Diphenhydramine
Diphenhydramine
Other Names
Benadryl
Classification
Antihistamine
Action
H1 receptor blockers act by competitively blocking the receptor - mediated response of a target tissue (antagonizing all actions of histamine except those mediated solely by H2 receptors)
Indications
Treatment of severe allergic reaction
Prevention of allergic reaction during transfusion
Contraindications
Hypersensitivity to the medication
Precautions
May cause drowsiness
Adverse reactions
•Central nervous system depression
•Anticholinergic effects: dry mouth, blurred vision, difficulty in urination, tightness of chest, etc.
•Nausea and vomiting
•Changes in blood pressure and ECG changes
•Rarely hemolytic anemia and anaphylactic reaction
•Transitory irritation at injection site
Interactions/Compatibility/Stability
•Protect from light (darkens on exposure to light)
•Compatible with Dextrose, NS, Ringer’s Lactate solutions
Special Considerations
•Parenterally IV is the preferred route
•IM must be deep into large muscle mass
•Caution necessary in patients with hypertension, or cardiac distress
•May contain Sodium Bisulfate
dosages
Preparation:
•50 mg in 1 ml vial
•Infuse directly into IV line (over at least 1 minute) or in minibag
Adult: 1 mg/kg IV or IM (to a maximum of 50 mg)
Pediatric: 1 mg/kg IV or IM (to a maximum of 40 mg)
Kinetics
No documentation found
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