Can You Take Benadryl (Diphenhydramine) With Oxycodone?

In our latest question and answer, the pharmacist discusses whether or not you can combine Benadryl (diphenhydramine) with oxycodone.

Question

Can you take Benadryl with oxycodone? I have trouble sleeping.

Asked by Manu On Sep 21, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Sep 21, 2022
Last updated Apr 22, 2024

Key points

  • Benadryl (diphenhydramine) and oxycodone generally should not be taken together due to the increased risk of side effects.

Answer

In general, it is not recommended to combine Benadryl (diphenhydramine) and oxycodone, especially if oxycodone is a new medication for you.

Increased Risk Of Side Effects

Oxycodone, by itself, can cause respiratory depression as well as depression of the CNS (Central Nervous System). Combining Benadryl (diphenhydramine), a sedating first-generation antihistamine, can enhance these effects.

There have been reports of significant drops in blood pressure, excess sedation as well as respiratory depression with the combination. Additionally, you certainly do not want to mix Benadryl (diphenhydramine), oxycodone, and alcohol together.

Having said all this, the combination of Benadryl (diphenhydramine) and oxycodone can be used in some situations.

Chronic use of oxycodone leads to tolerance to its effects.

Typically, once your level of tolerance to the depressant effects of oxycodone are appropriately assessed, your doctor may recommend combining Benadryl (diphenhydramine) for certain indications, such as insomnia. Your doctor may adjust the dose of one of the medications to get the best response in a safe way.

Final Words

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References

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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