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6 Cards in this Set

  • Front
  • Back
DIPHENHYDRAMINE
Class/ MOA
Class
Antihistamine; anticholinergic.
Mechanism of Action
Blocks cellular histamine receptors; decreases vasodilatation; decreases motion
sickness. Reverses extrapyramidal reactions
DIPHENHYDRAMINE
I/CI
Indications
Symptomatic relief of allergies, allergic reactions, anaphylaxis, acute dystonic reactions
(phenothiazines).
Blood administration reactions; used for motion sickness, hay fever.
Contraindications
Asthma, glaucoma, pregnancy, hypertension, narrow angle glaucoma, infants, patients
taking
Monoamine Oxidase Inhibitors
DIPHENHYDRAMINE
AR/DI
Adverse Reactions
Sedation, hypotension, seizures, visual disturbances, vomiting, urinary retention,
palpitations, dysrhythmias, dry mouth and throat, paradoxical CNS excitation in children.
Drug Interactions
Potentates effects of alcohol and other anticholinergics, may inhibit corticosteroid
activity, MAOIs prolong anticholinergic effects of diphenhydramine.
DIPHENHYDRAMINE
Doseages and admin
Dosage and Administration
Adult: 25 - 50 mg IM or IV or P.O.
Pediatric: 1-2 mg/kg IV, IO slowly or IM. If given PO: 5 mg./ kg./ 24 hours.
DIPHENHYDRAMINE
DOA/ Specials
Duration of Action
Onset: 15-30 minutes.
Peak effect: 1 hour.
Duration: 3-12 hours.
Special Considerations
Not used in infants or in pregnancy: Category B.
If used in anaphylaxis, will be in conjunction with epinephrine, steroids.
DIPHENHYDRAMINE
how supplied
How Supplied
Tablet: 25, 50 mg; Capsules: 25, 50 mg.
50 or 100 mg prefilled syringes, vials (IV or IM); elixir 12.5 mg/5 ml.