Diphenhydramine use while Breastfeeding
Drugs containing Diphenhydramine: Benadryl, Ibuprofen PM, Banophen, Advil PM, Benadryl Allergy, Tylenol PM, Aleve PM, ZzzQuil, Acetaminophen PM Extra Strength, Hydramine, Show all 256 »Diphenadryl, Diphenhist, CVS Allergy & Cold, Sleep, Diphendryl, Unisom SleepGels, Diphen, Diphenydramine Quick Melt, Bayer PM, Sominex, Diphedryl, Dicopanol, Nytol, Benadryl Children's Allergy, Pain Relief PM Extra Strength, Legatrin PM, Sleepwell 2-nite, Acetadryl, Buckley's Bedtime, FIRST Mouthwash BLM, Diphenylin, Q-Dryl, Mapap PM, 40 Winks, Itch Relief, Coricidin Night Time Cold Relief, Aceta-Gesic, Nervine, Benadryl Allergy Plus Cold, Theraflu Nighttime Severe Cold & Cough, Motrin PM, Banophen Anti Itch, Benadryl Extra Strength Itch Stopping Gel , Dormin, Alahist LQ, Beldin, Tranquil Nighttime Sleep Aid, Doans PM, Altaryl, Diphenyl, Valu-Dryl, Diphentann-D, Endal CD (old formulation), Miles Nervine, Hydro-DP, CVS Allergy & Sinus Headache, Mucinex Fast-Max Night Time Cold & Flu, CounterAct Night, Suphedrine PE Severe Cold, Percogesic Original Strength, Hyrexin, Unisom PM Pain, Non-Aspirin PM Extra Strength, Percogesic Extra Strength, Benylin Multi-Symptom, Diphenhist Topical, Somnicaps, Excedrin PM Headache, Unisom SleepMelts, Twilite, Sleep-ettes, Tusstat, Hydramine Compound, Pardryl, Quenalin, Nu-Med, Nytol Caplet, Compoz Nighttime Sleep Aid, Sleepinal, Help I Can't Sleep, Allermax, Banaril, Z-Sleep, Aler-Tab, Siladryl Allergy, Theraflu Thin Strips Multi Symptom, Sleep-ettes D, Uni-Tann, Q-Dryl A/F, Diphenmax, Nightime Sleepaid, Ben-Tann, Dytan, Vanamine PD, Histaprin, Pharbedryl, Dermamycin, PediaCare Children's Allergy, PediaCare Children's Allergy & Cold, Dimetapp Children's Nighttime Cold & Congestion, Children's Triacting Night Time, Triaminic Night Time Cold & Cough, Theraflu Thin Strips Nighttime Cold and Cough, Benadryl Children's Allergy Plus Congestion, Robitussin Night Time Cough & Cold, Dytan-D, Pediatex-CT, D-Tann, Benadryl-D Allergy Plus Sinus, Benadryl-D Children's Allergy & Sinus, Actifed Allergy Day/Night, Diphenmax D, Tavist NightTime Allergy, Benadryl Children's Allergy And Sinus, Benadryl Allergy Sinus, Respa SA, Tekral, Benaphen Plus, Di-Delamine, SM Anti-Itch, Anti-Itch Extra Strength, Benadryl Extra Strength Itch Stopping Cream, Benadryl Original Strength Itch Stopping Cream, Benadryl Extra Strength Itch Relief Stick, Triaminic Thin Strips Night Time Cold & Cough, Aldex-CT, Truxadryl, Dermarest, Simply Sleep, Complete Allergy Relief, Dytuss, Scot-Tussin Allergy, Banophen M-S, Aller-Dryl, Valu-Dryl Topical, Dermarest Anti-Itch, Derma-Pax, Dermarest Plus, Siladyl SA, Rindal HPD, Uni-Tann D, Endal HD, Tussinate, Gestuss-HC, Dytan-HC, D-Tann HC, HC-Derma-Pax, FIRST Duke's Mouthwash, FIRST Mary's Mouthwash, FIRST BXN Mouthwash, Delsym Children's Night Time Cough & Cold, PediaCare Nighttime Multi-Symptom Cold, Sudafed PE Nighttime Nasal Decongestant, Silphen Cough, Unisom Liquid, Siladryl DAS, Equate Allergy & Sinus Headache, Mucinex Sinus-Max Night Time Congestion & Cough, Night Time Severe Cold and Cough, Robitussin Multi-Symptom Cold Night Time, Mucinex Children's Night Time Multi-Symptom Cold, Mucinex Sinus-Max Day & Night (Night), Sudafed PE Nighttime Cold, Theraflu Warming Relief Flu & Sore Throat, Benadryl Severe Allergy Plus Sinus Headache, Severe Allergy and Sinus Headache, Tylenol Allergy Multi-Symptom Nighttime, Delsym Cough+ Cold Night Time, Children's Tylenol Plus Cold And Allergy, Robitussin Severe Multi-Symptom Cough Cold + Flu Nighttime, Theraflu Warming Relief Sinus & Cold, Theraflu ExpressMax Nighttime Severe Cold & Cough, Theraflu ExpressMax Flu, Cough & Sore Throat, Theraflu Nighttime Multi-Symptom Severe Cold With Lipton Flavors, Benadryl Allergy Plus Sinus Headache, Benadryl Cold, Contac Day and Night Allergy, Sudafed Sinus Nighttime Plus Pain, Delsym Children’s Cough+ Cold Night Time, Theraflu Warming Relief Nighttime Severe Cold & Cough, Benadryl Severe Allergy & Sinus Headache, Wal-Nadol PM Extra Strength, Diabetic Tussin Night Time Formula, Respa C&C, Respa C&C IR, Contac Day and Night Cold and Flu, Bayer Select Max Strength Night Time Pain, ConRx