How Long Does Benadryl Stay In Your System?

In our latest question and answer, the pharmacist discusses how long Benadryl will last in your system.

Question

Hi, My 98-year-old mother was taking 25 mg of diphenhydramine at night for sleep. We have stopped it, but how long will it take to get out of her system? She had been taking it for about 3-4 weeks. Could this small amount( 25 mg) cause her to be sleeping more during the day and not have an appetite? I see that normal doses for allergies are 25-50 mg every 4-6 hours, so would 25 mg once a day have a big effect on someone?

Asked by Nan On Oct 11, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Oct 11, 2022
Last updated May 04, 2024

Key points

  • Benadryl will be cleared from the system for most individuals in 24 to 48 hours, although this can be extended in the elderly.
  • While Benadryl could be to blame for long-lasting side effects in the elderly, including drowsiness and lack of appetite, other causes should also be considered.

Answer

Thanks for reaching out! first and foremost, Benadryl (diphenhydramine) may certainly be causing some of the side effects you mentioned occurring with your elderly mother. Although Benadryl is relatively short-acting, its effects can be prolonged in the elderly.

Benadryl is an antihistamine that has strong anticholinergic effects, which can cause drowsiness, decreased gut motility, dry mouth, dry eyes, thickening of bronchial secretions, urinary retention, and blurred vision. Benadryl may also cause constipation, diarrhea, or abdominal pain in some patients.

Elderly patients can be especially impacted by the effects of Benadryl. According to the Beers Criteria, Benadryl should be avoided in elderly patients due to the increased risk of confusion, dry mouth, and drowsiness.

How Long Does Benadryl Last?

That brings us to answering specifically how long Benadryl strays in your system.

While the effects of Benadryl generally only last 4 to 6 hours, it takes longer for the drug to be metabolized and eliminated from your system.

In healthy patients, Benadryl has a half-life between 2-8 hours and is cleared completely within 24-48 hours (i.e. one to two days). However, drug clearance in elderly patients can be impacted by the decline in kidney and liver function. Benadryl is extensively metabolized in the liver and dosage reduction may be necessary for patients with liver impairment.

Several studies have shown that some individuals report 'hangover' effects in the morning after Benadryl has been taken at night to help sleep. It isn't overly common, but is more likely to occur in the elderly.

So, it is certainly possible that Benadryl is causing some of the problems you mentioned, however, due to the age of your mother, there certainly could be other things going on. Be sure to talk to your doctor so your mother can be properly evaluated.

What Is Benadryl?

Benadryl is a first-generation antihistamine and is more likely to cause anticholinergic side effects than second-generation antihistamines. Other first-generation antihistamines include Dramamine (dimenhydrinate), Chlor-Trimeton (chlorpheniramine), Tavist (clemastine), and Phenergan (promethazine), among others. These medications cross the blood-brain barrier and have CNS effects like drowsiness and dizziness.

Second-generation antihistamines include Claritin (loratadine), Cetirizine (Zyrtec), and Allegra (fexofenadine) which are much less sedating. Antihistamines are widely used for self-care of allergy symptoms including runny nose, watery eyes, sneezing, and itching of the nose, throat, or eyes. Benadryl may also be used for symptoms of the common cold, allergic reactions, occasional insomnia, and more.

Final Words

Thanks again for contacting us and do so again anytime!

References

  • Diphenhydramine: pharmacokinetics and pharmacodynamics in elderly adults, young adults, and children, PubMed
  • Next-day residual sedative effect after nighttime administration of an over-the-counter antihistamine sleep aid, diphenhydramine, measured by positron emission tomography, PubMed
  • 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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