	Anxiety, allergic urticaria, allergies, nausea or vomiting, pain, pruritus, sedation, tension	Drowsiness, dizziness, blurred vision, constipation, dry mouth	Can treat symptoms of anxiety and anxiety disorders in some people; used short-term
Atarax	Hydroxyzine Hydrochloride	Allergies, anxiety, hives, nausea or vomiting, sedation, sleep disorders	Blurred vision, constipation, dizziness, drowsiness, dry mouth	Commonly used to treat itching from allergic reactions and dermatological conditions

Similarities Between Vistaril and Atarax

There are some basic similarities between Vistaril and Atarax​. The most obvious one is that they share the same active ingredient, Hydroxyzine — but there are others, too, like similar uses and near-identical side effects.

Shared active ingredient (hydroxyzine)

Vistaril and Atarax medications both contain the active ingredient Hydroxyzine, which is in the class of drugs known as antihistamines. These drugs work by blocking the action of histamine in the body to reduce allergic reactions and similar symptoms. Since Hydroxyzine acts on the central nervous system (CNS), it also results in sedative effects. These effects are why and how Hydroxyzine helps manage anxiety and promote sleep in some people.

Overlapping uses

While their branding differs, Vistaril and Atarax have similar uses:

• Anxiety: Hydroxyzine is often prescribed as a short-term treatment for anxiety. Research shows it’s an effective and safe option for managing symptoms of generalized anxiety disorder (GAD). Unlike benzodiazepines (commonly known as “benzos”), Hydroxyzine provides relief without the risk of addiction.
• Allergies: Both drugs are effective at reducing allergy symptoms such as itching, runny nose, and hives, offering relief from common allergic reactions.
• Sleep disorders: Due to its sedative effects, Hydroxyzine is sometimes prescribed off-label to address insomnia or sleep disturbances, especially when related to anxiety or allergies.

Comparable side effects

Since Vistaril and Atarax share the same active ingredient, hydroxyzine, their side effects are largely the same. However, the severity of these side effects can vary depending on several factors, including the individual, the condition being treated, the dosage, other mental health conditions (comorbidities), or any additional medications being taken.

Here are some common side effects of hydroxyzine:

• Dizziness
• Drowsiness
• Dry mouth
• Fatigue
• Headache

For some individuals, these side effects may feel more intense. Therefore, it’s important to consult with your doctor before making any changes to your dosage. Your doctor can help ensure that adjustments are safe and tailored to your unique needs.

Differences Between Vistaril and Atarax

While Vistaril and Atarax are Hydroxyzine derivatives and, thus, share many similarities, they also have some notable differences. For example, branding, formulation, availability, and how they’re typically used can all vary. 

The differences between Atarax and Vistaril​ can influence which drug might be best for specific conditions. Understanding the distinctions between these medications can help you — and your healthcare provider — make a more informed decision about which treatment option might be better to address your needs. 

Here’s a closer look at the unique characteristics and differences of these two medications.

Distinctions in branding and formulation

The branding and formulation of Vistaril and Atarax highlight their differing therapeutic focuses. Even though they use the same active ingredient, the difference in branding alone highlights each medicine’s strength in addressing particular conditions. These differences affect how the drugs are understood and when they might be prescribed by healthcare professionals.

Key differences:

• Atarax was commonly used for allergies and dermatological conditions like itching and hives. Its formulation — Hydroxyzine Hydrochloride — may be better suited for treating these conditions in some people.
• Vistaril is primarily known and marketed for its efficacy in treating mental health conditions like anxiety disorders. Its formulation — Hydroxyzine Pamoate — is effective in targeting the central nervous system (CNS), which makes it very suitable for treating anxiety.

Form 

The form of Hydroxyzine used in Vistaril and Atarax plays a key role in how each medication works, which impacts its effectiveness for different conditions. Differences in solubility and metabolism influence whether the drug primarily targets the central nervous system (CNS) or peripheral systems, which affects how it alleviates specific symptoms.

