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Diphenhydramine (Antihistamine) Concentration in Plasma

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of diphenhydramine, a common over-the-counter antihistamine, in your blood plasma. It helps assess drug levels, particularly in cases of overdose or therapeutic monitoring.

Quick summary

["This test helps doctors check if your diphenhydramine dose is safe and effective."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
73412-9
Short code
Diphenox+Atropine ind plt IgM SP Ql FC
Synonyms
Diphenox+Atropine ind plt IgM SP Ql FC
Category
hematology
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you’ve taken high doses of diphenhydramine (e.g., Benadryl) or if you’re experiencing unusual symptoms like confusion, slow heart rate, or extreme drowsiness. It can also be used in medical settings to monitor patients receiving this medication for specific conditions.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample drawn from a vein, typically in a lab setting. The sample is processed to measure the drug concentration in your plasma.

What the Results Mean

Results are compared to general reference ranges for diphenhydramine in plasma. High levels may indicate overdose or improper metabolism, while therapeutic levels (if monitored) may confirm appropriate dosing. Your provider will interpret results in the context of your symptoms and medical history.

Common Reasons for Testing

Overdose suspicion: Symptoms like dizziness, irregular heartbeat, or unconsciousness may prompt this test. Monitoring: Patients on long-term diphenhydramine therapy (e.g., for sleep or allergies) may have levels checked to avoid side effects.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Diphenhydramine is a first-generation antihistamine with sedative effects. Elevated levels can impair cognition, coordination, or respiratory function, especially in children or those with liver/kidney issues. Therapeutic monitoring helps prevent toxicity while ensuring efficacy. Always follow your provider’s guidance on medication use.

Short name

Diphenhydramine Level

Frequently asked questions

How long does it take to get results from this test?
Results are typically available within 1–2 business days, depending on lab processing times. Your healthcare provider will contact you once they have the results.
What are typical symptoms of diphenhydramine overdose?
Overdose symptoms may include severe drowsiness, confusion, rapid or slow heartbeat, seizures, or difficulty breathing. Seek emergency medical help immediately if you experience these symptoms after taking diphenhydramine.
Can I drink water before this blood test?
Yes, you can drink water before the test unless instructed otherwise by your provider. Avoid alcohol or caffeine, as they may affect blood composition or test accuracy.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy