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Benadryl is a brand of various
antihistamine Antihistamines are drugs which treat allergic rhinitis, common cold, influenza, and other allergies. Typically, people take antihistamines as an inexpensive, generic (not patented) drug that can be bought without a prescription and provides re ...
medications used to stop
allergies Allergies, also known as allergic diseases, refer a number of conditions caused by the hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include hay fever, food allergies, atopic derma ...
, whose content varies in different countries, but which includes some combination of
diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
,
acrivastine Acrivastine is a medication used for the treatment of allergies and hay fever. It is a second-generation H1-receptor antagonist antihistamine (like its base molecule triprolidine) and works by blocking histamine H1 receptors. This non-sedating a ...
, and/or
cetirizine Cetirizine, sold under the brand name Zyrtec among others, is a second-generation antihistamine used to treat allergic rhinitis (hay fever), dermatitis, and urticaria (hives). It is taken by mouth. Effects generally begin within thirty minutes a ...
. It is sold by
Johnson & Johnson Johnson & Johnson (J&J) is an American multinational corporation founded in 1886 that develops medical devices, pharmaceuticals, and consumer packaged goods. Its common stock is a component of the Dow Jones Industrial Average and the company i ...
and is used to relieve allergy symptoms such as sneezing, itching, runny nose,
rash A rash is a change of the human skin which affects its color, appearance, or texture. A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, chapped, dry, cr ...
, and
hives Hives, also known as urticaria, is a kind of skin rash with red, raised, itchy bumps. Hives may burn or sting. The patches of rash may appear on different body parts, with variable duration from minutes to days, and does not leave any long-lasti ...
. Some forms of Benadryl are to be taken orally, while some creams and gels are to be applied to the skin. Common side effects of the drug include
drowsiness Somnolence (alternatively sleepiness or drowsiness) is a state of strong desire for sleep, or sleeping for unusually long periods (compare hypersomnia). It has distinct meanings and causes. It can refer to the usual state preceding falling asleep ...
,
dizziness Dizziness is an imprecise term that can refer to a sense of disorientation in space, vertigo, or lightheadedness. It can also refer to disequilibrium or a non-specific feeling, such as giddiness or foolishness. Dizziness is a common medical c ...
, dry mouth and throat, confusion, and blurred vision. In the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
and
Canada Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by tot ...
, the active ingredient is
diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
. In the
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and North ...
, the active ingredients of Benadryl are the antihistamines
acrivastine Acrivastine is a medication used for the treatment of allergies and hay fever. It is a second-generation H1-receptor antagonist antihistamine (like its base molecule triprolidine) and works by blocking histamine H1 receptors. This non-sedating a ...
or
cetirizine Cetirizine, sold under the brand name Zyrtec among others, is a second-generation antihistamine used to treat allergic rhinitis (hay fever), dermatitis, and urticaria (hives). It is taken by mouth. Effects generally begin within thirty minutes a ...
. Benadryl is also sold as a
cough medicine Cold medicines are a group of medications taken individually or in combination as a treatment for the symptoms of the common cold and similar conditions of the upper respiratory tract. The term encompasses a broad array of drugs, including a ...
in
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
,
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
and
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...
containing
diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
, as well as the antitussive
dextromethorphan Dextromethorphan (DXM) is a medication most often used as a cough suppressant in over-the-counter cold and cough medicines. It is sold in syrup, tablet, spray, and lozenge forms. In 2022, the FDA approved a formulation of it combined with bu ...
or the expectorant
guaifenesin Guaifenesin, also known as glyceryl guaiacolate, is an expectorant medication that aids in the elimination of sputum from the respiratory tract. Chemically it is an ether of guaiacol and glycerine. It is often used in combination with other me ...
.


Types of Benadryl

There are many different forms of Benadryl found in different countries. In the United States and Canada, there are several versions of Benadryl for allergies, some to be taken orally and some as a topical analgesic. In Australia, New Zealand and
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
, Benadryl is known as a cough liquid.


