There's a distributor in Florida called "Anda" - you can but quantities larger than 100/bottle and my guess is Hydroxyzine 25mg will cost you less than 5 cents a dose and you can charge the patient whatever you wish (might depend on your state law, though). I do not know why but banadryl does not do anything for anxiety.
hydroxyzine is very good anxiolytic in mild to low moderate degree of anxiety.
It's masking what's really going on and preventing the source of anxiety from truly being dealt with.
I speak as someone who had some pretty debilitating anxiety -- we're talking suicidal thoughts and violent behavior -- for over 20 years. Sure, giving a script for meds is easier, but working hands-on with your patient to provide a lifelong, nonchemical solution is more rewarding. A patient in a state of anxiety or panic is not in a position to make rational decisions about the problems affecting them nor the potential solutions.
Those in society who chastise physicians for treating anxiety with drugs are obviously not physicians and have no idea what we do.
To these people I say, walk in my shoes before you comment on how they fit.
A therapist suggested that I go on anti-anxiety meds. Instead, I adopted some cognitive-behavioral tactics and kept at them. If they could do that, there would be no anxiety or panic.
Medications are but a tool to reduce the level of anxiety/panic to the point that rational thinking can produce the needed solution.
As a psychiatrist, my experience is that patients prescribed hydroxizine abuse it far more than they do Benadryl, and many have similar side effects to those I experienced.The newer ones do not enter the CNS, so are marketable as nonsedating.As antihistamines evolved, the goal was to produce one less sedating than its predecessors, but that was not always predictable. Explains why, in some patients, it causes mild sedation.When I first went away to college, I had difficulties with pruritis.My family practitioner at the time assumed it was "stress" from being away from home, etc.