PM, Night Time Pain, Genapap PM, Counteract PM Extra Strength, Midol PM, Excedrin PM, Sudafed PE Severe Cold, Headache Formula PM, Sominex Pain Relief Formula, Pain Reliever PM, Tylenol Sore Throat Nighttime, Headache Relief PM, Pharbetol PM, Tylenol Severe Allergy, Anacin PM Aspirin Free, Dimetapp Children's Multi-Symptom Cold & Flu, Tylenol Plus Children's Cold & Allergy, Tylenol Allergy Complete NightTime, Actifed Sinus Day and Night, Siladryl, Genahist, Diphen AF, Diphen Cough, DPH, Aler-Dryl, Allergia-C, Benahist-10, Benahist-50, Benoject-50, Calm-Aid, Alka-Seltzer Plus Allergy, Hydramine Cough Syrup, Aller-G-Time, Sleep Tab II, Sleep Tabs, Sleep-Eze-3, Nytol QuickCaps, Total Allergy, Trux-adryl, Triaminic Thin Strips Cough & Runny Nose, Belix, Vicks QlearQuil Nighttime Allergy Relief, Bydramine, ConRx Allergy, Allegra Cooling Relief Anti-Itch, D-Tann CT, Allegra Intensive Relief Anti-Itch, Alka-Seltzer PM, Ala-Hist, Ala-Hist D, Calamine with Antihistamine, Invarest, Ivarest, Dytan-AT, D-Tann AT, Dytan-CS, D-Tann CD, Triaminic Thin Strips Allergy, Uni-Tann CS, Dytan-CD, Airacof, Dytan-DM, Duratuss AC 12, D-Tann DM, Snooze Fast, Sominex Maximum Strength Caplet, Unisom SleepMinis, Diabetic Tussin Night Time Cold & Flu, Benadryl Extra Strength Spray
Diphenhydramine Levels and Effects while Breastfeeding
Summary of Use during Lactation
Small, occasional doses of diphenhydramine would not be expected to cause any adverse effects in breastfed infants. Larger doses or more prolonged use may cause effects in the infant or decrease the milk supply, particularly in combination with a sympathomimetic such as pseudoephedrine or before lactation is well established. Single bedtime doses after the last feeding of the day may be adequate for many women and will minimize any effects of the drug. The nonsedating antihistamines are preferred alternatives.
Maternal Levels. One old study that used a biologic assay system reported that after a 100 mg intramuscular dose of diphenhydramine in four women, drug levels in milk were undetectable in two and 42 and 100 mcg/L in two others at one hour after the dose. Five hours after the dose, milk levels were undetectable in two women and 20 and 100 mcg/L in two others. No studies using modern assay methods have been reported.
Infant Levels. Relevant published information was not found as of the revision date.
Effects in Breastfed Infants
In one telephone follow-up study, mothers reported irritability and colicky symptoms 10% of infants exposed to various antihistamines and drowsiness was reported in 1.6% of infants. None of the reactions required medical attention. In this study, drowsiness was reported in 1 infant of 12 exposed to diphenhydramine in breastmilk.
Effects on Lactation and Breastmilk
Antihistamines in relatively high doses given by injection can decrease basal serum prolactin in nonlactating women and in early postpartum women. However, suckling-induced prolactin secretion is not affected by antihistamine pretreatment of postpartum mothers. Whether lower oral doses of antihistamines have the same effect on serum prolactin or whether the effects on prolactin have any consequences on breastfeeding success have not been studied. The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
Alternate Drugs to Consider
1. Rindi V. La eliminazione degli antistaminici di sintesi con il latte e l'azione latto-goga de questi. Riv Ital Ginecol. 1951;34:147-57.
2. Ito S, Blajchman A, Stephenson M et al. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Am J Obstet Gynecol. 1993;168:1393-9. PMID: 8498418
3. Messinis IE, Souvatzoglou A, Fais N et al. Histamine H1 receptor participation in the control of prolactin secretion in postpartum. J Endocrinol Invest. 1985;8:143-6. PMID: 3928731
4. Pontiroli AE, De Castro e Silva E, Mazzoleni F et al. The effect of histamine and H1 and H2 receptors on prolactin and luteinizing hormone release in humans: sex differences and the role of stress. J Clin Endocrinol Metab. 1981;52:924-8. PMID: 7228996
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Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.
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