Can You Take Benadryl After Taking Allegra The Same Day?
In our latest question and answer, the pharmacist discusses the safety of taking Benadryl the same day as taking Allegra.
If I took an Allegra at 2PM earlier today, would it be okay for me to take a Benadryl at 10 PM?
May 26, 2022- Both Allegra and Benadryl are antihistamines that work the same way, so taking them together on the same day is not routinely recommended since Allegra lasts about 24 hours and will still be blocking histamine receptors when you take Benadryl. Taking Benadryl a few hours after Allegra may only be appropriate if you're experiencing an acute allergic reaction. Using Benadryl regularly for sleep is not an effective long-term strategy and has been linked to dementia risk with long-term use.
Hi Kim and thank you for your great question. Let's get right into it! Let's first go over each drug in question here.
What Is Allegra
Allegra (fexofenadine) is a “second generation” antihistamine. It works by binding to histamine receptors in the body so that histamine can’t bind to them.
This helps to reduce the symptoms typically caused by allergies. It is often portrayed as “non-drowsy” but it typically causes drowsiness in about 10-15% of people that take it.
It is generally well-tolerated and lasts about 24 hours.
What Is Benadryl
Benadryl (diphenhydramine) is a “first generation” antihistamine. It commonly causes drowsiness and can also cause dizziness, dry mouth, constipation, urinary retention, and next-day fatigue.
It also works by binding to histamine receptors, but binds to many more in the central nervous system (in your brain) compared to fexofenadine. This is what causes the drowsiness and dryness seen with diphenhydramine.
Taking Both Together
Since fexofenadine and diphenhydramine are both antihistamines, it’s not routinely recommended to take them together.
They are both working to do the same thing. Specifically, in your case, fexofenadine taken at 2 pm will still be blocking most of the histamine receptors in your body when you plan to take the diphenhydramine, 8 hours later. Fexofenadine typically lasts 24 hours.
There are rare instances, where using diphenhydramine a few hours after fexofenadine may be appropriate.
If you were to begin to suffer from an acute allergic reaction, then taking Benadryl might be useful. Aside from this instance, please don’t take both unless your physician or another healthcare professional directs you to.
Lastly, if you are regularly using diphenhydramine to help you fall asleep, it is not an effective long-term strategy. It hasn’t been shown to help with sleep quality beyond a few nights.
Also, recently, long-term use has been linked to developing dementia later in life.
If you find that your sleep quality isn’t the best, it might be a good time to reevaluate your sleep hygiene. There’s a lot involved in sleep hygiene, and I will link you to a good resource if you’d like to read up on it more.
From personal experience, I know that making sure that I don’t use my phone or watch any TV for an hour or so before bedtime helps.
Bright lights like phones and your TV cause your brain to think that it’s daytime, so you tend to have a more difficult time falling asleep. Instead, I try to read a bit to decompress before I fall asleep.
There’s always something that can be done to improve your sleep hygiene. I would encourage you to read up on it a bit and give it a try.
References & sources
- Over-the-Counter Agents for the Treatment of Occasional Disturbed Sleep or Transient Insomnia: A Systematic Review of Efficacy and Safety — The Primary Care Companion for CNS Disorders
- Diphenhydramine Monograph — PubChem
- Clinical guideline for the evaluation and management of chronic insomnia in adults — Journal of Clinical Sleep Medicine
- Cumulative Use of Strong Anticholinergics and Incident Dementia — JAMA
- Fexofenadine Monograph — PubChem
Glossary — Terms in This Answer
- Antihistamine
- A medication that blocks histamine, a chemical in your body that causes allergy symptoms like itching and swelling.
- Histamine receptors
- Binding sites on cells where histamine attaches and triggers allergic reactions.
- Fexofenadine
- The active ingredient in Allegra, a second-generation antihistamine used to treat allergies.
- Diphenhydramine
- The active ingredient in Benadryl, a first-generation antihistamine that commonly causes drowsiness.
- Central nervous system
- Your brain and spinal cord, which control all body functions and sensations.
- Acute allergic reaction
- A sudden and severe allergic response that requires immediate treatment.
- Dementia
- A decline in memory and thinking abilities that affects a person's daily functioning.
- Sleep hygiene
- Habits and practices that help you sleep better, such as keeping a consistent bedtime and avoiding bright lights before sleep.