Generic name: diphenhydramine [ DYE-fen-HYE-dra-meen ]
Brand names: Allergy Relief, Allermax, Banophen, Benadryl, Compoz Nighttime Sleep Aid, ... show all 27 brands Diphedryl, Diphenhist, Dytuss, Nytol QuickCaps, PediaCare Children's Allergy, Q-Dryl, QlearQuil Nightitme Allergy Relief, Quenalin, Scot-Tussin Allergy Relief Formula, Siladryl Allergy, Silphen Cough, Simply Sleep, Sleepinal, Sominex, Tranquil, Twilite, Unisom Sleepgels Maximum Strength, Valu-Dryl, Vanamine PD, Z-Sleep, ZzzQuil, plus many others
Drug classes: Anticholinergic antiemetics, Anticholinergic antiparkinson agents, Antihistamines, Miscellaneous anxiolytics, sedatives and hypnotics
What is diphenhydramine?
Diphenhydramine is an antihistamine that reduces the effects of natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.
Diphenhydramine is used to treat sneezing, runny nose, watery eyes, hives, skin rash, itching, and other cold or allergy symptoms.
Diphenhydramine is also used to treat motion sickness, to induce sleep, and to treat certain symptoms of Parkinson's disease.
Diphenhydramine may also be used for purposes not listed in this medication guide.
When taking diphenhydramine, use caution driving, operating machinery, or performing other hazardous activities. Diphenhydramine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking diphenhydramine.
Do not give this medication to a child younger than 2 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.
You should not use diphenhydramine to make a child sleepy.
Before taking this medicine
You should not use diphenhydramine if you are allergic to it.
Ask a doctor or pharmacist if it is safe for you to take diphenhydramine if you have other medical conditions, especially:
blockage in your digestive tract (stomach or intestines);
bladder obstruction or other urination problems;
a colostomy or ileostomy;
liver or kidney disease;
asthma, chronic obstructive pulmonary disease (COPD), or other breathing disorder;
cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;
heart disease, low blood pressure;
a thyroid disorder; or
if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).
It is not known whether diphenhydramine will harm an unborn baby. Ask a doctor before using this medicine if you are pregnant.
Diphenhydramine can pass into breast milk and may harm a nursing baby. Antihistamines may also slow breast milk production. Ask a doctor before using this medicine if you are breast-feeding.
Older adults may be more likely to have side effects from this medicine.
How should I take diphenhydramine?
Use diphenhydramine exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cold or allergy medicine is usually taken only for a short time until your symptoms clear up.
Do not give diphenhydramine to a child younger than 2 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. You should not use diphenhydramine to make a child sleepy.
Measure liquid medicine with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
For motion sickness, take diphenhydramine 30 minutes before you will be in a situation that causes you motion sickness (such as a long car ride, airplane or boat travel, amusement park rides, etc). Continue taking diphenhydramine with meals and at bedtime for the rest of the time you will be in a motion-sickness situation.
As a sleep aid, take diphenhydramine within 30 minutes before bedtime.
Call your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.
This medication can affect the results of allergy skin tests. Tell any doctor who treats you that you are using diphenhydramine.
Store at room temperature away from moisture and heat.
What happens if I miss a dose?
Since diphenhydramine is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid?
This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.
Drinking alcohol can increase certain side effects of diphenhydramine.
Ask a doctor or pharmacist before using any other cold, cough, allergy, or sleep medicine. Antihistamines are contained in many combination medicines. Taking certain products together can cause you to get too much of this type of medicine. Check the label to see if a medicine contains an antihistamine.
Diphenhydramine side effects
Get emergency medical help if you have any signs of an allergic reaction to diphenhydramine: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Stop using diphenhydramine and call your doctor at once if you have:
pounding heartbeats or fluttering in your chest;
painful or difficult urination;
little or no urinating;
confusion, feeling like you might pass out; or
tightness in your neck or jaw, uncontrollable movements of your tongue.
Common diphenhydramine side effects may include:
dizziness, drowsiness, loss of coordination;
dry mouth, nose, or throat;
constipation, upset stomach;
dry eyes, blurred vision; or
day-time drowsiness or "hangover" feeling after night-time use.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect diphenhydramine?
Ask a doctor or pharmacist before using this medicine if you are also using any other drugs, including prescription and over-the-counter medicines, vitamins, and herbal products. Some medicines can cause unwanted or dangerous effects when used together. Not all possible interactions are listed in this medication guide.
Taking this medicine with other drugs that make you sleepy or slow your breathing can worsen these effects. Ask your doctor before taking diphenhydramine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Where can I get more information?
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use diphenhydramine only for the indication prescribed.
The maximum oral dose of diphenhydramine for adults is generally reported as 100mg for a single dose or no more than 300mg in 24 hours, but this can vary depending on what condition diphenhydramine is being used for, the salt of diphenhydramine used (there are two salts available in the US diphenhydramine citrate and diphenhydramine chloride), the age of the person, how much diphenhydramine they have tolerated before, and if they are on any interacting medications. Taking too much diphenhydramine can be fatal. Continue reading
Increased blood pressure is not a typical side effect of diphenhydramine, a first-generation antihistamine that lowers the effects of histamines in your body. However, in rare cases, the drug may cause hypotension, or decreased blood pressure. This side effect is most likely to occur in people who are over the age of 60. Continue reading
Diphenhydramine can be used as a short-term sleep aid to help ease occasional sleep problems, such as when you have a cold or cough and it is preventing you from falling asleep. Older adults, children under age 16 and pregnant women should avoid taking diphenhydramine, as the risks to these groups may outweigh the benefits. Continue reading
The difference between diphenhydramine hydrochloride and diphenhydramine citrate is that the salt used to bind the diphenhydramine, is different. For diphenhydramine hydrochloride the salt is hydrochloride and for diphenhydramine citrate the salt is citrate. This salt can change how quickly and effectively the diphenhydramine dissolves and is absorbed but once it is in the body it has no effect. Essentially 25 mg of diphenhydramine hydrochloride is equivalent to 38 mg of diphenhydramine citrate. Continue reading
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