Has Anyone Ever Heard NEVER to Give Their Asthmatic PA Child Benadryl?

Posted on: Fri, 04/27/2001 - 12:05am
Anonymous's picture
Anonymous (not verified)

pAnother PA parent approached me this week with information she had received from her son's doctor. He told her NEVER to use Benadryl for her PA son because he is also asthmatic. He actually told her to throw the Benadryl out of her house. Needless to say, she is quite confused because we all know that Benadryl is the antihistamine of choice if there is a PA reaction. Her doctor advised to just use the Epi-pen./p
pNow, I did check a bottle of children's Benadryl this morning and it does indicate that it should not be given to children with chronic lung disease, which I think includes asthma. I looked at the children's Claritin and it did not have this warning./p
pWe just really wanted to know if anyone else had heard this information. I do not know if her child has had any PA reactions, or if he has how severe they have been./p
pI do know that despite Jesse's asthma we have been advised to have some Benadryl at home (but not at school), and our line of dealing with PA is Epi-pen first, Benadryl second. No one has ever said NO Benadryl because he is asthmatic./p
pAny assistance would be greatly appreciated both by the other PA parent and myself./p
pBest wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]/p

Posted on: Fri, 04/27/2001 - 2:56am
EILEEN's picture
Joined: 04/06/1999 - 09:00

From the Clinical Pharmacology Online Drug Interactions Report (plug in Benadryl in the Search box).
Benadryl (diphenhydramine) is contraindicated in asthma (as well as bladder obstruction, breast-feeding, cardiac disease, children, closed-angle glaucoma, contact lenses, COPD, elderly,GI obstruction,
hepatic disease,ileus,neonates,pregnancy, prostatic hypertrophy, urinary retention.
"...The anticholinergic activity of H1-antagonists may result in thickened bronchial secretions in the respiratory tract thereby aggravating an acute asthmatic attack or COPD. Although antihistamines should be avoided during an acute asthmatic attack, these anticholinergic effects do not preclude the use of antihistamines in all asthmatic or COPD patients, particularly if the above respiratory symptom is not a primary component of the illness. Because diphenhydramine exhibits a significant amount of anticholinergic activity, the use of an H1-antagonist with less anticholinergic effects is preferable when therapy is indicated....."
"....Diphenhydramine should be used cautiously in children since a paradoxical CNS stimulation can occur. There have been a number of cases of respiratory depression, sleep apnea, and SIDS in children receiving phenothiazine antihistamines. The mechanism of this reaction is not yet known; therefore, H1-antagonists should be used with extreme caution in children with a family history of SIDS or sleep apnea. H1-antagonists should not be used in neonates due to the possibility of paradoxical CNS stimulation or seizures...."
Cindy your doctor is the best person to advise you on this question.
[This message has been edited by EILEEN (edited April 27, 2001).]
[This message has been edited by EILEEN (edited April 27, 2001).]

Posted on: Fri, 04/27/2001 - 3:15am
Anonymous's picture
Anonymous (not verified)

Eileen, thank-you for your response. In my original post, you can see that the answer to this question is really not for me so I don't feel the need to speak with my doctor about it. My doctor does know that Jesse is asthmatic but has advised Epi-pen first, Benadryl second. He has never said to throw the Benadryl out period.
Now, I can understand if that was the daily antihistamine that Jesse was taking and I would then have concerns. But it isn't. Again, it was another PA parent that was told specifically to throw out the Benadryl with her asthmatic child, even for use during a PA reaction.
Many thanks and best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Fri, 04/27/2001 - 5:47am
marla's picture
Joined: 01/15/2001 - 09:00

I have noticed the same contraindication, but I took it to mean--avoid Benadryl when your child is actually having an asthma attack. I think I remember asking my doctor once and he said not to worry. My intuitive guess would be that some parents might think that since Benadryl is labeled for allergy and related symptoms, like coughing, that they could give Benadryl when their child has an asthma attack, instead of a prescription asthma drug, which would certainly be inappropriate.

Posted on: Fri, 04/27/2001 - 6:56pm
williamsmummy's picture
Joined: 03/26/2002 - 09:00

hello , when william saw his allergist we were told not to givr him regular doses of priton, because of the possible side affects, ie, that if he came in contact with an allergen his body would not react as quickly and there was a risk that he would have a big reaction later on. At the time he was taking piriton twice a day to help him sleep and control his skin. l have never heard of benadryl,? l dont think its over here, (well l could be wrong on that!?) is it the same as piriton ? THANKS WILLIAMSMUMMY

Posted on: Sun, 04/29/2001 - 11:47pm
anonymous's picture
Joined: 05/28/2009 - 16:42

Cindy - I found this information on a Physician's Resource web site. Perhaps the other PA parent could print it out and show it to her doctor. The brief article specifically mentions that Benadryl doesn't need to be withheld from asthmatic patients unless a previous reaction indicates that it should. Did her child have a previous adverse reaction to Benadryl? Here is a quote from the article, as well as the direct link:
"Although antihistamines are not first-line drugs for the treatment of asthma, they should not be withheld from patients with asthma who require treatment for concomitant disorders, such as allergic rhinitis, allergic dermatoses, and urticaria."
Hope this helps!

