Antihistamine Side Effects – What You Need to Know

You've probably reached for an antihistamine when sneezing or itchy eyes ruin your day. But have you ever wondered why you feel sleepy, have a dry mouth, or get a headache after the dose? Those are side effects, and they’re more common than you think. Below you’ll get the straight‑forward facts, plus easy tips to stay comfortable while the allergy relief does its job.

Common Side Effects

Most over‑the‑counter antihistamines belong to either the first‑generation (like diphenhydramine) or the newer second‑generation (like loratadine) class. First‑generations tend to cause more drowsiness because they cross the brain‑blood barrier. If you’ve ever felt knocked out after taking Benadryl, that’s why.

Besides sleepiness, you might notice dry mouth, blurred vision, or a slight dizziness. These happen because antihistamines block the chemical histamine, which also helps keep saliva flowing and eyes moist. The effect is usually mild and fades as your body adjusts.

Headaches and mild stomach upset are also reported, especially if you take the pill on an empty stomach. Drinking a full glass of water with the dose can cut down the upset. If you’re prone to constipation, a little extra fiber or a walk after the pill can help.

Second‑generation antihistamines are designed to stay out of the brain, so they cause far less drowsiness. Most users report only a dry mouth or tiny headache, if anything. That’s why many doctors recommend loratadine or cetirizine for daytime use.

When to Seek Help

Most side effects are harmless and go away on their own, but some signals mean you should talk to a pharmacist or doctor. If you feel a fast heartbeat, severe dizziness, or swelling of the lips and throat, stop the medication immediately—those can be signs of a rare allergic reaction to the antihistamine itself.

Persistent insomnia, confusion, or an inability to stay awake after taking a first‑generation antihistamine is another red flag. It may indicate you’re sensitive or taking too high a dose. Switching to a second‑generation product often solves the problem.

Children under six, pregnant women, and people with glaucoma, enlarged prostate, or certain heart conditions should check with a health professional before using any antihistamine. The right choice can avoid serious complications.

Bottom line: Know which antihistamine you’re using, watch for the usual drowsy‑mouth‑dry symptoms, and call a doctor if anything feels extreme or lasts more than a few days. With a little awareness, you can keep allergies at bay without the unwanted side‑effects dragging you down.

Periactin (Cyproheptadine) vs. Other Antihistamines & Appetite Stimulants: A Practical Comparison

Explore how Periactin (Cyproheptadine) stacks up against common antihistamines and appetite stimulants. Get clear guidance on uses, dosages, side effects, and choosing the right option.

Written by

Katie Law, Sep, 25 2025