Hydroxyzine Dosing for Adult Anxiety

FDA-Approved Dosing and Clinical Considerations

• The American College of Physicians and other guideline societies recommend benzodiazepines, such as lorazepam 0.5-1 mg orally up to four times daily, as a guideline-recommended option for acute anxiety 1
• For elderly or debilitated patients, benzodiazepine doses should be reduced to 0.25-0.5 mg (maximum 2 mg in 24 hours) 1

Monitoring and Adjustment

• The FDA label emphasizes adjusting dosage according to the patient's response to therapy, with assessment of response after 1 week of scheduled dosing (not PRN) 1