Hyponatremia after Diphenhydramine in dogs

The FDA has received 43 reports of hyponatremia in dogs after Diphenhydramine. That is 0.9% of all reports for this medicine, compared with 0.2% across reports for all dog medicines, so it is reported unusually often with this medicine.

43Reports
91%Marked serious
2.3%Recovered
56%Died or euthanised
2 daysTypical onset
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How soon it started

Same day
12 30%
1–2 days
12 30%
3–7 days
4 10%
1–4 weeks
6 15%
Over a month
6 15%

How the animals did

Recovered
1 2.3%
Still unwell when reported
16 37%
Died
10 23%
Euthanised
14 33%
Not known
2 4.7%

Problems reported at the same time

Age of the animals

Under 1 year
6
1–3 years
7
4–7 years
16
8–11 years
12
12+ years
2

About this medicine

Type: medicine.

Questions owners ask

Can Diphenhydramine cause hyponatremia in dogs?
43 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 2 days of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Hyponatremia with similar medicines

All reported side effects of Diphenhydramine in dogs · Medicines most reported with hyponatremia