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Diphenhydramine overdose
Benadryl overdose; Sominex overdose; Nytol overdose
Diphenhydramine is a type of medicine called an antihistamine. It is used in some allergy and sleep medicines.
Overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose.
This is for information only and not for use in the treatment or management of an actual overdose . DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
Overdose
An overdose is when you take more than the normal or recommended amount of something, usually a drug. An overdose may result in serious, harmful sym...
Poisonous Ingredient
Diphenhydramine can be harmful in large amounts.
Where Found
Diphenhydramine may be found in medicines with these brand names:
- Benadryl
- Nytol
- Sominex
- Tylenol PM
Other medicines may also contain diphenhydramine.
Symptoms
Below are symptoms of a diphenhydramine overdose in different parts of the body.
BLADDER AND KIDNEYS
- Inability to urinate
EYES, EARS, NOSE, MOUTH, AND THROAT
-
Blurred vision
Blurred vision
There are many types of eye problems and vision disturbances, such as: HalosBlurred vision (the loss of sharpness of vision and the inability to see ...
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- Enlarged pupils
- Very dry eyes
- Ringing in the ears
HEART AND BLOOD VESSELS
- Low blood pressure
- Rapid heartbeat
NERVOUS SYSTEM
-
Agitation
Agitation
Agitation is an unpleasant state of extreme arousal. An agitated person may feel stirred up, excited, tense, confused, or irritable.
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Confusion
Confusion
Confusion is the inability to think as clearly or quickly as you normally do. You may feel disoriented and have difficulty paying attention, remembe...
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- Delirium
- Depression
-
Drowsiness
Drowsiness
Drowsiness refers to feeling abnormally sleepy during the day. People who are drowsy may fall asleep in inappropriate situations or at inappropriate...
Read Article Now Book Mark Article - Hallucinations
- Increased sleepiness
- Nervousness
- Seizures
- Tremor
-
Unsteadiness
Unsteadiness
Walking abnormalities are unusual and uncontrollable walking patterns. They are usually due to diseases or injuries to the legs, feet, brain, spinal...
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SKIN
- Dry, red skin
Before Calling Emergency
Have this information ready:
- Person's age, weight, and condition (for example, is the person awake or alert?)
- Name of the product (ingredients and strength, if known)
- Time it was swallowed
- Amount swallowed
Call for help even if you don't have this information.
Poison Control
Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
Local poison center
For a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
What to Expect at the Emergency Room
Take the container to the hospital with you, if possible.
The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated.
The person may receive:
- Activated charcoal
- Blood and urine tests
- Breathing support, including a tube through the mouth into the lungs, and breathing machine (ventilator)
- Chest x-ray
- EKG (electrocardiogram, or heart tracing)
- Fluids through a vein (by IV)
- Laxative
- Medicines to treat symptoms (including one to reverse the effects of the poison)
-
Tube through the mouth into the stomach to empty the stomach (
gastric lavage
)
Gastric lavage
Gastric suction is a procedure to empty the contents of your stomach.
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Outlook (Prognosis)
Recovery is likely if the person survives the first 24 hours. Complications such as pneumonia, muscle damage from lying on a hard surface for a long period of time, or brain damage from lack of oxygen may result in permanent disability.
Few people actually die from an antihistamine overdose, unless they have serious heart rhythm disturbances or breathing problems.
Keep all medicines in child-proof bottles and out of reach of children.
References
Kirk MA, Baer AB. Anticholinergics and antihistamines. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 39.
Thornton S, Ly BT. Over-the-counter medications. In: Adams JG, ed. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 157.
Velez LI, Feng S-Y. Anticholinergics. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Mosby; 2013:chap 150.
Wax P. Anticholinergic toxicity. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide . 6th ed. New York, NY: McGraw-Hill; 2004:chap 183.
Review Date: 10/13/2015
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
