Generic Name
Diphenhydramine
Trade Name
Benadryl
Class
Antihistamine
Action
Blocks histamines at h1 receptor sites inhibiting actions of histamine release, reverses dystonic reactions and extrapyramidal symptoms (involuntary movement disorders)
Indications
Mild to moderate allergic reactions, anaphylaxis (give after administering epinephrine), dystonic reactions and other extrapyramidal symptoms
Diphenhydramine Contraindications
Hypersensitivity MAOI’s neonates
Adult Dose:
25–50 mg iV at 25 mg/min, repeated PRN
Pedi Dose:
1–2 mg/kg iV (iM not recommended)
Side Effects
Confusion Dizziness Drowsiness Dry Mouth Nausea Palpitations Tachycardia Vomiting
Onset
15-30 min
Duration
3-12 hrs