Key differences:

• Hydroxyzine Hydrochloride (used in Atarax): This water-soluble formulation primarily acts on peripheral histamine receptors, making it especially effective for treating allergic reactions and dermatology concerns like hives.
• Hydroxyzine Pymoate (used in Vistaril): This fat-soluble formulation more efficiently crosses the blood-brain barrier, enhancing its sedative and anti-anxiety effects.

Market availability

Vistaril and Atarax availability has evolved over time, with the most notable change being the discontinuation of Atarax in the U.S. in 2021. While Atarax (Hydroxyzine Hydrochloride) is no longer available under its brand name, generic versions of Hydroxyzine Hydrochloride continue to be accessible. This means that the medication can still be used to treat allergic reactions and dermatological concerns despite the branding change.

It’s important to note that Atarax’s discontinuation was not due to safety concerns but rather business decisions made by the manufacturer. For further information about why Atarax was discontinued, consult your doctor or pharmacist. 

On the other hand, Vistaril remains widely available in both its branded form and as a generic, making it a convenient option for treating anxiety and sleep-related issues.

“Both are prescription antihistamine medications, primarily used to treat allergic reactions and are available in various strengths. Your psychiatrist may prescribe Vistaril to manage anxiety or sleep disturbances, often in combination with other medications.”

Talkspace psychiatrist, Dr. Muhammad Munir

FAQs About Vistaril and Atarax

As you compare Vistaril vs Atarax, it’s common to have questions or concerns. Below are answers to some of the more common questions about these two similar yet different drugs. Hopefully, they can provide you with the clarity and confidence to make your decision. 

Why was Atarax discontinued?

Atarax was discontinued in the United States not due to safety or efficacy concerns but likely due to a decline in demand for the branded medication, making it less economically viable. While Atarax itself is no longer available in the U.S., Hydroxyzine Hydrochloride, the generic version— which contains the same active ingredient and offers the same effectiveness—continues to be accessible.

Is hydroxyzine hydrochloride (Atarax) or pamoate (Vistaril) better for anxiety?

Medications don’t necessarily work the same way on two different people. What works for one person may not be effective at all for another. That said, when treating anxiety, most people find Hydroxyzine Pamoate (Vistaril) to be more effective since the formulation has enhanced sedative and anxiolytic properties. Hydroxyzine Hydrochloride (previously marketed as Atarax) is often prescribed for treating allergies or allergic reactions.

Consult your healthcare provider for expert information on dose administration and potential interactions to determine which treatment is best for your condition.

Which is Better for You?

Unfortunately, there isn’t a clear answer regarding which drug is “better.” It depends on multiple factors and individual needs. If you’re seeking help for a mental health condition like anxiety, Vistaril (hydroxyzine) can be a good option. If you’re looking for relief from allergies or a dermatological condition, the generic version of Atarax (hydroxyzine hydrochloride) may be a more appropriate choice. 

If you’re considering any type of drug to help you manage your anxiety, it’s crucial that you talk to your doctor or another mental health professional and ask for a personalized recommendation based on your medical history and symptoms. It’s possible that your doctor may even suggest Hydroxyzine alternatives, depending on your needs.

Get Professional Guidance with a Prescription

Choosing between Vistaril vs. and the generic version of Atarax requires careful attention to your symptoms and needs. You should work with your healthcare provider or a psychiatrist to determine the most effective treatment plan for your condition. During your discussion with your provider, ask about the differences between Hydroxyzine and Xanax to learn about other anxiety treatments. 

If you want to manage anxiety or any other mental health concerns, online psychiatrists can offer convenient, affordable, and accessible help. Talkspace provides an online platform that makes it simple to connect with a licensed mental health professional, all from the comfort of your home. Under the guidance of an online psychiatrist you trust, you can explore whether a Hydroxyzine prescription is a good option for you.

Connect with an online Talkspace psychiatric provider today to discuss Hydroxyzine and other treatment options.