Does Benadryl Help With Hives?

In our latest question and answer, the pharmacist discusses whether or not Benadryl (diphenhydramine) is effective for treating hives.

Does Benadryl Help With Hives?
Jul 05, 2018

shley asked

Does Benadryl help with hives? I have red and itchy bumps on my arm and I think they are due to allergies.

Answer

Benadryl For HivesBenadryl (Diphenhydramine) is a first generation antihistamine used in the treatment of allergies, urticaria (hives), insomnia and motion sickness. Benadryl (Diphenhydramine) can be used to help manage hives. Hives are swollen, red patches of skin that can occur as a reaction to allergens or for unknown reasons.

Benadryl For Hives

Most times, hives can be itchy. Benadryl (Diphenhydramine) can help reduce the swelling of hives and alleviate the itching.  While Benadryl (Diphenhydramine) will help with the symptoms of hives, the best treatment is to determine the cause of the hives and remove that allergen.  

Some common causes according to American College of Allergy, Asthma & Immunology are:

  • Foods like peanuts, nuts, eggs and shellfish
  • Drugs like antibiotics (penicillins and sulfa drugs), aspirin and NSAIDs (Ibuprofen and Naproxen)
  • Insect bites and stings
  • Pets
  • Outside allergens such as pollen, trees and grasses
  • Bacterial and viral infections
  • Latex exposure

If hives continue to occur and a cause cannot be determined, an allergist should be consulted. In the meantime, Benadryl (Diphenhydramine) is a good choice of treatment to get some relief from the hives. More information on Benadryl (Diphenhydramine) can be found below.

Benadryl (Diphenhydramine) Information

Benadryl (Diphenhydramine) is a first generation antihistamine.  First generation antihistamine are sedating antihistamines that can cause a significant amount of drowsiness.  As such, caution should be taken when driving or operating machinery until the full effects of the medication are known.  Some additional side effects of Diphenhydramine include:

  • Drowsiness or sedation
  • Dizziness
  • Nausea or vomiting
  • Coordination problems
  • Thickening of mucus in the nose or throat

Since Benadryl (Diphenhydramine) can cause drowsiness or sedation, care should be used when used in elderly patients due to an increased risk of falls.  Care should also be taken when patients are on other medications that can cause drowsiness.  If there are any questions about taking medications together, patients should talk to their pharmacist or other health care providers. 

Conclusion

When patients get hives, the first thing on most patient’s mind is getting relief from the symptoms.  Benadryl (Diphenhydramine) is a good choice to help with the swelling and itchiness that can occur with hives.  For hives that continue with unknown causes, a trip to the allergist is needed to determine the cause of the hives and further treatment. 

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