Can The Effects Of Benadryl Last Into The Next Day?

In our latest question and answer, the pharmacist discusses if the effects of Benadryl can last longer than intended and cause a "hangover" effect.

Question

I am 68 years old, I have been taking Benadryl (diphenhydramine ) as a sleeping aid for several months. Today, I woke up dizzy, and disoriented and I felt this way all day... will these symptoms go away by tomorrow morning?

Asked by Scott On Oct 03, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Oct 03, 2022
Last updated Apr 26, 2024

Key points

  • For most individuals, Benadryl (diphenhydramine) lasts between four and six hours per dose. As long as you get a full night's sleep, it is unlikely to still be having effects the next morning.
  • However, for some individuals (especially the elderly), Benadryl may take longer to metabolize, and its effects can last until the next morning, causing grogginess and sedation.

Answer

Benadryl (diphenhydramine) is a commonly used over-the-counter treatment for insomnia due to its sedative effects. While somewhat effective in decreasing sleep latency (i.e. time it takes to fall asleep), it hasn't been found to be very effective for increasing total sleep time and is associated with a variety of side effects such as:

  • Dry mouth
  • Dry eyes
  • Constipation
  • Next day grogginess
  • Dizziness
  • Next day sedation

Benadryl (Diphenhydramine) Next Day Drowsiness

For most individuals, after taking it by mouth, the sedative effects of Benadryl will begin to occur in 20-45 minutes. Peak sedative effects are reported to occur around 1 to 2 hours after dosing.

The usual duration of action of Benadryl is 4 to 6 hours but this can be greatly increased in older adults.

Benadryl use, especially in the elderly, has been associated with next-day grogginess. This is sometimes known as a "hangover" effect or "Benadryl hangover".

Although Benadryl generally only lasts 4 to 6 hours for most individuals, a variety of studies, such as this one, have reported next-day grogginess and hangover effects in many individuals.

Some studies have gone as far as to verify that Benadryl (diphenhydramine) is still bound to receptors in the brain the next morning after nighttime dosing in certain individuals, which could lead to sedative effects.

Age Is A Big Factor In Benadryl Metabolism

Most data indicates that as we age, the metabolism of many drugs, including Benadryl slows down.

For example, one study found that the half-life (i.e. time it takes for 50% of a drug to be metabolized) of Benadryl is nearly tripled in the elderly when compared to children. Specifically, the study found the half-life of Benadryl to be the following in different age groups:

  • Children: ~5.5 hours
  • Young Adults: ~9.2 hours
  • Elderly: ~13.5 hours

Genetic differences in individuals can also be a significant factor in how quickly individuals metabolize medication.

If you do feel next day grogginess or a "hangover" feeling on Benadryl, know that the effects are not uncommon. In most cases, the effects should dissipate throughout the day and should not last more than a day or two.

Benadryl (Diphenhydramine) Sleep Recommendations

Most guidelines, such as those from the American Academy Sleep Medicine, don't recommend using Benadryl for insomnia due to insufficient evidence for benefits and the potential side effects. 

If you have been using Benadryl and have had problems with next-day drowsiness, speak with your doctor regarding possible alternatives.

Final Words

Thanks for reaching out to us! I hope this answered your question!

References

  • Diphenhydramine: pharmacokinetics and pharmacodynamics in elderly adults, young adults, and children, PubMed
  • Diphenhydramine in insomniac family practice patients: a double-blind study, PubMed
  • Next-Day Residual Sedative Effect After Nighttime Administration of an Over-the-Counter Antihistamine Sleep Aid, Diphenhydramine, Measured by Positron Emission Tomography, Journal of Clinical Psychopharmacology

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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