I have an expired rx for Hydroxyzine Pam 25mg, expired by a little over a year. I am in need of some anxiety medication at the current moment, I don t have a PCP to call and am waiting on my insurance to go through. I understand that most medications loose effectiveness with expiration or can also get stronger and I am wondering what is the affect of this medication when expired, and if it does loose its effectiveness if maybe i can just double up on it, I don t feel I can wait for my insurance to go through and find a PCP, or that I would be able to afford an out of pocket cost for both the medication and a visit. What Can I do?