Posted on: Mon, 04/30/2001 - 8:47am
Anonymous's picture
Anonymous (not verified)

Cayley's Mom, thank-you for your response. No, her child had not had a negative reaction to Benadryl, she was simply told to throw it out because he is asthmatic, even for use during a PA reaction.
Also, I have actually dealt with another Mother whose children have uncontrolled asthma. She tested them by giving them a dose of Benadryl during a coughing spell (after having given them their reliever puffers) and both children actually calmed down coughing after the Benadryl took effect.
This to me, Dr. Cindy, meant that one of her children's triggers was allergies and the antihistamine did help with their asthma because it dealt with whatever they were reacting to in their toxic home (I'm a fine one to talk about toxic homes where my frequent companions are dust bunnies [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img] ), but her's was an asthmatic's nightmare!
Again, thank-you for this information. I'm simply e-mailing the notification I get from this thread to the parent in question so she can come in and read whenever there is a new response to her question.
I do know that she will be seeing her allergist tomorrow and discussing this with him/her.
Many thanks and best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Tue, 05/08/2001 - 1:07am
Anonymous's picture
Anonymous (not verified)

The PA parent I had posted this on behalf of, had heard the information I posted from her family doctor. Here is the response she got from her allergist when she saw him:-
We just got back from the allergist a little while ago & I wanted to
tell you what he told us re: asthma & benadryl. He said that benadryl was
to use, just not on a daily basis ( for asthmatic children). He said that my
pediatrician probably said what he said b/c Benadryl is a very drying
antihistamine - it's so drying that it can sometimes cause wheezing. He said
that if Andrew was on a antihistamine on a daily basis, there are much better
antihistimines for asthmatic & allergic children - for example, claritin.
said that it's OK to use Benadryl during a reaction. ( He, of course,
stressed that I need to use the epi-pen as well, if he's having a reaction
from pnuts.) He did make me feel better.
For me, it was good to see that the question was actually clarified for her, but I really feel it's another case of where one doctor will tell you one thing and another doctor (although the allergist, and therefore should be more qualified to give a proper answer) will give you a different one.
That's why I think we very often find this very difficult to deal with, especially if we can't get consistent answers from all of our caregivers. Not all of us deal with our allergists re everything to do with our children, we trust in the family doctor to provide a general level of care for our families.
However, at least this one was able to get sorted.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

More Community Posts

Peanut Free and Nut Free Community

create a new community post
Latest Post by penelope Mon, 10/14/2019 - 12:56pm
Comments: 0
Latest Post by penelope Mon, 10/14/2019 - 12:52pm
Comments: 1
Latest Post by Italia38 Tue, 10/08/2019 - 12:19pm
Comments: 3
Latest Post by Italia38 Tue, 10/08/2019 - 12:18pm
Comments: 1
Latest Post by penelope Mon, 10/07/2019 - 7:19pm
Comments: 2
Latest Post by penelope Mon, 10/07/2019 - 7:16pm
Comments: 10
Latest Post by penelope Mon, 10/07/2019 - 7:13pm
Comments: 13
Latest Post by penelope Mon, 10/07/2019 - 7:10pm
Comments: 9
Latest Post by mom2two Mon, 09/16/2019 - 1:03pm
Comments: 18
Latest Post by desmond Mon, 09/16/2019 - 1:00pm
Comments: 1
Latest Post by desmond Mon, 09/16/2019 - 12:58pm
Comments: 19
Latest Post by TeddyCan Mon, 09/09/2019 - 4:32pm
Comments: 10
Latest Post by DTurner Mon, 09/09/2019 - 4:31pm
Comments: 5
Latest Post by B.M.18 Mon, 09/09/2019 - 4:30pm
Comments: 3
Latest Post by abolitionist146 Mon, 09/09/2019 - 4:28pm
Comments: 2
Latest Post by nutfreenyc Mon, 09/09/2019 - 4:19pm
Comments: 4
Latest Post by AllergicTeen2 Mon, 09/09/2019 - 4:18pm
Comments: 2
Latest Post by PeanutAllergy.com Fri, 09/06/2019 - 1:52pm
Comments: 1

More Articles

You might have wondered if small amounts of an ingredient can be added to a food product without being declared on the food’s label. The FDA...

Is it possible to eat your way to a food allergy cure? Scientists think it’s...

There are many reasons why you may want to substitute almond flour for wheat flour in recipes. Of course, if you have a...

Not all oils are created equal. Some oils are high in saturated fats or in trans-fatty acids – not good for general health. Some are partially...

It may never be safe to begin feeding peanut butter to your baby or toddler if you have peanut allergies in your family. If either parent or one...

More Articles

More Articles

What is a peanut allergy? It is a reaction that occurs in the body after eating peanuts or peanut...

For those with severe food allergies, flying can be a stressful process. Here are...

Approximately one out of 13 children under age 18 are allergic to at least one food, though many of them will outgrow their allergy by the age of...

Fact 1: Over a third of food allergy reactions happen after the first known oral...

The reason why some people are affected by allergies while others are not begins in their genes. Allergies are passed down from generation to...

Here’s a tip that might someday save your life, or that of a loved one: two to four times a year, review the proper way to use your epinephrine...

Lactose intolerance is the inability to process lactose, a sugar found in milk, caused by the lack of a needed enzyme. Those with lactose...

Food Allergen Labeling and Consumer Protection Act (FALCPA)

An important part of peanut allergy awareness was enacted on January 1, 2006...

Tomato allergies are very rare. They are a "type 1 allergy," which means a contact allergy. When a person with this type of allergy touches a...

Milk allergies are becoming more common, especially in babies and small children. There is some confusion about what is an allergic reaction and...

Recognizing food allergy in babies or toddlers is not always easy, but there are specific risk factors and signs that parents and other caregivers...

Burlap bags are often used to store and ship coffee beans, potatoes, rice, seeds, nuts, and peanuts. They can be one of the disguised...

People with pollen allergies need to stay away from some foods. If you have allergic rhinitis in the spring or fall, you may not realize that you...

Of course, everyone knows that if you have a peanut allergy that you should avoid peanuts, peanut butter, peanut butter cookies and foods that...

Eating at a nut-free lunch table in school is a safety precaution that causes some students to feel isolated from their peers. Unfortunately,...