Does Benadryl Make Your Heart Race?

In our latest question and answer, the pharmacist discusses whether or not Benadryl, an over-the-counter antihistamine, can cause your heart to race.

Question

I took Benadryl and feel like it has opposite effects on me. My heart pounds. Does Benadryl make your heart race?

Asked by Sammi On Aug 07, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Aug 07, 2022
Last updated Apr 25, 2024

Key points

  • Benadryl has been documented to cause an increased heart rate in some individuals.
  • An increased heart rate from Benadryl is most commonly seen in children and in cases of an overdose.
  • Certain individuals may have a genetic variation that increases concentrations of a Benadryl metabolite that causes excitation.

Answer

Yes, Benadryl can increase your heart rate (i.e. "make your heart race"), even at recommended doses. This is because Benadryl, a sedating "first-generation" antihistamine, has strong anticholinergic effects.

Common anticholinergic side effects include:

  • Feeling hot or overheated
  • Constipation
  • Dry eyes
  • Dry mouth
  • Tachycardia (i.e. increased heart rate)
  • Confusion
  • Sedation
  • Dry skin
  • Flushing

It should be noted that cardiac side effects of Benadryl, such as increased heart rate, aren't all that common. Nevertheless, if your heart rate has increased after dosing with Benadryl, or you are having palpitations, it may be the culprit.

Benadryl Causing Excitation 

In addition, Benadryl has been reported to rarely cause "paradoxical excitation" in some individuals. It appears to be more common in children as well as in cases of an overdose according to the prescribing information for the drug. Symptoms of this include:

  • Restlessness
  • Agitation
  • Insomnia
  • Muscle spasms
  • Increased heart rate

The side effect of "excitation" is noted as paradoxical as Benadryl is more commonly associated with a feeling of sedation, which is why it is used as a sleep aid. 

Lastly, it appears certain individuals are more susceptible to the "excitation" side effects of Benadryl than others. The theory is that some individuals have genetic variations that increase the metabolism of Benadryl, increasing concentrations of an excitatory metabolite.

Final Words

Thanks again for your question!

References

  • Diphenhydramine Prescribing Information, AccessFDA
  • Diphenhydramine Monograph, PubChem

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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