Pediatricians and allergists are no longer recommending diphenhydramine (Benadryl) for simple allergic reactions because of concerns over side effects, lack of efficacy compared to newer over-the-counter antihistamines, and potential risks from chronic use in adults.  This article from the World Allergy Organization Journal, as well as subsequent reviews on Medpage Today and  CNN provide good summaries of the changes in recommendation.

For the majority of our patients, we recommend instead, a one time (daily) dose of cetirizine (Zyrtec):
- 5 mg for children 2-5 years old
- 10 mg for children 6+ years of age

Please remember that in cases of ANAPHYLAXIS, ALWAYS USE EMERGENCY EPINEPHRINE FIRST
(cetirizine is NOT a substitute).

Please call our office at 434-975-7777 if you have any specific questions or concerns about the change.