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diphenhydramine and Bilateral Headache

diphenhydramine has been researched along with Bilateral Headache in 18 studies

Diphenhydramine: A histamine H1 antagonist used as an antiemetic, antitussive, for dermatoses and pruritus, for hypersensitivity reactions, as a hypnotic, an antiparkinson, and as an ingredient in common cold preparations. It has some undesired antimuscarinic and sedative effects.
diphenhydramine : An ether that is the benzhydryl ether of 2-(dimethylamino)ethanol. It is a H1-receptor antagonist used as a antipruritic and antitussive drug.
antitussive : An agent that suppresses cough. Antitussives have a central or a peripheral action on the cough reflex, or a combination of both. Compare with expectorants, which are considered to increase the volume of secretions in the respiratory tract, so facilitating their removal by ciliary action and coughing, and mucolytics, which decrease the viscosity of mucus, facilitating its removal by ciliary action and expectoration.

Research Excerpts

ExcerptRelevanceReference
" intranasal ketamine among ED patients with primary headache."9.30The THINK (Treatment of Headache with Intranasal Ketamine) Trial: A Randomized Controlled Trial Comparing Intranasal Ketamine with Intravenous Metoclopramide. ( April, MD; Benish, T; Casmaer, M; Hunter, CJ; Love, S; Summers, SM; Villalobos, D, 2019)
"We investigated whether metoclopramide administered with diphenhydramine (MAD) relieves headache in pregnant women when acetaminophen alone is ineffective, using codeine for comparison."9.27Metoclopramide and Diphenhydramine: A Randomized Controlled Trial of a Treatment for Headache in Pregnancy when Acetaminophen Alone Is Ineffective (MAD Headache Study). ( Childress, KMS; Dothager, C; Gavard, JA; Laska, C; Lebovitz, S; Mostello, DJ, 2018)
"We conducted a single site, randomized, double-blind, placebo-controlled trial investigating the clinical efficacy of IV acetaminophen as an adjunct to a standard therapy with prochlorperazine and diphenhydramine for the treatment of patients who present to the ED with a chief complaint of "headache" or variants thereof."9.24Randomized Trial of Adding Parenteral Acetaminophen to Prochlorperazine and Diphenhydramine to Treat Headache in the Emergency Department. ( Hysell, MK; Meyering, SH; Stringer, RW, 2017)
"We compare metoclopramide 20 mg intravenously, combined with diphenhydramine 25 mg intravenously, with ketorolac 30 mg intravenously in adults with tension-type headache and all nonmigraine, noncluster recurrent headaches."9.17A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches. ( Adewunmi, V; Bijur, PE; Campbell, C; Esses, D; Friedman, BW; Gallagher, EJ; Solorzano, C, 2013)
"This review found insufficient evidence to recommend the use of diphenhydramine as an adjunct therapy to prevent akathisia in ED patients treated with neuroleptics or metoclopramide for primary headache."5.41Adjuvant anticholinergic therapy for the prevention of akathisia in patients with primary headache in the emergency department: A systematic review. ( Campbell, S; Kirkland, SW; Meyer, J; Rowe, BH; Villa-Roel, C, 2023)
" intranasal ketamine among ED patients with primary headache."5.30The THINK (Treatment of Headache with Intranasal Ketamine) Trial: A Randomized Controlled Trial Comparing Intranasal Ketamine with Intravenous Metoclopramide. ( April, MD; Benish, T; Casmaer, M; Hunter, CJ; Love, S; Summers, SM; Villalobos, D, 2019)
"We investigated whether metoclopramide administered with diphenhydramine (MAD) relieves headache in pregnant women when acetaminophen alone is ineffective, using codeine for comparison."5.27Metoclopramide and Diphenhydramine: A Randomized Controlled Trial of a Treatment for Headache in Pregnancy when Acetaminophen Alone Is Ineffective (MAD Headache Study). ( Childress, KMS; Dothager, C; Gavard, JA; Laska, C; Lebovitz, S; Mostello, DJ, 2018)
"We conducted a single site, randomized, double-blind, placebo-controlled trial investigating the clinical efficacy of IV acetaminophen as an adjunct to a standard therapy with prochlorperazine and diphenhydramine for the treatment of patients who present to the ED with a chief complaint of "headache" or variants thereof."5.24Randomized Trial of Adding Parenteral Acetaminophen to Prochlorperazine and Diphenhydramine to Treat Headache in the Emergency Department. ( Hysell, MK; Meyering, SH; Stringer, RW, 2017)
"We compare metoclopramide 20 mg intravenously, combined with diphenhydramine 25 mg intravenously, with ketorolac 30 mg intravenously in adults with tension-type headache and all nonmigraine, noncluster recurrent headaches."5.17A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches. ( Adewunmi, V; Bijur, PE; Campbell, C; Esses, D; Friedman, BW; Gallagher, EJ; Solorzano, C, 2013)
"The utility of intravenous prochlorperazine as an antiemetic agent and abortive therapy for headache may be limited by the frequent occurrence of akathisia, the distressing effects of which have been shown to disrupt patient care."5.09Diphenhydramine for the prevention of akathisia induced by prochlorperazine: a randomized, controlled trial. ( Drotts, DL; Vinson, DR, 2001)
"Infusion-related adverse events (IRAEs) such as nausea, vomiting, fever, chills, and thrombophlebitis that are associated with amphotericin B therapy often lead clinicians to prescribe a number of adjunctive pretreatment medications in an attempt to reduce the incidence and severity of these events."5.08Pretreatment regimens for adverse events related to infusion of amphotericin B. ( Cleary, JD; Goodwin, SD; Grasela, TH; Taylor, JW; Walawander, CA, 1995)
"Yet data are limited addressing treatment of headache in pregnancy."2.72Randomized Controlled Trials of Headache Treatments in Pregnancy: A Systematic Review. ( Bushman, ET; Cozzi, G; Digre, K; Sinkey, RG; Smith, CH; Varner, MW, 2021)
"Cerebral venous thrombosis (CVT) is a rare, difficult-to-diagnose form of venous thromboembolic disease and is considered a type of stroke."1.51Cerebral Venous Thrombosis: An Uncommon Cause of Papilledema on Bedside Ocular Ultrasound. ( Arthur, J; Chadwick, S; Duran-Gehring, P; Kumetz, C; McIntosh, M, 2019)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19906 (33.33)18.7374
1990's2 (11.11)18.2507
2000's2 (11.11)29.6817
2010's5 (27.78)24.3611
2020's3 (16.67)2.80

