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Drug interactions

Diphenhydramine + Melatonin

Severity: Minor

Diphenhydramine and Melatonin: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Diphenhydramine is a strongly sedating antihistamine often used as a sleep aid, and melatonin also causes drowsiness. Together they may increase somnolence and next-day impairment, particularly in older adults.

What this interaction means in plain words

Diphenhydramine and Melatonin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Diphenhydramine belongs to Respiratory; Melatonin belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Additive central nervous system depressant effects.

What to do

Avoid taking both for sleep where possible, and advise against driving until response is known. Avoid alcohol and other sedatives.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Diphenhydramine with Melatonin?

MediHelp rates the interaction as minor. Diphenhydramine and Melatonin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Diphenhydramine is a strongly sedating antihistamine often used as a sleep aid, and melatonin also causes drowsiness. Together they may increase somnolence and next-day impairment, particularly in older adults.

How serious is the interaction between Diphenhydramine and Melatonin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid taking both for sleep where possible, and advise against driving until response is known. Avoid alcohol and other sedatives.

What other medicines interact with Melatonin?

MediHelp also lists interactions of Melatonin with, for example, Fluvoxamine, Alfentanil, Belladonna and opium. The full list is on the Melatonin page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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