Diphenhydramine is primarily used as an antihistamine that relieves allergy symptoms like a runny nose, itching or watery eyes.Â
But it can also be given in addition to an epinephrine (adrenaline) pen to help treat a severe allergic reaction (known as anaphylaxis).
Diphenhydramine can’t treat anaphylaxis alone. Anaphylaxis needs to be treated as soon as possible with epinephrine (EpiPen), as delaying treatment can be dangerous.Â
Diphenhydramine may be taken after using an adrenaline pen to help further relieve symptoms.Â
How does Diphenhydramine work?
Diphenhydramine is an antihistamine. This means that it blocks histamine receptors in the body. Histamine is one of the primary chemicals that causes allergy symptoms. By blocking its release, Diphenhydramine helps alleviate symptoms.[1]
When someone has a severe allergic (or anaphylactic) reaction, this histamine release can cause a dangerous drop in blood pressure, as well as significant swelling of the airways, leading to difficulty breathing. By counteracting histamine, diphenhydramine can help to stabilise these symptoms (when used in addition to an epinephrine injector).
What doses of Diphenhydramine are there?
Diphenhydramine comes as a tablet in two doses: 25 mg and 50 mg.Â
The usual dose for mild allergic reactions is one tablet taken every four to six hours. Your doctor will provide more information on the dosage based on the severity of your condition.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on April 09, 2025. Next review due on April 09, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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How to take Diphenhydramine
You’ll usually take Diphenhydramine alongside an epinephrine injection for anaphylaxis. Swallow the tablet whole with some water, with or without food. You’ll take a tablet every four to six hours as needed to manage your symptoms. If you’re taking multiple tablets daily, try to space the tablets out evenly throughout the day.[1]
Diphenhydramine isn’t used to treat anaphylaxis by itself – it only relieves mild allergy symptoms. To prevent anaphylaxis, make sure to use an epinephrine – then you can use Diphenhydramine to provide further relief.
How long does Diphenhydramine take to work?
Diphenhydramine takes 20 to 30 minutes to start working and can last up to 4-6 hours.
Diphenhydramine can’t be used to treat anaphylaxis alone as it works too slowly. If you’re experiencing symptoms of anaphylaxis, take epinephrine immediately.
What should I do if I make a mistake when taking Diphenhydramine?
If you forget to take Diphenhydramine, it shouldn’t cause any issues. Just take it as soon as you remember.
If you accidentally took more than the recommended dose, you might feel drowsy or sleepy. If you do, don’t drive or operate heavy machinery.
In some cases, you might experience overdose symptoms like a fast heartbeat or even lose consciousness; in these cases, contact 911 immediately for medical advice.
Treated trusted source:
Cheng, A. (2011). Emergency treatment of anaphylaxis in infants and children. Paediatrics & Child Health. 16(1). pp. 35-40.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on April 09, 2025. Next review due on April 09, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
DiphenhydramineDiphenhydramine
Diphenhydramine isn’t suitable for everyone, and there are some things that you need to be aware of when taking it.
Here’s all the official info on it. If anything is unclear, let our doctor know, and they can talk with you about it.
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Diphenhydramine: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
Will I get side effects using Diphenhydramine?
Answer:
There's a chance of experiencing side effects when using Diphenhydramine, including:
Drowsniness
Dizziness
Dry mouth
Fatigue
Abnormal heartbeat
For the full list of side effects, check the patient leaflet.
If you get an abnormal heartbeat or feel very drowsy or dizzy, contact your doctor or pharmacist for medical advice.Â
Avoid driving and using tools or machinery if you feel dizzy or drowsy. Instead, lie down until you feel better.
What is Diphenhydramine used for?
Answer:
Diphenhydramine can be used to treat several conditions. Most commonly, it’s used to treat insomnia, short-term sleeping difficulties, hives, cold symptoms, and mild allergic reactions. It can’t be used alone to treat anaphylaxis, but can be used as a supplementary treatment after using an adrenaline injector (epinephrine).Â
The dosage and form of diphenhydramine will vary depending on the condition being treated. For example, if you're treating hives, you may be prescribed a 2% cream, while for insomnia or allergy symptoms, a tablet will typically be used.
Is there a branded version of Diphenhydramine?
Answer:
Diphenhydramine is the generic version of the branded treatment called Benadryl. Both treatments contain the same active ingredient in the same concentration, so you shouldn’t notice any difference in effectiveness. The main difference is the packaging and price, with the generic version usually being cheaper.
Does Diphenhydramine make you sleepy?
Answer:
Yes, Diphenhydramine is a first-generation antihistamine, which is known for its sedative properties. First-generation antihistamines can enter the brain, making you feel tired, drowsy or dizzy. This can be beneficial if you're treating insomnia.Â
If you prefer a non-drowsy option for allergy relief, consider a second- or third-generation antihistamine like cetirizine (Zyrtec) or levocetirizine (Xyzal). They’re less likely to cause drowsiness while still providing effective allergy relief.[1]
Can I drink alcohol while taking Diphenhydramine?
Answer:
No, you should avoid drinking alcohol completely while taking Diphenhydramine. Taking both together can worsen the side effects and may affect your breathing.
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Apr 08, 2025
Published by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Dr Alexandra Cristina Cowell
Writer & Clinical Content Reviewer
Cristina writes content for Treated, and reviews content produced by our other writers to make sure it’s clinically accurate.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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