Diphenhydramine hydrochloride is a long-standing drug as it was marketed in 1946 and has been used primarily for the treatment of allergies.
What it is for and where
Medical
Take only under medical supervision
It is a sedative antihistamine, a known agonist of 14 (hTAS2R14) and functional antagonist of the D2 receptor, it is an antidopaminergic agent that has the function of blocking post-synaptic dopamine receptors by exerting a control on symptoms such as headache (1), nausea (2), transient insomnia (3).
In particular, insomnia is a disorder that affects about 30% of the world's population and consists of difficulty falling asleep, difficulty maintaining sleep, and a feeling of not having slept well. These disorders can lead to more complex pathologies such as depression, anxiety, intolerance for life. Those who suffer from insomnia can be affected by very dangerous daytime sleepiness when driving motor vehicles. Diphenhydramine hydrochloride and melatonin have proved to be the most popular over-the-counter drugs. Scientific opinions are conflicting in this respect (4) (5).
Diphenhydramine hydrochloride administered intravenously in endoscopic procedures such as colonoscopy is useful in patients who are difficult to sedate (6).
Like all drugs it can cause side effects. Always ask the physician.
Molecular Formula : C17H22ClNO
Molecular Weight: 291.8 g/mol
CAS: 147-24-0
EC Number: 205-687-2
UNII TC2D6JAD40
DSSTox Substance ID: DTXSID4020537
MDL number MFCD00012479
PubChem Substance 24277771
Synonyms:
- 2-Diphenylmethoxy-N,N-dimethylethylamine hydrochloride
- N-(2-Diphenylmethoxyethyl)-N,N-dimethylamine hydrochloride
- Dimedrol
- Carphenex
- Carphenamine
- Diphamine
- Allergival
- Prodryl
- Bendylate
References_________________________________________________________
(1) Robblee J, Grimsrud KW. Emergency Department and Inpatient Management of Headache in Adults. Curr Neurol Neurosci Rep. 2020;20(4):7. Published 2020 Mar 18. doi:10.1007/s11910-020-01030-w
(2) Zikos TA, Nguyen L, Kamal A, et al. Marijuana, Ondansetron, and Promethazine Are Perceived as Most Effective Treatments for Gastrointestinal Nausea [published online ahead of print, 2020 Mar 17]. Dig Dis Sci. 2020;10.1007/s10620-020-06195-5. doi:10.1007/s10620-020-06195-5
(3) Dahl T, Chen LB, Zammit G, Ahmad M, Roth T. Efficacy of SM-1 in a transient insomnia model. Hum Psychopharmacol. 2019;34(6):e2713. doi:10.1002/hup.2713
(4) Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med. 2017;13(2):307–349. Published 2017 Feb 15.
(5) Bruni O, Angriman M, Calisti F, et al. Practitioner Review: Treatment of chronic insomnia in children and adolescents with neurodevelopmental disabilities. J Child Psychol Psychiatry. 2018;59(5):489–508. doi:10.1111/jcpp.12812
(6) El Shahawy MS, El-Fayoumy M. The Influence of Adding Diphenhydramine Before Initiation of Moderate Sedation with Midazolam and Pethidine for Improving Quality of Colonoscopy. J Natl Med Assoc. 2019;111(6):648–655. doi:10.1016/j.jnma.2019.09.001