Authors

AuthorsStudies
Meyer, J1
Kirkland, SW1
Campbell, S1
Villa-Roel, C1
Rowe, BH1
Bushman, ET1
Cozzi, G1
Sinkey, RG1
Smith, CH1
Varner, MW1
Digre, K1
Zitek, T1
Sigal, T1
Sun, G1
Martin Manuel, C1
Tran, K1
Meyering, SH1
Stringer, RW1
Hysell, MK1
Childress, KMS1
Dothager, C1
Gavard, JA1
Lebovitz, S1
Laska, C1
Mostello, DJ1
Arthur, J1
Duran-Gehring, P1
Kumetz, C1
Chadwick, S1
McIntosh, M1
Benish, T1
Villalobos, D1
Love, S1
Casmaer, M1
Hunter, CJ1
Summers, SM1
April, MD1
Friedman, BW1
Adewunmi, V1
Campbell, C1
Solorzano, C1
Esses, D1
Bijur, PE1
Gallagher, EJ1
GOODMAN, EG1
COONRAD, RW1
WILLIAMS, HL1
Vinson, DR2
Hurtado, TR1
Vandenberg, JT1
Banwart, L1
TUCKER, WI1
O'NEILL, PB1
Goodwin, SD1
Cleary, JD1
Walawander, CA1
Taylor, JW1
Grasela, TH1
Watanabe, T1
Funayama, M1
Morita, M1
Drotts, DL1
Okuma, T1
Kuba, K1
Matsushita, T1
Nakao, T1
Fujii, S1
Shimoda, Y1
Rosner, S2

