Benadryl With Tramadol Interaction

In our latest question and answer, the pharmacist discusses the use of Benadryl (diphenhydramine) with Ultram (tramadol).

Benadryl With Tramadol Interaction
Apr 03, 2019

Luke asked

I read a source that says that Benadryl takes away the effect of tramadol? If that's true, then will you still be able to feel your Ultram working at all?

At a glance

  • Use of tramadol and Benadryl (diphenhydramine) together can increase the risk of side effects such as sedation and dizziness. Combined use should be done cautiously.


White Pills Surrounding Pink Pill Question Mark

Benadryl, which contains the active ingredient diphenhydramine, shouldn't decrease the analgesic effects of tramadol.

In fact, there are some studies that suggest that antihistamines like Benadryl can actually potentiate the effects of opioid drugs, like tramadol.[1]

The concern with taking both isn't that Benadryl will decrease the effects of tramadol, but rather use together can increase the risk of side effects.

Increased Side Effects

The combination of tramadol and Benadryl can result in increased side effects, so should be used together cautiously.

Our 'drug interaction checker' states the following regarding the combination:

The risk or severity of adverse effects can be increased when Tramadol is combined with Diphenhydramine.

Both drugs can cause sedation, dizziness, difficulty concentrating and impaired motor coordination. Other potential side effects include:

  • Confusion
  • Lightheadedness
  • Slurred speech
  • Weakness

Additionally, although rare at recommended doses, they can also cause respiratory depression since they both can depress the central nervous system.[2]

Overall, they shouldn't be combined unless recommended by your doctor, which they may do in certain situations.

Aside from being an effective drug for seasonal allergy symptom relief, Benadryl can be used as an occasional sleep aid and can help to stem allergic reactions. Occasional use with tramadol may be safe for some individuals.

if Benadryl and tramadol are used together, be sure to monitor for side effects and don't drive or operate machinery until you know how they affect you.

  1. ^ Diphenhydramine potentiates narcotic but not endogenous opioid analgesia. PubMed
  2. ^ Antihistamines and potentiation of opioid induced sedation and respiratory depression. PubMed

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