Benadryl Allergy

Benadryl Allergy is the name of a Benadryl product found in the United States and Canada. It is an antihistamine drug used to relieve allergies. Its active ingredient is
diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
, a first-generation antihistamine. A first-generation antihistamine is the oldest group of antihistamines and it includes diphenhydramine that can be found in Benadryl. It is known to be sedative, making drowsiness a common side effect. It is an oral drug to be taken by mouth, to relieve symptoms of allergy,
hay fever Allergic rhinitis, of which the seasonal type is called hay fever, is a type of inflammation in the nose that occurs when the immune system overreacts to allergens in the air. Signs and symptoms include a runny or stuffy nose, sneezing, red, i ...
and the
common cold The common cold or the cold is a viral infectious disease of the upper respiratory tract that primarily affects the respiratory mucosa of the nose, throat, sinuses, and larynx. Signs and symptoms may appear fewer than two days after exposu ...
. It can also be used to relieve allergies such as itching, sneezing, runny nose, rash and hives. Benadryl Allergy for Children is also available. It comes in liquid form and can be used to provide fast and effective relief for allergies such as sneezing, itchy, runny nose, itchy eyes and hives. Benadryl Allergy is widely used as a sleep aid among adults. While it is not marketed as an over-the-counter (OTC) sleeping aid, most versions of Benadryl contain diphenhydramine, a drug with
sedative A sedative or tranquilliser is a substance that induces sedation by reducing irritability or excitement. They are CNS depressants and interact with brain activity causing its deceleration. Various kinds of sedatives can be distinguished, but t ...
properties. Diphenhydramine (Benadryl) has also been used by parents to help improve their infant's sleep habits. However, this has been met by
criticism Criticism is the construction of a judgement about the negative qualities of someone or something. Criticism can range from impromptu comments to a written detailed response. , ''"the act of giving your opinion or judgment about the good or bad q ...
on whether it is appropriate to do so.


Benadryl Allergy Relief

In the United Kingdom, Benadryl can be found as Benadryl Allergy Relief. The main ingredient in this medication is acrivastine. Acrivastine is a non-drowsy antihistamine used to relieve allergies. It can treat hay fever, hives, insect bites and stings,
conjunctivitis Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva, outermost layer of the white part of the eye and the inner surface of the eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness, or itchiness may ...
and
eczema Dermatitis is inflammation of the Human skin, skin, typically characterized by itchiness, erythema, redness and a rash. In cases of short duration, there may be small blisters, while in long-term cases the skin may become lichenification, thick ...
. Benadryl Allergy Relief contains 8 mg of acrivastine in each capsule. It is to be taken orally. Benadryl Allergy Relief Plus Decongestant can also be found in the United Kingdom. It is used to relieve
sinus Sinus may refer to: Anatomy * Sinus (anatomy), a sac or cavity in any organ or tissue ** Paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: *** Maxillary sinus, is the largest of the paranasal sinuses, ...
, stuffy and runny nose, itchy eyes and sneezing. This version contains acrivastine and
pseudoephedrine Pseudoephedrine (PSE) is a sympathomimetic drug of the phenethylamine and amphetamine chemical classes. It may be used as a nasal/sinus decongestant, as a stimulant, or as a wakefulness-promoting agent in higher doses. It was first characteri ...
as its active ingredients. Pseudoephedrine is a
decongestant A decongestant, or nasal decongestant, is a type of pharmaceutical drug that is used to relieve nasal congestion in the upper respiratory tract. The active ingredient in most decongestants is either pseudoephedrine or phenylephrine (the latter of ...
used to relieve a
nasal congestion Nasal congestion is the blockage of nasal breathing usually due to membranes lining the nose becoming swollen from inflamed blood vessels. Background In about 85% of cases, nasal congestion leads to mouth breathing rather than nasal breathing. ...
. Benadryl Allergy Relief Plus Decongestant contains 8 mg of acrivastine and 60 mg of pseudoephedrine per capsule, and it is to be taken orally.


Benadryl Topical

Benadryl can also be found in a topical form including gels and creams. Benadryl Itch Stopping Cream is a topical cream used to provide temporary itch relief for allergies, hives or even some insect bites. It can be found in the United States and Canada. This topical medication contains 2% of diphenhydramine hydrochloride and 1% of zinc acetate. This medication is intended for topical use only and not to be ingested.


