Is It Safe to Take Expired Hydroxyzine?

Taking any medication beyond its expiration date, including hydroxyzine, is generally not recommended. Hydroxyzine is an antihistamine commonly prescribed to alleviate symptoms of anxiety, treat allergic reactions, and induce sleep. While an expired medication might not immediately become harmful, its effectiveness and safety cannot be guaranteed.

Understanding Medication Expiration

Medication expiration dates are the result of stability testing conducted by pharmaceutical manufacturers. These tests ensure a drug retains its full potency, quality, and purity when stored under recommended conditions up to the specified date. The expiration date signifies the period during which the manufacturer guarantees the medication’s quality. Beyond this date, the chemical composition of a drug can begin to change, potentially leading to a decrease in its active ingredients. While an expired medication may not be immediately toxic, it is no longer guaranteed to deliver its intended therapeutic effect or be safe for use.

Specific Risks of Expired Hydroxyzine

Using expired hydroxyzine carries risks, mainly a loss of its intended effectiveness. The active components can degrade over time, diminishing its ability to effectively treat conditions such as anxiety, allergies, or insomnia. This reduction in potency means the medication might not provide adequate symptom relief, potentially leading to a return or worsening of original symptoms.

There is also a risk that chemical changes after expiration could lead to the formation of degradation products. While severe toxicity from hydroxyzine degradation is not widely documented, the presence of these untested compounds means their safety and efficacy are unknown. The extent of a drug’s degradation is highly variable, influenced by storage conditions like exposure to heat, humidity, and light. This variability makes it impossible for an individual to determine how much the hydroxyzine has degraded or what byproducts might have formed. Relying on an expired medication can provide a false sense of security, potentially delaying appropriate and effective treatment.

Safe Disposal of Medications

Proper disposal of expired or unused medications, including hydroxyzine, is important to prevent accidental ingestion and protect the environment. The recommended method is to utilize drug take-back programs. These programs are often available at local pharmacies, police departments, or community collection events, such as the U.S. Drug Enforcement Administration’s (DEA) National Prescription Drug Take Back Day.

If a take-back option is not available, most medications can be disposed of in household trash. To do this safely, remove the medication from its original container and mix it with an undesirable substance like used coffee grounds, dirt, or cat litter. Place this mixture in a sealed plastic bag or other container before discarding it in the trash. Flushing medications down the toilet or pouring them down the sink is generally discouraged due to environmental concerns, except for a select list of controlled substances that pose an immediate risk of harm if not quickly disposed of; hydroxyzine is not on this list.

When to Seek Professional Medical Advice

If you have expired hydroxyzine or any other medication, consult a healthcare professional. They can provide guidance on obtaining a new, unexpired prescription tailored to your current health needs.

Self-medicating with expired drugs is not recommended, as their unpredictable potency and potential for degradation can lead to ineffective treatment or unforeseen complications. Pharmacists are also resources for questions regarding medication safety, expiration dates, and proper disposal methods. They can offer advice and direct you to safe disposal options.