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Diphenhydramine HCl 50 mg Rectal Suppository

The Diphenhydramine HCl 50 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon administration, the suppository dissolves or melts, facilitating the release of diphenhydramine hydrochloride for local or systemic absorption. This formulation is commonly used to provide relief from symptoms associated with allergic reactions, such as itching and hives, and to alleviate the discomfort of various anaphylactic reactions. Additionally, it serves as an antihistamine to help reduce symptoms of the common cold and as a sedative to induce sleep.

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Formula Information

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The Diphenhydramine HCl 50 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum, where it dissolves or melts to release the active medication, diphenhydramine hydrochloride. This antihistamine is commonly used for its sedative and antiemetic properties, as well as for the relief of allergic reactions such as hay fever, urticaria (hives), and angioedema. Diphenhydramine works by blocking the action of histamine, a substance in the body that causes allergic symptoms. It is also effective in the treatment of Parkinson's disease symptoms and is used in the management of motion sickness and to induce sleep.

When administered as a rectal suppository, diphenhydramine HCl may provide several advantages, including bypassing the gastrointestinal tract, which can be beneficial for patients with nausea and vomiting or those who cannot take oral medications. This route of administration can also provide a more rapid onset of action compared to oral administration and can be useful in patients with difficulty swallowing or in a state of unconsciousness.

It is important for both patients and prescribers to be aware that diphenhydramine can cause drowsiness, and its use should be monitored accordingly. Patients should be advised not to operate heavy machinery or drive after administration. Additionally, patients with a history of hypersensitivity to diphenhydramine or any other components of the suppository should not use this medication. Prescribers should also consider the potential for anticholinergic side effects, such as dry mouth, urinary retention, constipation, and blurred vision, especially in the elderly population.

For optimal use, the suppository should be stored in a cool place to prevent melting and should be inserted following the specific instructions provided. The frequency and duration of treatment will depend on the condition being treated and the patient's response to therapy. As with any medication, adherence to recommended dosing is crucial for effectiveness and safety.

If you have any questions or require further information about the Diphenhydramine HCl 50 mg Rectal Suppository, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and effective use of this formulation.

Drug Interactions

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Diphenhydramine HCl is an antihistamine that works by blocking the action of histamine, a substance in the body that causes allergic symptoms. While it is commonly used for the relief of symptoms associated with allergies, it also has sedative properties and can be used to treat insomnia, motion sickness, and certain symptoms of Parkinson's disease. When formulated as a 50 mg rectal suppository, diphenhydramine HCl can be particularly useful for patients who are unable to take medications orally.

It is important to consider potential drug interactions when using diphenhydramine HCl suppositories. Diphenhydramine can interact with other central nervous system depressants, such as opioids, benzodiazepines, muscle relaxants, and alcohol, potentially enhancing sedation and increasing the risk of respiratory depression. Caution is advised when co-administering these agents. Additionally, the anticholinergic effects of diphenhydramine can be additive with other anticholinergic drugs, such as certain antipsychotics, tricyclic antidepressants, and antiparkinson drugs, which may increase the risk of anticholinergic side effects like dry mouth, urinary retention, constipation, and confusion, particularly in the elderly.

Patients taking monoamine oxidase inhibitors (MAOIs) should avoid diphenhydramine, as MAOIs can prolong and intensify the anticholinergic effects of antihistamines. Furthermore, the use of diphenhydramine with other antihistamines or with any other products containing diphenhydramine, even topical ones, should be done with caution to avoid excessive dosing. Concurrent use of diphenhydramine with sympathomimetic agents, such as decongestants or appetite suppressants, may also result in increased side effects.

Given that diphenhydramine is metabolized by the liver, drugs that affect hepatic enzyme activity, particularly cytochrome P450 enzymes, could potentially alter the metabolism of diphenhydramine. Inhibitors of CYP2D6, for example, could increase the levels of diphenhydramine and enhance its effects and side effects. Conversely, inducers of hepatic enzymes could potentially decrease the effectiveness of diphenhydramine.

Patients with pre-existing conditions such as glaucoma, enlarged prostate, hyperthyroidism, cardiovascular disease, or respiratory conditions such as asthma, emphysema, or chronic bronchitis should use diphenhydramine with caution due to its anticholinergic properties and potential for exacerbating these conditions.

It is essential for patients and prescribers to review all current medications, including over-the-counter drugs and herbal supplements, to identify any potential interactions before starting treatment with diphenhydramine HCl suppositories. If you have any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance and professional advice.

How Does it Work

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Diphenhydramine HCl 50 mg Rectal Suppository is a solid dosage form designed to be inserted into the rectum, where it dissolves or melts to release the active medication, diphenhydramine hydrochloride. This medication belongs to a class of drugs known as antihistamines, which work by blocking the action of histamine, a substance in the body that causes allergic symptoms. Diphenhydramine is particularly effective in the treatment of various allergic reactions, including those associated with hay fever, urticaria (hives), and angioedema. It is also commonly used to alleviate the symptoms of the common cold, such as runny nose and sneezing, and can be used as a nighttime sleep aid due to its sedative properties.

When the suppository is inserted into the rectum, the warmth of the body causes it to melt, releasing the diphenhydramine HCl into the surrounding rectal tissue. From there, the drug is absorbed into the bloodstream. This route of administration can be particularly beneficial for patients who are unable to take medications orally due to vomiting, difficulty swallowing, or for those who require a rapid onset of action. The rectal administration bypasses the first-pass metabolism in the liver, which can result in a more rapid and efficient absorption of the medication into the systemic circulation.