Benadryl Cough Syrup

Benadryl in Australia and New Zealand comes in the form of a cough syrup. It is not to be confused with Benadryl for allergies. There are several forms of cough syrup available in the market for different types of coughs such as dry, tickly cough, chesty coughs and coughs with nasal congestion. Cough liquids for children are also available. Benadryl Chesty Forte is used to relieve heavy chesty coughs and chest congestion. The main ingredients found are
guaifenesin Guaifenesin, also known as glyceryl guaiacolate, is an expectorant medication that aids in the elimination of sputum from the respiratory tract. Chemically it is an ether of guaiacol and glycerine. It is often used in combination with other me ...
and bromhexine hydrochloride. It is to be taken orally to provide relief from cough and congested chests due to the common cold. Benadryl Dry, Tickly Cough Liquid is a cough medicine found in Australia. It is used to temporarily relieve irritating coughs.
Pholcodine Pholcodine is an opioid cough suppressant (antitussive). It helps suppress unproductive coughs and also has a mild sedative effect, but has little or no analgesic effects. It is also known as morpholinylethylmorphine and homocodeine. Pholcodine is ...
is the main ingredient found in this cough liquid. This medication is to be taken orally and may cause drowsiness. In India, Benadryl can also be found in the form of a cough liquid and also cough lozenges. Benadryl Cough Syrup contains diphenhydramine, ammonium chloride and citrate as its main ingredients. It is used to relieve cough and cold, and also soothes the throat.


Adverse effects

A common side effect of taking Benadryl containing diphenhydramine is drowsiness. Other common side effects can include dry mouth and throat. Symptoms such as confusion and blurred vision can also occur. Other side effects of taking Benadryl include
headache Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result ...
and dizziness. Diphenhydramine is a first-generation antihistamine and an
anticholinergic drug Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system. These agents inhibit the parasympathetic nervous system ...
. Anticholinergic drugs block the action of
acetylcholine Acetylcholine (ACh) is an organic chemical that functions in the brain and body of many types of animals (including humans) as a neurotransmitter. Its name is derived from its chemical structure: it is an ester of acetic acid and choline. Part ...
, a
neurotransmitter A neurotransmitter is a signaling molecule secreted by a neuron to affect another cell across a synapse. The cell receiving the signal, any main body part or target cell, may be another neuron, but could also be a gland or muscle cell. Neuro ...
in the
central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all par ...
. Studies propose that long-term use of anticholinergic drugs is associated with an increased risk for
dementia Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...
among older people. Long-term use of Benadryl can also lead to
constipation Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement ...
and
confusion In medicine, confusion is the quality or state of being bewildered or unclear. The term "acute mental confusion"
.


Interactions

Benadryl containing diphenhydramine can interact with
alcohol Alcohol most commonly refers to: * Alcohol (chemistry), an organic compound in which a hydroxyl group is bound to a carbon atom * Alcohol (drug), an intoxicant found in alcoholic drinks Alcohol may also refer to: Chemicals * Ethanol, one of sev ...
as both are central nervous system (CNS)
depressant A depressant, or central depressant, is a drug that lowers neurotransmission levels, which is to depress or reduce arousal or stimulation, in various areas of the brain. Depressants are also colloquially referred to as downers as they lower the ...
s. Side effects such as drowsiness and dizziness may be enhanced when taking alcohol with diphenhydramine. Mixing diphenhydramine with alcohol can also increase the chances of losing consciousness due to sedation. This combination can also lead to impaired motor skills and decreased
alertness Alertness is the state of active attention by high sensory awareness such as being watchful and prompt to meet danger or emergency, or being quick to perceive and act. It is related for psychology . A lack of alertness is a symptom of a ...
. Driving, operating machinery or any other activities that require full concentration and consciousness are not recommended as these effects persist. Benadryl may interact with other medications such as
anti-depressants Antidepressants are a class of medication used to treat major depressive disorder, anxiety disorders, chronic pain conditions, and to help manage addictions. Common side-effects of antidepressants include dry mouth, weight gain, dizziness, hea ...
, sleeping pills, muscle relaxants and other antihistamines. It is important to check with a professional before taking Benadryl with any other medications,
vitamin A vitamin is an organic molecule (or a set of molecules closely related chemically, i.e. vitamers) that is an Nutrient#Essential nutrients, essential micronutrient that an organism needs in small quantities for the proper functioning of its ...
s and
herbal products Herbal medicine (also herbalism) is the study of pharmacognosy and the use of medicinal plants, which are a basis of traditional medicine. With worldwide research into pharmacology, some herbal medicines have been translated into modern remedies ...
.


