Can Antihistamines Help with Anxiety? Understanding the Evidence
Many people feel anxious sometimes. Your heart beats fast. Your hands shake. You feel worried about things. When this happens, you might look for ways to feel better. Some people wonder if antihistamines can help. These are medicines that many people take for allergies. But can they also help with feeling anxious?
What Are Antihistamines?
Antihistamines are medicines that block something in your body called histamine. Histamine makes you sneeze, itch, and have watery eyes when you have allergies. When you take an antihistamine, it stops these uncomfortable feelings.
There are two main types of antihistamines. The first type is older medicines like Benadryl and Vistaril. These make you feel sleepy. The second type is newer medicines like Claritin and Zyrtec. These usually do not make you as tired.
The older antihistamines that make you sleepy are the ones that might help with anxiety. This is because they affect your brain in ways that can make you feel calm and relaxed.
How Do Antihistamines Affect Anxiety?
When you take certain antihistamines, they do more than just stop allergy symptoms. They can also make you feel calm and less worried. This happens because these medicines affect chemicals in your brain.
The older antihistamines cross into your brain easily. Once there, they can slow down the signals that make you feel alert and worried. This calming effect is why some doctors might suggest using antihistamine for anxiety in certain situations.
Some antihistamines, like hydroxyzine, are actually approved by doctors to treat anxiety. They work quickly, often within an hour. This makes them helpful when you need fast relief from anxious feelings.
Which Antihistamines Might Help?
Not all antihistamines work the same way for anxiety. The ones that might help are usually the older types that make you sleepy.
Hydroxyzine is one antihistamine that doctors prescribe specifically for anxiety. It comes in two forms called Vistaril and Atarax. Many doctors choose this medicine because it is not addictive like some other anxiety medicines.
Diphenhydramine, which is the medicine in Benadryl, might also help with anxiety. However, doctors usually do not prescribe it for this purpose. Some people take it on their own when they feel anxious, but this is not always safe.
The newer antihistamines like Claritin, Zyrtec, and Allegra do not usually help with anxiety. They do not affect your brain the same way. They are good for allergies but not for worried feelings.
Benefits of Using Antihistamines for Anxiety
There are some good things about using antihistamine for anxiety compared to other medicines.
First, antihistamines are not addictive. Some anxiety medicines can be habit-forming, but antihistamines are not. You can stop taking them without having withdrawal symptoms. This makes them safer for long-term use.
Second, they work quickly. When you feel very anxious, you want relief fast. Antihistamines can start working in thirty minutes to an hour. This is helpful when you need immediate calm.
Third, they have been used for many years. Doctors know a lot about how they work and what side effects they might cause. This makes them predictable and relatively safe when used correctly.
Fourth, they are less expensive than many other anxiety medicines. This makes them easier to afford for people who need help managing their anxious feelings.
Risks and Side Effects to Consider
While antihistamines can help with anxiety, they also have some downsides you should know about.
The biggest problem is that they make you very sleepy. This can be dangerous if you need to drive, work, or take care of children. You should never take these medicines before doing activities that need you to be alert.
They can also make your mouth feel dry. Your eyes might feel dry too. Some people get constipated or have trouble urinating. These side effects are usually not serious but can be uncomfortable.
Older adults need to be extra careful with antihistamines. These medicines can cause confusion, dizziness, and falls in elderly people. They might also make memory problems worse.
Taking antihistamines for a long time might stop working as well. Your body gets used to them. Then you might need more medicine to get the same effect. This is why they work best for short-term anxiety relief.
When Antihistamines Might Be Helpful
There are certain times when using antihistamine for anxiety makes sense.
They can help when you have sudden anxiety that does not happen often. For example, if you feel nervous before a doctor's appointment or a big presentation, an antihistamine might help you feel calmer.
They are also useful when you need anxiety relief but cannot take other medicines. Some people cannot use benzodiazepines because of addiction history. Antihistamines give them another option.
People with both anxiety and trouble sleeping might benefit from antihistamines. The sleepy feeling can help with both problems at once, especially at bedtime.
Antihistamines can also work as a temporary solution while waiting for other anxiety treatments to start working. Some anxiety medicines take weeks to help. An antihistamine can provide relief during that waiting time.
When Other Treatments Are Better
Antihistamines are not the best choice for everyone with anxiety. Many times, other treatments work better.
If you feel anxious most days, you probably need different medicine. Antihistamines are not meant for daily, long-term use for anxiety. Your doctor might suggest antidepressants or other medicines that work better for ongoing anxiety.
Therapy is often more helpful than medicine alone. Talking to a counselor can teach you skills to manage anxiety. These skills last forever, even after you stop treatment. Combining therapy with medicine often works best.
If your anxiety is very severe, you need specialized care. A mental health professional can create a treatment plan just for you. They have more tools to help than just antihistamines.
Talking to Your Doctor
Before you try using antihistamine for anxiety, talk to your doctor. They can help you decide if this is a good choice for you.
Tell your doctor about all the medicines you take. Some medicines do not mix well with antihistamines. Your doctor needs to know everything to keep you safe.
Explain how often you feel anxious and how bad it gets. This helps your doctor understand what kind of treatment you need. They might suggest antihistamines or they might have better ideas.
Ask questions about how to take the medicine safely. Find out when to take it, how much to take, and what side effects to watch for. Never take more than your doctor recommends.
Other Ways to Manage Anxiety
Medicine is just one way to handle anxiety. There are many other things you can try that really help.
Exercise is very powerful for reducing anxiety. When you move your body, your brain makes chemicals that help you feel good. Even a short walk can make a difference in how you feel.
Deep breathing exercises calm your nervous system. When you breathe slowly and deeply, your body gets the message that you are safe. This turns down the anxiety signals in your brain.
Getting enough sleep is crucial for managing anxiety. When you are tired, everything feels harder and scarier. Try to sleep seven to nine hours each night.
Limiting caffeine can help too. Coffee, energy drinks, and soda can make anxiety worse. They speed up your heart and make you feel jittery.
Spending time with people you care about reduces anxiety. Talking to friends and family reminds you that you are not alone. Social connection is healing for your mind.
Making the Right Choice
Antihistamines can be helpful for some people with anxiety, but they are not magic. They work best for occasional anxiety, not daily worry. They have benefits like being non-addictive and working quickly, but they also make you sleepy and might stop working over time.
The most important thing is to work with a doctor to find what helps you. Everyone is different. What works for one person might not work for another. Your doctor can help you explore all your options and find the best treatment plan.
Remember that feeling anxious does not mean you are weak or broken. Many people struggle with anxiety. With the right help and support, you can feel better and live a happy, full life.
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