Drugs › Histamine-1 receptor antagonist
Generic name
Diphenhydramine hcl: adverse event reports filed with FDA
2,741 reports list it as a suspect or interacting product, 2004–2021. Class: Histamine-1 receptor antagonist.
- 2,741
- reports as suspect product
- 0% of all reports · about 122 a year
- 0
- reports, 12 months to June 2026
- 0 in the 12 months before
- 91%
- marked serious by the reporter
- 57.7% across the class
- 68.4%
- record death among outcomes, as reported
- 1,875 reports · not verified by FDA
2,741 adverse event reports received by FDA list diphenhydramine hcl, a generic name as a suspect or interacting product, from January 2004 to September 2021. A further 5,487 reports list it only as a concomitant medication, and those are not counted in the figures on this page.
In the 12 months to June 2026, 0 reports listed it, and none in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 122 reports a year and 0% of the 20,646,523 reports in the database, and 2% of the reports for the histamine-1 receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.
The MedDRA terms listed most often are completed suicide (26.6%), toxicity to various agents (11.8%) and death (11.1%). A report can list several reactions, so shares add to more than 100%; 410 different terms appear across these reports. Completed suicide is recorded in 26.6% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (0.2%).
91% of the reports are marked serious by the reporter (57.7% across the class); 68.4% record death among the outcomes and 16.5% record hospitalisation, as reported. 48.9% of the reports came from physicians, and the largest patient age group is 18 to 44 (40.1%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
Reactions recorded in the reports
share of Diphenhydramine hcl reports recording the termmedian drug in histamine-1 receptor antagonist
- Completed suicidedeath by suicide26.6%730
- Toxicity to various agentspoisoning or toxic effect of one or more substances11.8%323
- Deaththe patient died; cause not stated by this term11.1%305
- Cardiac arrestthe heart stopped10.8%297
- Respiratory arrestbreathing stopped9.7%266
- Cardio-respiratory arrestthe heart and breathing stopped8.3%227
- Drug toxicity8.1%223
- Drug abusemisuse of a medicine5.9%163
- Drug hypersensitivityan allergic-type reaction to a medicine5.9%161
- Overdosea dose above the recommended amount5.7%155
- Intentional overdosea deliberate overdose3.3%90
- Multiple drug overdose3.2%88
- Poisoning3.2%87
- Suicide attempta suicide attempt2.9%79
- Intentional drug misuse2.5%68
- Somnolencedrowsiness2.5%68
- Tachycardiafast heart rate2.5%68
- Hypotensionlow blood pressure2.3%62
- Drug interactionan interaction between medicines2%55
- Agitationrestlessness2%54
- Multiple drug overdose intentional1.9%51
- Accidental overdosean accidental overdose1.8%49
- Drug ineffectivethe medicine did not work as expected1.8%49
- Vomitingbeing sick1.8%49
- Coma1.8%48
- Convulsion1.8%48
- Pulmonary oedemafluid in the lungs1.7%46
- Confusional stateconfusion1.5%41
- Deliriumsudden confusion1.5%41
- Unresponsive to stimuli1.5%41
Top 30 of 410 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 34 drugs in the histamine-1 receptor antagonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 135,666 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 86.6% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Suicide attempt | 179 | 6.5% |
| Insomnia | 29 | 1.1% |
| Premedication | 23 | 0.8% |
| Ill-defined disorder | 18 | 0.7% |
| Completed suicide | 13 | 0.5% |
| Hypersensitivity | 13 | 0.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 2,741 reports.
In context
| Measure | Diphenhydramine hcl | Histamine-1 receptor antagonist | All reports |
|---|---|---|---|
| Reports as suspect product | 2,741 | 135,666 | 20,646,523 |
| Share of that pool | — | 2% | 0% |
| Reports, latest 12 months | 0 | — | 1,332,454 |
| Marked serious | 91% | 57.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 684 | 190 | 91 |
| Hospitalisation recorded, per 1,000 reports | 165 | 203 | 213 |
| Consumer-filed share | 7.2% | 50.8% | 45.8% |
| Top term, share of reports | Completed suicide 26.6% | median 0.2% | 0.4% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Other drugs in the histamine-1 receptor antagonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Zyrtec | brand | 20,342 | 929 | 16.7% |
| Cetirizine hydrochloride | generic | 19,092 | 2,043 | 77.5% |
| Diphenhydramine | generic | 15,339 | 1,157 | 96% |
| Cetirizine | generic | 12,522 | 1,548 | 91.7% |
| Benadryl | brand | 9,612 | 432 | 66.6% |
| Allegra Allergy | brand | 7,868 | 304 | 3.6% |
| Diphenhydramine hydrochloride | generic | 5,556 | 538 | 94.6% |
| Xyzal Allergy 24HR | brand | 5,302 | 147 | 3.3% |
| Cetirizine hydrochloride, pseudoephedrine hydrochloride | generic | 4,914 | 909 | 99.3% |
| Xyzal | brand | 3,824 | 181 | 44.6% |
| Fexofenadine | generic | 3,142 | 335 | 62.5% |
| Desloratadine | generic | 2,699 | 190 | 93.6% |
| Azelastine hydrochloride | generic | 2,502 | 151 | 5.7% |
| Aleve PM | brand | 1,877 | 13 | 6.4% |
| Azelastine | generic | 1,548 | 40 | 11.6% |
Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.
Questions about Diphenhydramine hcl reports
How many adverse event reports has FDA received for Diphenhydramine hcl?
2,741 reports list Diphenhydramine hcl as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 0 of them arrived in the latest 12 months. Another 5,487 list it only as a concomitant medication.
What reactions are recorded in Diphenhydramine hcl reports?
completed suicide (26.6%), toxicity to various agents (11.8%), death (11.1%), cardiac arrest (10.8%) and respiratory arrest (9.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Diphenhydramine hcl was responsible.
How serious are the reports?
91% are marked serious by the reporter. Among the outcomes recorded, 68.4% of reports include death and 16.5% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
physician (48.9%), other health professional (26.1%) and pharmacist (9.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Diphenhydramine hcl rising?
0 reports in the 12 months to June 2026, and none in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Diphenhydramine hcl was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Diphenhydramine hcl?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Diphenhydramine hcl as a suspect or interacting product; reports listing it only as a concomitant medication (5,487) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.