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Intravenous Fluids in Benign Headaches Trail: A Randomized Single Blind Clinical Trial[NCT03185130]Phase 458 participants (Actual)Interventional2017-05-16Completed
An RCT of Metoclopramide/Diphenhydramine vs. Ketorolac Alone for Tension-type Headache[NCT01011673]Phase 4123 participants (Actual)Interventional2009-11-30Completed
The Check Trial: A Comparison of Headache Treatment in the ED: Compazine Versus Ketamine. A Multi-Center, Randomized Double-Blind, Clinical Control Trial.[NCT02657031]Phase 454 participants (Actual)Interventional2016-03-17Completed
A Randomized Double-blind Comparative Efficacy Trial of IV Acetaminophen Versus IV Ketorolac for Emergency Department Treatment of Generalized Headache[NCT03472872]Phase 4500 participants (Actual)Interventional2017-09-05Terminated (stopped due to no longer recruiting or studying)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Pain Score

At baseline at at 60 minutes, all patients were asked to describe their pain on a scale from 0 to 10, with 0 representing no pain and 10 the worst imaginable. The primary outcome is the 60 minute score subtracted from the baseline score (NCT01011673)
Timeframe: Baseline, 60 minutes

Interventionunits on a scale (Mean)
Ketorolac3.8
Metoclopramide5.1

Satisfaction Scores

"24 hours after the emergency department visit, patients were asked, The next time you come to the Er with this type of headache, do you want to receive the same medication? Affirmative answers are tabulated here." (NCT01011673)
Timeframe: 24 hours

Interventionparticipants (Number)
Ketorolac45
Metoclopramide53

Anxiety

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum anxiety. A change of 0 mm corresponds to no change in anxiety level, and a negative value indicates worsening of the anxiety after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm33.7
Study Arm21.2

Headache Following Intervention

Reduction in 100 mm Visual Analog Scale (VAS) Score. Positive values represent a reduction in headache severity. The maximum possible change in VAS score is 100 mm, representing the complete relief of a maximally severe headache. A change of 0 mm corresponds to no change in headache severity, and a negative value indicates worsening of the headache after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm63.5
Study Arm43.5

Nausea

Reduction in 100 mm Visual Analog Scale (VAS) Score. The maximum possible change in VAS score is 100 mm, representing the complete relief of maximum nausea. A change of 0 mm corresponds to no change in nausea level, and a negative value indicates worsening of the nausea after the medication. (NCT02657031)
Timeframe: 0-60 minutes

Interventionmm (Mean)
Control Arm38.9
Study Arm22.9

The Number of Participants Experiencing Vomiting

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm2
Study Arm3

The Number of Patients Experiencing Restlessness

Yes/No (NCT02657031)
Timeframe: 0-60 minutes

Interventionparticipants (Number)
Control Arm3
Study Arm3

Reviews

2 reviews available for diphenhydramine and Bilateral Headache

ArticleYear
Adjuvant anticholinergic therapy for the prevention of akathisia in patients with primary headache in the emergency department: A systematic review.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2023, Volume: 30, Issue:1

    Topics: Adult; Antipsychotic Agents; Cholinergic Antagonists; Diphenhydramine; Emergency Service, Hospital;

2023
Randomized Controlled Trials of Headache Treatments in Pregnancy: A Systematic Review.
    American journal of perinatology, 2021, Volume: 38, Issue:S 01

    Topics: Acupuncture Analgesia; Analgesics; Biofeedback, Psychology; Codeine; Complementary Therapies; Diphen

2021

Trials

7 trials available for diphenhydramine and Bilateral Headache

ArticleYear
I-FiBH trial: intravenous fluids in benign headaches-a randomised, single-blinded clinical trial.
    Emergency medicine journal : EMJ, 2020, Volume: 37, Issue:8

    Topics: Adolescent; Adult; Aged; Child; Diphenhydramine; Dopamine Antagonists; Female; Fluid Therapy; Headac

2020
Randomized Trial of Adding Parenteral Acetaminophen to Prochlorperazine and Diphenhydramine to Treat Headache in the Emergency Department.
    The western journal of emergency medicine, 2017, Volume: 18, Issue:3

    Topics: Acetaminophen; Administration, Intravenous; Adult; Analgesics; Diphenhydramine; Double-Blind Method;