In addition to its antihistaminic effects, diphenhydramine has anticholinergic properties, which can help to alleviate nausea and vomiting, making it a versatile medication for various conditions. However, due to these anticholinergic effects, diphenhydramine can cause side effects such as dry mouth, blurred vision, constipation, and urinary retention. It is important for patients and prescribers to be aware of these potential side effects, as well as the sedative effects of the medication, which can impair mental and physical abilities required for tasks such as driving or operating machinery.

It is also important to note that while diphenhydramine is effective in treating allergic reactions, it should not be used as the sole therapy for anaphylactic reactions, which require immediate medical attention and may necessitate the use of epinephrine. Additionally, patients with certain medical conditions, such as glaucoma, enlarged prostate, or certain types of gastrointestinal blockages, should consult with a healthcare provider before using diphenhydramine due to the potential for exacerbation of these conditions.

For patients and prescribers considering the use of Diphenhydramine HCl 50 mg Rectal Suppository, it is crucial to understand the indications, mechanism of action, and potential side effects of the medication. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

Other Uses

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The diphenhydramine HCl 50 mg rectal suppository is a versatile medication with several uses beyond its primary indication. Traditionally, diphenhydramine is well-known for its antihistaminic properties, providing relief from allergic reactions such as hay fever, urticaria (hives), and angioedema. However, this formulation can also be utilized for its sedative and antiemetic effects. Diphenhydramine has been found to be useful in managing insomnia due to its sedative properties, and when administered as a suppository, it may benefit patients who have difficulty swallowing oral medication or those with nausea and vomiting, as the rectal route bypasses the gastrointestinal tract.

In addition to these uses, diphenhydramine suppositories are sometimes employed in the treatment of Parkinson's disease symptoms, such as akathisia (a movement disorder characterized by a feeling of inner restlessness), due to its anticholinergic effects. Moreover, for patients undergoing chemotherapeutic treatments or surgeries, diphenhydramine can be helpful for premedication to mitigate postoperative nausea and to enhance the effects of analgesics for pain relief. The rectal form may especially be beneficial in cases where oral administration is contraindicated, such as with persistent vomiting or when the patient cannot take oral medication.

It is essential to use this medication with caution due to potential side effects, which include drowsiness, dizziness, constipation, blurred vision, or dry mouth. These side effects should be considered especially in elderly patients and in those with pre-existing conditions that may be exacerbated by anticholinergic drug effects. It's also crucial to avoid concurrent use of other CNS depressants or alcohol, as this can increase sedation.

Before considering alternative uses of diphenhydramine HCl rectal suppositories, it is advisable to consult with healthcare professionals to assess the benefits and risks associated with the medication. The suppository form should not be used in patients with hypersensitivity to diphenhydramine hydrochloride or any other components of the preparation. If patients or prescribers have questions regarding the use of diphenhydramine HCl rectal suppositories for conditions other than those initially indicated, or concerns about interactions and potential side effects, please do not hesitate to reach out to us for further assistance and professional advice.

Frequently Asked Questions

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What is a Diphenhydramine HCl 50 mg Rectal Suppository?

A Diphenhydramine HCl 50 mg Rectal Suppository is a solid dosage form containing 50 mg of the active ingredient Diphenhydramine Hydrochloride. It is designed to be inserted into the rectum where it can dissolve or melt, allowing the medication to be absorbed locally or systemically.

How does the Diphenhydramine HCl Rectal Suppository work?

The rectal suppository works by gradually dissolving or melting once inserted into the rectal cavity, releasing the active ingredient for absorption through the rectal mucosa. This can provide systemic effects and may also help with local conditions such as itching or irritation.

What are the indications for using Diphenhydramine Rectal Suppositories?

Diphenhydramine Rectal Suppositories are typically indicated for the relief of symptoms associated with allergies, such as itching and sneezing, and can also be used for the symptomatic treatment of insomnia and motion sickness.

How do I use a Diphenhydramine Rectal Suppository?

To use the suppository, you must first remove it from its packaging. Then, lie on your side with one knee pulled up to your chest and gently insert the suppository into the rectum, pointed end first. Remain lying down for a few minutes to ensure retention of the suppository.

Is Diphenhydramine Rectal Suppository safe for children?

The safe use of Diphenhydramine Rectal Suppositories in children depends on the child's age and weight. It's essential to consult with a healthcare provider before using this medication in a child to ensure the dosage is appropriate and the treatment is safe.

Are there side effects associated with Diphenhydramine Rectal Suppositories?

Like all medications, Diphenhydramine Rectal Suppositories can cause side effects. Some common side effects include drowsiness, dizziness, constipation, blurred vision, or dry mouth. If you experience severe side effects such as difficulty breathing or an allergic reaction, seek medical attention promptly.

Can I use a Diphenhydramine Rectal Suppository if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, it is crucial to consult with a healthcare provider before using Diphenhydramine Rectal Suppositories. They can assess the risks and benefits and advise you accordingly.

How often can I use Diphenhydramine Rectal Suppositories?

The frequency of use will depend on the condition being treated and the instructions given by a healthcare provider. Do not use more often than directed on the label or by your doctor.

Can Diphenhydramine Rectal Suppositories be used for motion sickness?

Yes, Diphenhydramine Rectal Suppositories can be used to alleviate motion sickness symptoms. However, it's best to use them under the guidance of a healthcare provider to ensure the correct timing and dosage.

How should I store Diphenhydramine Rectal Suppositories?

Store Diphenhydramine Rectal Suppositories at room temperature away from moisture and heat. Keep them in their original packaging until ready to use, and keep them out of reach of children and pets.

What should I do if I miss a dose?

If you miss a dose, use the suppository as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
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