History

In 1940, diphenhydramine was discovered by George Rieveschl while working as a chemical engineer at the
University of Cincinnati The University of Cincinnati (UC or Cincinnati) is a public research university in Cincinnati, Ohio. Founded in 1819 as Cincinnati College, it is the oldest institution of higher education in Cincinnati and has an annual enrollment of over 44,00 ...
, where he was conducting research into
muscle relaxant A muscle relaxant is a drug that affects skeletal muscle function and decreases the muscle tone. It may be used to alleviate symptoms such as muscle spasms, pain, and hyperreflexia. The term "muscle relaxant" is used to refer to two major therapeu ...
s. In 1946, Benadryl was approved by the
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
(FDA) for prescription use. In the 1980s, it was approved as an over-the-counter medication. Before 2007, Benadryl was marketed by
Pfizer Pfizer Inc. ( ) is an American multinational pharmaceutical and biotechnology corporation headquartered on 42nd Street in Manhattan, New York City. The company was established in 1849 in New York by two German entrepreneurs, Charles Pfizer ...
Consumer Healthcare (originally
Warner–Lambert Warner–Lambert was an American pharmaceutical company. History Formerly two separate entities, the first company was started in 1856, when William R. Warner founded a drug store in Philadelphia. Warner went on to invent a tablet coating process ...
).


Recalls

On 15 January 2010,
McNeil Consumer Healthcare McNeil Consumer Healthcare is an American medicals products company belonging to the Johnson & Johnson Health care, healthcare products group. It primarily sells fast-moving consumer goods such as Over-the-counter drug, over-the-counter drugs. ...
, a subsidiary of Johnson & Johnson, recalled five lots of Benadryl due to the presence of an unusual odor linked to the chemical 2,4,6-tribromoanisole. In April 2010, over four million packs of Benadryl Children Allergy tablets were recalled after it was revealed that they might contain a higher concentration of active ingredients than specified on the label, as well as inactive ingredients that had not met internal testing requirements.


Benadryl Topical Packaging Change

In 2010, after the U.S. Food and Drug Administration (FDA) reported over one hundred cases of mistaken ingestion by mouth, the packaging of Benadryl Itch Stopping Gel was redesigned to include a new warning ("for skin use only"), and a sticker was added as an additional precaution.


Society and culture

Diphenhydramine has a common side effect of drowsiness or sleepiness. Because of these sedative properties, Benadryl is often used as a sleep aid in people with
insomnia Insomnia, also known as sleeplessness, is a sleep disorder in which people have trouble sleeping. They may have difficulty falling asleep, or staying asleep as long as desired. Insomnia is typically followed by daytime sleepiness, low energy, ...
. A study published in the '' American Journal of Geriatric Psychiatry'' discovered that approximately one in three adults between the ages of 65 and 80 occasionally use over-the-counter drugs like Benadryl to help with sleep. In 2017, American Academy of Sleep Medicine discouraged the use of over-the-counter antihistamines as a sleep aid in treating chronic insomnia. The usage of antihistamines as a sleep aid could cause sleepiness during the day, grogginess and falls.


Recreational usage and the 'Benadryl challenge'

In May 2020, the Cook Children's Medical Center in Fort Worth, TX reported that 3 teenagers had been hospitalized as a result of diphenhydramine overdose. They claimed that the teenagers had gotten information on how to abuse Benadryl from the social media app
TikTok TikTok, known in China as Douyin (), is a short-form video hosting service owned by the Chinese company ByteDance. It hosts user-submitted videos, which can range in duration from 15 seconds to 10 minutes. TikTok is an international version ...
. That August, an Oklahoma teen reportedly died from a Benadryl overdose. After a later-deleted Facebook post by the teen's family member claimed that the death was the result of a " Benadryl challenge," news outlets reported on the dangers of the supposed social media trend. This prompted the FDA to release a statement on the dangers of high doses of diphenhydramine.


Availability

Benadryl is available as an over-the-counter (OTC) drug in most countries. Benadryl can be found in several countries including the United States, Canada, United Kingdom, Australia, New Zealand, India, Indonesia and the Philippines. Benadryl comes in oral tablets and oral liquid to be taken by mouth. Some types of Benadryl such as Benadryl Itch Stopping Cream and gels are meant to be applied to the skin, not to be ingested.


References


External links

* {{Johnson & Johnson Johnson & Johnson brands H1 receptor antagonists Products introduced in 1946 Antihistamines