NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Alcohol and Diphenhydramine: what the published research says

PubMed indexes 8 records that name Alcohol and Diphenhydramine together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Alcohol and Diphenhydramine. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Alcohol and Diphenhydramine.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Rhabdomyolysis and acute renal failure following an ethanol and diphenhydramine overdose.

The Annals of pharmacotherapy · 2003 · PMID 12659612

Case ReportsHuman subjects

“Nontraumatic rhabdomyolysis is an uncommon adverse outcome of drug and toxin ingestion. Due to the potential severity of the complications of this syndrome and the importance of early recognition and treatment to prevent renal failure, clinicians should have a high index of suspicion for rhabdomyolysis following overdoses that involve alcohol or antihistamines.”

Haas et al. · Authors' conclusion

Names both Alcohol and Diphenhydramine in its title.

Effects of fexofenadine, diphenhydramine, and alcohol on driving performance. A randomized, placebo-controlled trial in the Iowa driving simulator.

Annals of internal medicine · 2000 · PMID 10691585

Clinical TrialRandomized Controlled Trial

“Participants had similar performance when treated with fexofenadine or placebo. After alcohol use, participants performed the primary task well but not the secondary tasks; as a result, overall driving performance was poorer. After participants took diphenhydramine, driving performance was poorest, indicating that diphenhydramine had a greater impact on driving than alcohol did.”

Weiler et al. · Authors' conclusion

Names both Alcohol and Diphenhydramine in its title.

The effects of acrivastine (BW825C), diphenhydramine and terfenadine in combination with alcohol on human CNS performance.

European journal of clinical pharmacology · 1987 · PMID 2885203

Clinical TrialComparative StudyRandomized Controlled Trial

“In combination with alcohol significant impairment was seen, but this was less pronounced than after diphenhydramine/alcohol. The second study failed to demonstrate differences between drug/alcohol combinations and alcohol alone confirming that the effect of acrivastine in combination with alcohol is small.”

Cohen et al. · From the abstract

Names both Alcohol and Diphenhydramine in its title.

Diphenhydramine and the calcium carbimide-ethanol reaction: a placebo-controlled clinical study.

Clinical pharmacology and therapeutics · 1986 · PMID 3516510

Clinical TrialControlled Clinical Trial

“Antihistamine reduced the flushing response by 40% and decreased the pulse rate from 40 minutes onward after ethanol infusion subsequent to calcium carbamide dosing. Blood pressure was not significantly influenced by ethanol at the calcium carbimide dose we used.”

Stowell et al. · From the abstract

Names both Alcohol and Diphenhydramine in its title.

Effects of diphenhydramine and alcohol on skills performance.

European journal of clinical pharmacology · 1980 · PMID 6995128

Clinical Trial

“Behavioral measures included compensatory tracking, a divided attention task, information processing rate, and critical tracking. Performance impairment occurred under all treatments with an additive effect under the combined drug-alcohol treatment.”

Burns et al. · From the abstract

Names both Alcohol and Diphenhydramine in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Alcohol, Diphenhydramine, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.