Page last updated: 2024-10-26

diphenhydramine and Electrocardiogram QT Prolonged

diphenhydramine has been researched along with Electrocardiogram QT Prolonged in 6 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
" The chemical structure of cloperastine is quite similar to that of the antihistamine drug diphenhydramine, which is reported to inhibit hERG K⁺ channels and clinically induce long QT syndrome after overdose."3.78Effects of the antitussive drug cloperastine on ventricular repolarization in halothane-anesthetized guinea pigs. ( Fujiwara, K; Namekata, I; Ohtsuki, A; Oka, T; Takahara, A; Tanaka, H, 2012)
"Amantadine hydrochloride is an antiviral medication used as therapy for parkinsonism and as a cognitive enhancer."1.35Cardiotoxicity after massive amantadine overdose. ( Kazzi, Z; Morgan, B; Patel, M; Schwartz, M, 2008)
"Diphenhydramine is a histamine-1 receptor antagonist of ethanolamine origin with anticholinergic, sedative, antivertigo, antiemetic, antidyskinetic, and local anesthetic properties."1.33Prolonged QT interval with markedly abnormal ventricular repolarization in diphenhydramine overdose. ( Khan, IA; Sype, JW, 2005)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (33.33)29.6817
2010's3 (50.00)24.3611
2020's1 (16.67)2.80

Authors

AuthorsStudies
Ryan, K1
Benz, P1
Zosel, A1
Farkas, A1
Theobald, J1
Gravel, AE1
Arnold, AA1
Dufourc, EJ1
Marcotte, I1
Schwartz, M1
Patel, M1
Kazzi, Z1
Morgan, B1
Husain, Z1
Hussain, K1
Nair, R1
Steinman, R1
Takahara, A1
Fujiwara, K1
Ohtsuki, A1
Oka, T1
Namekata, I1
Tanaka, H1
Sype, JW1
Khan, IA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Use of Diphenhydramine as an Adjunctive Sedative for Colonoscopy in Patients Chronically on Opioids[NCT01967433]Phase 4120 participants (Actual)Interventional2013-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

24 Hour Follow up Amnesia Score

Patient were also asked to rate amnesia on a 10 point scale 24 after discharge. minimum= 0 (worse) maximum =10 (better) (NCT01967433)
Timeframe: At about 24 after the procedure

Interventionscore on a 10 point point scale (Mean)
Placebo7.8
Diphenhydramine6.5

24 Hour Follow up Pain Score

"At 24 hr follow up patients were asked to rate the level of pain during the procedure using 10 point scale.~10 point visual analogue scale minimum= 0 (better) maximum =10 (worse)" (NCT01967433)
Timeframe: About 24 hours after the procedure

Interventionscore on a scale (Mean)
Diphenhydramine2.0
Placebo3.09

Dosage of Fentanyl

Moderate sedation (using the American Society of Anesthesiologists definition of maintaining purposeful response to verbal or tactile stimulation, adequate ventilation requiring no airway protection, and maintenance of cardiovascular function) was then achieved using incremental doses of the combination of intravenous midazolam (1 mg) and fentanyl (25 μg) given every 2 to 3 minutes. To minimize any crossover, additional diphenhydramine was not permitted. (NCT01967433)
Timeframe: From induction (first dose of sedative) to end of procedure

Intervention(μg) (Mean)
Diphenhydramine125.4
Placebo126.9

Dosage of Midazolam

Moderate sedation (using the American Society of Anesthesiologists definition of maintaining purposeful response to verbal or tactile stimulation, adequate ventilation requiring no airway protection, and maintenance of cardiovascular function) was then achieved using incremental doses of the combination of intravenous midazolam (1 mg) and fentanyl (25 μg) given every 2 to 3 minutes. To minimize any crossover, additional diphenhydramine was not permitted. (NCT01967433)
Timeframe: From induction (first dose of sedative) to end of procedure

Interventionmg (Mean)
Diphenhydramine4.9
Placebo5.0

Duration of Procedure

Induction period (time from first dose of fentanyl to scope insertion), procedural time (time from scope insertion to scope out), and recovery time (time from scope out to discharge) were recorded by the nursing staff in their standard documentation. (NCT01967433)
Timeframe: Time from induction (first dose of sedative) to discharge

,
Interventionminutes (Mean)
Procedure timeRecoveryInduction
Diphenhydramine34.834.46.4
Placebo34.732.46.3

Number of Participants With Adverse Events

Following adverse events will be recorded: (1)Hypoxia defined as O2 saturation less than 89% lasting for more than 30 seconds, (2)hypotension defined as systolic BP less than 90 mmhg and (3)use of reversal agents i.e Naloxone or Flumazenil (NCT01967433)
Timeframe: From induction (first dose of sedative) to discharge

,
InterventionParticipants (Count of Participants)
HypotensionHypertensionDesaturationApneaArrhythmiaReversal agent useTachypnea
Diphenhydramine12500000
Placebo22300000

Quality of Sedation

"Quality of sedation will be accessed by the nurse and the physician at the end of procedure.~Name: 10 point visual analogue scale Minimum score: 1 (worse) Maximum score: 10 (better)" (NCT01967433)
Timeframe: During the colonoscopy and 24 hours after discharge

,
Interventionscore on a scale (Mean)
Physician ratingNurse rating
Diphenhydramine6.25.6
Placebo5.35.1

Other Studies

6 other studies available for diphenhydramine and Electrocardiogram QT Prolonged

ArticleYear
QTc Prolongation in Poison Center Exposures to CredibleMeds List of Substances with "Known Risk of Torsades de Pointes".
    Cardiovascular toxicology, 2022, Volume: 22, Issue:9

    Topics: Amitriptyline; Arrhythmias, Cardiac; Diphenhydramine; Electrocardiography; Flecainide; Humans; Long

2022
An NMR investigation of the structure, function and role of the hERG channel selectivity filter in the long QT syndrome.
    Biochimica et biophysica acta, 2013, Volume: 1828, Issue:6

    Topics: Bepridil; Cetirizine; Dimyristoylphosphatidylcholine; Diphenhydramine; ERG1 Potassium Channel; Ether

2013
Cardiotoxicity after massive amantadine overdose.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2008, Volume: 4, Issue:3

    Topics: Adult; Amantadine; Antiparkinson Agents; Arrhythmias, Cardiac; Blood Gas Analysis; Blood Pressure; C

2008
Diphenhydramine induced QT prolongation and torsade de pointes: An uncommon effect of a common drug.
    Cardiology journal, 2010, Volume: 17, Issue:5

    Topics: Adult; Alcoholic Intoxication; Diphenhydramine; Drug Overdose; Electrocardiography; Female; Histamin

2010
Effects of the antitussive drug cloperastine on ventricular repolarization in halothane-anesthetized guinea pigs.
    Journal of pharmacological sciences, 2012, Volume: 120, Issue:3

    Topics: Action Potentials; Amino Alcohols; Animals; Animals, Inbred Strains; Anti-Arrhythmia Agents; Antitus

2012
Prolonged QT interval with markedly abnormal ventricular repolarization in diphenhydramine overdose.
    International journal of cardiology, 2005, Mar-18, Volume: 99, Issue:2

    Topics: Adult; Diphenhydramine; Drug Overdose; Electrocardiography; Female; Heart Ventricles; Histamine H1 A

2005