(for veterinary information only)
BRAND NAME: BENADRYL
Histamine is an inflammatory biochemical that causes skin redness, swelling, pain, increased heart rate, and blood pressure drop when enough of it binds to enough of the many "H1" receptors throughout the body. Histamine is a very important mediator of allergy in humans, hence a spectacular array of different antihistamines has proliferated. Histamine, perhaps unfortunately, is not as important a mediator of inflammation in pets which means results of antihistamine therapy are not as reliable in pets.
HOW THIS MEDICATION IS USED
Diphenhydramine has several important effects and thus several uses. Most obviously, diphenhydramine is an antihistamine and it is used for acute inflammatory and allergic conditions such as:
Diphenhydramine is frequently prescribed in the treatment of itchy skin where it may have a place in long term management. In short term management of allergic itch flare ups, it has not been found to be helpful except possibly in acute reactions involving hives.
See more information on the management of itchy skin.
Mast cell tumors are tumors involving cells that contain granules of histamine. Patients with mast cell tumors experience chronic inflammatory symptoms due to circulating histamine. Antihistamines such as diphenhydramine may be helpful given long term.
Diphenhydramine has a strong anti-nausea side effect that makes it helpful in treating motion sickness. This effect is "dogs only" and does not apply to cats.
Diphenhydramine causes drowsiness in animals just as it does in people and can be used as a mild tranquilizer. When pet owners use diphenydramine in a single dose or two to manage itching in pets, often the pet becomes drowsy and appears less itchy because he is too sleepy to engage in scratching or licking. This effect is different from actual itch relief, which typically requires a couple of weeks of use if it is going to occur.
With so many possible uses of this medication, it is difficult to separate out a side effect from a primary effect. Drowsiness is generally regarded as an undesirable side effect.
At doses higher than the recommended dose, human patients complain of dry mouth and experience difficulty with urination.
INTERACTIONS WITH OTHER MEDICATIONS
In the treatment of allergic skin disease, antihistamines are felt to synergize with omega 3 fatty acid supplements and, as a general rule for this condition, it is best to use these medications together.
Diphenhydramine should not be used with additional tranquilizing medications.
The side effects of dry mouth, increased heart rate, and difficulty urinating are more likely when diphenhydramine is used in conjunction with a tricyclic antidepressant (such as clomipramine).
CONCERNS AND CAUTIONS
Be careful of oral liquids containing alcohol. These formulations should not be used in pets.
It is important to realize that the name “Benadryl” is a brand name and there are many different products sold under this name. Likewise, there are generics that include diphenhydramine that also include inappropriate ingredients. To emphasize this point, we show such a product below. It seems like it would contain diphenhydramine but, in fact, it contains a combination of diphenhydramine and other medications, including a dose of acetaminophen which could be lethal to a pet.
Never buy over-the-counter medication for your pet
Page last updated: 8/18/2016