
ZzzQuil
ZzzQuil (diphenhydramine) is an over-the-counter (OTC) nighttime sleep aid that people ages 12 years and older can use for occasional trouble sleeping. It comes as a pill or liquid and is taken at bedtime as needed. The medication works by causing drowsiness to help you fall asleep. Common side effects include sleepiness, dizziness, and dry mouth.
What is ZzzQuil (diphenhydramine)?
What is ZzzQuil (diphenhydramine) used for?
- Occasional trouble sleeping - people 12 years and older
How ZzzQuil (diphenhydramine) works
ZzzQuil (diphenhydramine) is an antihistamine. It blocks histamine, a chemical in your brain that helps keep you awake. By blocking histamine, ZzzQuil (diphenhydramine) makes you feel sleepy and can help you fall asleep faster.
Drug facts
| Common Brands | ZzzQuil |
|---|---|
| Drug Class | Antihistamine |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | Lower-cost generic available |
| Availability | Over-the-counter |
More on ZzzQuil (diphenhydramine) essentials
Side effects of ZzzQuil (diphenhydramine)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Sleepiness during the day
- Dizziness
- Constipation
- Blurry vision
- Dry mouth
Less Common Side Effects
- Headache
- Stomach upset
- Trouble urinating
- Weakness
- Hyperactivity (more common in children)
ZzzQuil (diphenhydramine) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Excessive sleepiness or dizziness
The following ZzzQuil (diphenhydramine) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
- Trouble passing urine
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
- Constipation
- Drowsiness
- Dry mouth
- Headache
- Upset stomach
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Pros and cons of ZzzQuil (diphenhydramine)
Pros
- Available over the counter
- Comes as pills and liquid that you take by mouth
- Starts to work within 30 minutes
Cons
- Not typically recommended because it hasn’t been shown to help much
- Can make you feel sleepy during the day
- Can worsen certain conditions like glaucoma and stomach ulcers
Pharmacist tips for ZzzQuil (diphenhydramine)
- Use ZzzQuil (diphenhydramine) for sleep only for short periods. If sleep problems continue, talk to your primary care provider.
- ZzzQuil (diphenhydramine) can make you sleepy and dizzy the next day. Don’t drive or do anything that needs focus until you know how it affects you.
- Avoid alcohol while taking ZzzQuil (diphenhydramine). Alcohol can make sleepiness and dizziness worse.
- ZzzQuil (diphenhydramine) can cause dry mouth. To help with dry mouth, consider chewing on sugar-free gum, sucking on ice, rinsing with cold water, or using saliva sprays or lozenges.
- ZzzQuil (diphenhydramine) might not be safe for older adults. It can raise the risk of falls because it can make you feel dizzy, tired, or cause a drop in your blood pressure. Talk to your primary care provider to be safe.
- If you're taking ZzzQuil (diphenhydramine) liquid, measure doses with the device that comes with it or ask your pharmacist for one. Don't use household spoons because they can give the wrong dose.
- Don't take ZzzQuil (diphenhydramine) with other antihistamines since it can raise your risk of side effects. Many cold or allergy products already contain antihistamines, so check labels carefully.
- Don’t use ZzzQuil (diphenhydramine) to make a child sleep. It can sometimes make children more active instead of sleepy, so talk to a pediatrician for safer options.
Risks and warnings for ZzzQuil (diphenhydramine)
ZzzQuil (diphenhydramine) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Sleepiness
- Risk factors: Drinking alcohol while taking ZzzQuil (diphenhydramine) | Taking other medications that cause sleepiness | Older adult
ZzzQuil (diphenhydramine) can make you very sleepy, which can affect your focus, thinking, and reaction time. It can also raise your risk of falls and accidents. This is more likely if you’re an older adult, drink alcohol, or take other medications that cause drowsiness (e.g., opioids, benzodiazepines, sleep medications). Don’t drive or use machinery until you know how this medication affects you.
Accidental overdose
- Risk factors: Taking other products with ZzzQuil (diphenhydramine)
Many over-the-counter (OTC) products contain ZzzQuil (diphenhydramine). It's not safe to use more than one product with this medication at the same time. Taking too much can cause dry eyes or mouth, a fast heartbeat, trouble urinating, fever, or constipation. And high doses can lead to serious problems like confusion, seizures, hallucinations, low blood pressure, or heart rhythm issues.
Worsening of certain health problems
- Risk factors: Glaucoma | Enlarged prostate | Breathing problems | Kidney problems
Talk to your primary care provider before taking ZzzQuil (diphenhydramine) if you have glaucoma, an enlarged prostate, breathing problems (like emphysema or bronchitis), or kidney problems. This medication can make these conditions worse and might lead to serious side effects.effects.
ZzzQuil (diphenhydramine) dosage
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 25mg | 30 capsules | $5.05 | $0.17 |
Typical dosage for ZzzQuil (diphenhydramine)
ZzzQuil (diphenhydramine) is available as a pill or a liquid.
- Age 12 years and older: The typical dose is 50 mg by mouth once nightly at bedtime.
- Age under 12 years old: Don't use. Ask your child's pediatrician.
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