
Diphenhydramine, commonly known by the brand name Benadryl, is an over-the-counter antihistamine medication used to treat allergies and cold symptoms. Due to its drowsiness side effect, it is also sometimes used as a short-term sleep aid for adults and children over the age of 12. The recommended dosage for sleep is 50 mg taken orally 20 to 30 minutes before bedtime, however, it should not be used for more than 14 days at a time. While diphenhydramine can be effective in aiding sleep, it is not recommended for long-term use as it can cause side effects such as dry mouth, dizziness, constipation, and trouble urinating. Additionally, it is important to be cautious when taking diphenhydramine and to follow the instructions provided, as taking too much can be dangerous and even fatal.
| Characteristics | Values |
|---|---|
| Recommended dosage for sleep | 50 mg 20-30 minutes before bedtime |
| Maximum oral dose for adults | 50 to 100 mg for a single dose or no more than 300 mg in 24 hours |
| Maximum recommended dosage when used as a sleep aid | 76 mg for diphenhydramine citrate or 50 mg for diphenhydramine hydrochloride |
| Dosage for children 12 years and older | 50 mg |
| Dosage for children 6 to younger than 12 years | 12.5-25 mg |
| Dosage for children 2-5 years | 6.25 mg |
| Dosage for children 2 to younger than 12 years with sleep disorders | 1 mg/kg (up to a maximum dose of 50 mg) 30 minutes before bedtime |
| Age groups that should avoid taking diphenhydramine | Older adults, children under 12, pregnant women |
| Side effects | Dry mouth, dizziness, constipation, vomiting, seizures, trouble urinating, agitation, hyperactivity, tremors |
| Length of use | No longer than 14 days at a time |
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What You'll Learn
- The recommended dosage for adults is 50mg taken orally 20-30 minutes before bedtime
- It is not recommended for children under 12, older adults, pregnant women, or those with narrow-angle glaucoma
- Diphenhydramine should not be used for longer than 2 weeks at a time
- It is not recommended as a long-term solution as it prevents the brain from achieving deep REM sleep
- Side effects may include dry mouth, dizziness, constipation, vomiting, seizures, and anxiety

The recommended dosage for adults is 50mg taken orally 20-30 minutes before bedtime
Diphenhydramine, commonly known by the brand name Benadryl, is an over-the-counter (OTC) antihistamine medication. It is used to treat allergies, cold symptoms, allergic reactions, and nausea, vomiting, or vertigo associated with motion sickness. Diphenhydramine is also known to cause drowsiness, making it popular as a short-term sleep aid for adults and children aged 12 and above.
When used as a sleep aid, the recommended dosage for adults is 50 mg taken orally 20 to 30 minutes before bedtime. This is the standard dosage for diphenhydramine hydrochloride, while the equivalent dose for diphenhydramine citrate is 76 mg. It is important to note that diphenhydramine should not be used for more than two weeks (14 days) consecutively.
The maximum oral dose for adults is generally 50 to 100 mg for a single dose, but it should not exceed 300 mg in a 24-hour period. However, it is crucial to consider the specific form of diphenhydramine, the individual's age, their medical history, and any other medications they may be taking.
While diphenhydramine can be effective in inducing sleep, it is not recommended as a long-term solution. It can cause side effects such as dry mouth, dizziness, constipation, and trouble urinating if overused. Additionally, it may prevent the brain from achieving deep REM sleep, resulting in a “hangover” effect and increased drowsiness the next day. For these reasons, it is generally advised to explore alternatives like zolpidem or suvorexant, or focus on improving sleep hygiene, such as maintaining a regular sleep schedule and avoiding electronics and stimulants before bedtime.
It is always advisable to consult a healthcare professional or pharmacist before taking any medication, including diphenhydramine, to ensure it is suitable for your specific needs and to avoid any potential adverse effects.
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It is not recommended for children under 12, older adults, pregnant women, or those with narrow-angle glaucoma
While diphenhydramine is a popular over-the-counter medication for sleep, it is not suitable for everyone. The medication is not recommended for children under 12, older adults, pregnant women, or those with narrow-angle glaucoma.
Firstly, diphenhydramine is not recommended for children under 12. This is because, in some cases, the medication can have the opposite of the intended effect, causing excitation, agitation, or insomnia. In addition, children may experience other side effects, such as trouble urinating. The American Academy of Sleep Medicine (AASM) advises against the use of diphenhydramine for children with sleep problems. The medication should never be given to children to help them sleep, and children under 6 years old should especially avoid it. For children aged 6 to 12, a doctor's guidance is required.
Secondly, older adults should also avoid diphenhydramine as a sleep aid. Older adults are more likely to experience side effects, and these side effects can be longer-lasting. The recommended dosage for adults over 65 is 25 mg, and it is advised to start with a lower dose.
Thirdly, pregnant women should not take diphenhydramine. It is important to speak with an obstetrician before using this medication in any form during pregnancy.
Lastly, people with narrow-angle glaucoma should avoid taking diphenhydramine. While the specific reasons are unclear, it is generally advised that this group refrain from using this medication.
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Diphenhydramine should not be used for longer than 2 weeks at a time
Diphenhydramine is a common over-the-counter antihistamine medication used to treat allergies and cold symptoms. It is also used to treat short-term insomnia in adults and children over the age of 12. However, it is important to note that diphenhydramine should not be used for longer than two weeks at a time. Here are several reasons why:
Firstly, diphenhydramine is not recommended for long-term use because it can prevent the brain from achieving restorative deep REM sleep. Instead of helping with sleep, it can cause anxiety or a "hangover" effect, leading to feelings of drowsiness the next day. This is sometimes referred to as “paradoxical excitation”, where individuals experience excitation, agitation, or insomnia, rather than sleepiness. Additionally, taking diphenhydramine for more than 7 to 10 nights is not advised because the body can quickly develop a tolerance to the medication, reducing its effectiveness.