2017
Metoclopramide and Diphenhydramine: A Randomized Controlled Trial of a Treatment for Headache in Pregnancy when Acetaminophen Alone Is Ineffective (MAD Headache Study).
    American journal of perinatology, 2018, Volume: 35, Issue:13

    Topics: Acetaminophen; Adult; Analgesics; Antiemetics; Codeine; Diphenhydramine; Double-Blind Method; Drug A

2018
The THINK (Treatment of Headache with Intranasal Ketamine) Trial: A Randomized Controlled Trial Comparing Intranasal Ketamine with Intravenous Metoclopramide.
    The Journal of emergency medicine, 2019, Volume: 56, Issue:3

    Topics: Academic Medical Centers; Administration, Intranasal; Adult; Analgesics; Diphenhydramine; Emergency

2019
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
A randomized trial of intravenous ketorolac versus intravenous metoclopramide plus diphenhydramine for tension-type and all nonmigraine, noncluster recurrent headaches.
    Annals of emergency medicine, 2013, Volume: 62, Issue:4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diphenhydramine; Dopamine Antagonists; Double-Blind

2013
Pretreatment regimens for adverse events related to infusion of amphotericin B.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 1995, Volume: 20, Issue:4

    Topics: Acetaminophen; Adrenal Cortex Hormones; Amphotericin B; Diphenhydramine; Fever; Headache; Heparin; H

1995
Diphenhydramine for the prevention of akathisia induced by prochlorperazine: a randomized, controlled trial.
    Annals of emergency medicine, 2001, Volume: 37, Issue:2

    Topics: Adolescent; Adult; Akathisia, Drug-Induced; Antiemetics; Conscious Sedation; Diphenhydramine; Double

2001

Other Studies

9 other studies available for diphenhydramine and Bilateral Headache

ArticleYear
Cerebral Venous Thrombosis: An Uncommon Cause of Papilledema on Bedside Ocular Ultrasound.
    The Journal of emergency medicine, 2019, Volume: 56, Issue:3

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Anesthetics, Local; Cerebral Veins; Computed Tomogra

2019
Prophylactic effect of benadryl on experimental histamine headache.
    The Journal of allergy, 1947, Volume: 18, Issue:6

    Topics: Cluster Headache; Diphenhydramine; Headache; Histamine

1947
Use of benadryl in the syndrome of physical allergy of the head; a preliminary report.
    Proceedings of the staff meetings. Mayo Clinic, 1945, Nov-14, Volume: 20

    Topics: Anaphylaxis; Diphenhydramine; Head; Headache; Hypersensitivity; Immune System Diseases; Physical Exa

1945
Variations among emergency departments in the treatment of benign headache.
    Annals of emergency medicine, 2003, Volume: 41, Issue:1

    Topics: Adolescent; Adult; Aged; Algorithms; Analgesics, Non-Narcotic; Analgesics, Opioid; Antiemetics; Bino

2003
Benadryl in histamine headache.
    The Lahey Clinic bulletin, 1952, Volume: 7, Issue:7

    Topics: Cluster Headache; Diphenhydramine; Headache; Histamine; Humans

1952
Fatal anaphylactic shock to hyoscine and diphenhydramine.
    Journal of toxicology. Clinical toxicology, 1994, Volume: 32, Issue:5

    Topics: Adult; Anaphylaxis; Diphenhydramine; Drug Combinations; Fatal Outcome; Headache; Humans; Injections,

1994
Study on 14 and 6 per second positive spikes during nocturnal sleep.
    Electroencephalography and clinical neurophysiology, 1968, Volume: 25, Issue:2

    Topics: Adolescent; Adult; Age Factors; Brain; Brain Diseases; Craniocerebral Trauma; Diphenhydramine; Elect

1968
The diagnosis and treatment of cerebral concussion.
    International surgery, 1967, Volume: 47, Issue:4

    Topics: Ascorbic Acid; Aspirin; Brain Concussion; Cerebral Ventriculography; Cortisone; Diphenhydramine; Ele

1967
A method of treatment for head pain.
    Headache, 1968, Volume: 8, Issue:2

    Topics: Diphenhydramine; Headache; Humans; Infusions, Parenteral; Methods; Procaine

1968