STORAGE: Diphenhydramine should be stored at room temperature, 15 C to 30 C (59 F to 86 F), and the injection should be protected from freezing and light.
DOSING: Diphenhydramine doses vary depending on formulation, and has its maximal effect about one hour after it is taken.
- When used to treat insomnia, it is prescribed at bedtime. Indivduals over the age of 60 years are especially sensitive to the sedating and anticholinergic effects of diphenhydramine, and the dose should be reduced.
- A common regimen for treating adult allergic reaction is 25-50 mg every 4-6 hours not to exceed 300 mg daily.
- Insomnia is treated with 50 mg taken 30 minutes before bedtime.
Diphenhydramine adds to (exaggerates) the sedating effects of alcohol and other drugs than can cause sedation such as the benzodiazepine class of anti-anxiety (for example, diazepam [Valium], lorazepam [Ativan], clonazepam [Klonopin], alprazolam [Xanax]), the narcotic class of pain medications and its derivatives (for example, oxycodone and acetaminophen [Percocet], and hydrocodone and acetaminophen [Vicodin], guaifenesin with hydromorphone [Dilaudid], codeine, propoxyphene [Darvon]), the tricyclic class of antidepressants (for example, amitriptyline [Elavil, Endep], imipramine [Tofranil], desipramine [Norpramin]), and certain antihypertensive medications (for example, clonidine [Catapres], propranolol [Inderal]). Diphenhydramine also can intensify the drying effects of other medications with anticholinergic properties (for example, dicyclomine [Bentyl] and bethanechol [Urecholine], probanthine).
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