Secondly, diphenhydramine is associated with several side effects, especially when overused or taken for extended periods. These side effects can include trouble urinating, constipation, vomiting, and seizures. In some cases, diphenhydramine can even cause agitation, hyperactivity, and tremors, potentially making insomnia worse. Older adults are more susceptible to these side effects, and drug side effects can be longer-lasting in this demographic. Furthermore, diphenhydramine is one of the most abused medications in the United States, with overdose accounting for a significant number of deaths. Therefore, it is crucial to follow the recommended dosage and duration of use.
Thirdly, diphenhydramine interacts with other medications and should be used with caution. It is essential to check the “Drug Facts” label on over-the-counter products to ensure that you are not accidentally taking multiple medications that contain diphenhydramine, as this can lead to an overdose. Additionally, pregnant women and those over the age of 65 should be particularly cautious when considering diphenhydramine, as the risks may outweigh the benefits for these groups.
Finally, diphenhydramine is not recommended as a long-term solution for insomnia. While it can be effective for short-term sleep problems, it is not a go-to medication for chronic insomnia. Instead, healthcare providers may recommend prescription sleep aids, such as Ambien (zolpidem) or Belsomra (suvorexant), or suggest improvements in sleep hygiene, such as maintaining a regular sleep schedule and avoiding electronics and stimulants before bedtime. Therefore, it is important to consult a healthcare professional for personalized advice and to explore alternative treatments for insomnia.
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It is not recommended as a long-term solution as it prevents the brain from achieving deep REM sleep
Diphenhydramine, commonly known by the brand name Benadryl, is a first-generation antihistamine medication. It is available over the counter (OTC) and is used to treat allergies and cold symptoms. It is also used as a sleep aid due to its side effect of drowsiness.
The recommended dosage of Benadryl for sleep is 50 mg for adults and children aged 12 and older, taken orally 20 to 30 minutes before bedtime. It is important to note that Benadryl should not be used for more than 14 days at a time and is not recommended for children under 12.
While diphenhydramine can help with occasional sleeplessness, it is not a long-term solution for insomnia or chronic sleep problems. This is because it prevents the brain from achieving deep REM sleep, which is necessary for restorative sleep. Instead, it induces a lighter form of sleep that can leave individuals feeling drowsy the next day, often described as a "hangover" effect. Additionally, the body can develop a tolerance to diphenhydramine within 7 to 10 nights, further reducing its effectiveness over time.
Furthermore, diphenhydramine has been associated with several side effects, including dry mouth, dizziness, and constipation, and trouble urinating. In some cases, it can cause paradoxical excitation, leading to agitation, hyperactivity, and tremors, which can worsen insomnia. Older adults and individuals with certain medical conditions may be more susceptible to these side effects. Therefore, it is crucial to consult a healthcare professional before using diphenhydramine as a sleep aid, especially for those with underlying health conditions.
In summary, while diphenhydramine can be effective for short-term relief from occasional sleeplessness, it is not recommended as a long-term solution due to its impact on REM sleep and the potential for adverse side effects. It is always advisable to consult a healthcare provider for personalized advice and to explore alternative treatments for chronic insomnia.
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Side effects may include dry mouth, dizziness, constipation, vomiting, seizures, and anxiety
Diphenhydramine, commonly known by the brand name Benadryl, is an antihistamine medication used to treat allergies, insomnia, and symptoms of the common cold. It is also used to treat motion sickness and certain movement problems. While it is an effective sleep aid, it is not recommended for long-term use as it prevents the brain from achieving deep REM sleep, which is necessary for restorative rest. Instead, it is recommended for short-term or occasional sleeplessness.
Side effects of diphenhydramine may include dry mouth, dizziness, constipation, vomiting, seizures, and anxiety. Dry mouth, dizziness, and constipation are among the most commonly reported side effects. Diphenhydramine can also cause vomiting, particularly at higher doses. Seizures are another potential side effect, with some users reporting convulsions. This adverse reaction may be more common in children.
Additionally, diphenhydramine can cause or worsen anxiety in some individuals. While the medication generally has a sedative effect, it can cause paradoxical central nervous system stimulation, leading to anxiety, agitation, or restlessness instead of sedation. This stimulation can also result in excitation, increased energy, nervousness, and insomnia, which may further contribute to anxiety symptoms.
It is important to note that diphenhydramine may interact with other medications and substances. Combining it with alcohol or other medicines that cause dizziness and sleepiness can increase the risk of adverse effects. Therefore, it is crucial to consult a healthcare provider and carefully read the "Drug Facts" label before taking diphenhydramine or any other medication.
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Frequently asked questions
The recommended dosage of diphenhydramine for sleep is 50 mg taken orally 20 to 30 minutes before bedtime for adults and children aged 12 and above. It is not recommended for children under 12.
No, diphenhydramine is not recommended for long-term use and should be taken for a maximum of 14 days at a time. It is meant for occasional sleeplessness and short-term treatment of insomnia.
Side effects of diphenhydramine include dry mouth, dizziness, constipation, nausea, vomiting, seizures, and trouble urinating. It can also cause paradoxical excitation, leading to agitation, hyperactivity, and insomnia.
The maximum oral dose of diphenhydramine for adults in a single dose is generally 50 to 100 mg, but it should not exceed 300 mg in a 24-hour period. However, this may vary depending on the condition being treated and individual factors.
Diphenhydramine can interact with other medications, so it is important to check with a healthcare professional before combining it with other drugs. It should not be used with other products containing diphenhydramine to avoid overdose.












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