Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Diphenhydramine
Drug ID BADD_D00686
Description Diphenhydramine - perhaps known most commonly as its brand name formulation Benadryl - is a first-generation H1 receptor antihistamine that is used extensively for the treatment of seasonal allergies, insect bites and stings, and rashes [L5263, L5266, L5269, F3379]. However, it also has antiemetic, antitussive, hypnotic, and antiparkinson properties [L5269, F3352]. As histamine receptors exist both peripherally and in the central nervous system, diphenhydramine has been shown to cause sedation due to its competitive antagonism of histamine H1 receptors within the central nervous system [L5263, L5266, L5269, F3379, A174541]. While its use in allergy therapy can sometimes fall out of favor due to its sedative effect, diphenhydramine has been repurposed for use within many non-prescription over-the-counter sleep aids and cough-and-cold medications that have been marketed for "night time" use [L5263, L5281, L5287]. Diphenhydramine is also used in combination with [DB14132] as the anti-nausea drug [DB00985] where it is utilized primarily for its antagonism of H1 histamine receptors within the vestibular system [A1540]. Diphenhydramine has also been shown to be implicated in a number of neurotransmitter systems that affect behaviour including dopamine, norepinephrine, serotonin, acetylcholine, and opioid [A1539]. As a result, diphenhydramine is being investigated for its anxiolytic and anti-depressant properties.
Indications and Usage For the treatment of symptoms associated with Vertigo/Meniere's disease, nausea and vomiting, motion sickness and insect bite.
Marketing Status Prescription; Discontinued
ATC Code D04AA32; R06AA02
DrugBank ID DB01075
KEGG ID D00300
MeSH ID D004155
PubChem ID 3100
TTD Drug ID D01FGR
NDC Product Code 52119-012; 76168-065
Synonyms Diphenhydramine | Benzhydramine | Diphenylhydramine | Diphenylhydramin | 2-Diphenylmethoxy-N,N-dimethylethylamine | Benhydramin | Benadryl | Benylin | Diphenhydramine Citrate | Citrate, Diphenhydramine | Diphenhydramine Citrate (1:1) | Diphenhydramine Hydrochloride | Hydrochloride, Diphenhydramine | Dormin | Allerdryl | Dimedrol
Chemical Information
Molecular Formula C17H21NO
CAS Registry Number 58-73-1
SMILES CN(C)CCOC(C1=CC=CC=C1)C2=CC=CC=C2
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Pulmonary congestion24.03.08.001; 22.01.03.002; 02.05.02.0020.000330%Not Available
Pulmonary embolism24.01.06.001; 22.06.02.001--Not Available
Pulmonary oedema22.01.03.003; 02.05.02.0030.003284%
Pulse absent13.14.04.0050.001263%Not Available
Pupillary light reflex tests abnormal13.07.04.0030.000198%Not Available
Pupillary reflex impaired17.02.11.007; 06.05.03.0090.001010%Not Available
Pyrexia08.05.02.0030.005558%
Rash23.03.13.0010.008337%Not Available
Rash erythematous23.03.06.0030.001010%Not Available
Rash generalised23.03.13.0020.000758%Not Available
Rash maculo-papular23.03.13.0040.000758%
Rash pruritic23.03.12.0020.001010%Not Available
Respiratory acidosis22.02.02.004; 14.01.04.0020.001010%Not Available
Respiratory arrest22.02.01.0090.003097%Not Available
Respiratory depression22.02.01.010; 17.02.05.0470.001120%Not Available
Respiratory distress22.02.01.0120.000505%Not Available
Respiratory failure22.02.06.002; 14.01.04.0030.000593%
Restlessness17.02.05.021; 19.11.02.0020.001263%
Retching07.01.07.0020.000758%Not Available
Rhabdomyolysis15.05.05.0020.004547%
Salivary hypersecretion07.06.01.0090.001516%Not Available
Sedation17.02.04.0050.000758%Not Available
Seizure17.12.03.0010.023747%
Sensory disturbance17.02.07.0060.000505%Not Available
Shock24.06.02.0020.001516%Not Available
Sinus tachycardia02.03.03.0100.007579%
Skin discolouration23.03.03.005--Not Available
Skin warm23.03.03.0140.000505%Not Available
Snoring22.02.05.0120.000505%Not Available
Somnolence19.02.05.003; 17.02.04.0060.005305%
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