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Two medicines, side by side

Chlorpheniramine vs diphenhydramine

Chlorpheniramine and diphenhydramine are both labeled for allergies. Drugs@FDA records approvals of chlorpheniramine since 1949 and of diphenhydramine since 1946. Pharmacies paid $0.0177 per allergy 4 mg tablet and $0.898 per mL (Diphenhydramine 50 mg/mL vial) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the chlorpheniramine FDA label on DailyMed (effective December 19, 2018); the diphenhydramine FDA label on DailyMed (effective November 18, 2025).

Highlights of the chlorpheniramine record

Chlorpheniramine (Chlor-Trimeton) · label of December 19, 2018

Used for

From the label: indications

temporarily relieves the following symptoms due to hay fever or other upper respiratory allergies: sneezing runny nose itchy, watery eyes itching of the nose or throat

On the market

Earliest approval on file
July 13, 1949
Generic labelers
2 labelers
Pharmacy cost
$0.0177 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the diphenhydramine record

Diphenhydramine (Benadryl) · label of November 18, 2025

Used for

From the label: indications

Diphenhydramine hydrochloride injection, USP is effective in adults and pediatric patients, other than premature infants and neonates, for the following conditions when the oral form is impractical. […]

On the market

Earliest approval on file
March 4, 1946
Generic labelers
20 labelers
Pharmacy cost
$0.898 per mL

Supply and safety

Shortage
No current entry
Recalls
8

Source: FDA drug labels via openFDA (Chlorpheniramine label of December 19, 2018, Diphenhydramine label of November 18, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do chlorpheniramine and diphenhydramine differ on the record?

Both are in FDA's class histamine-1 receptor antagonists.

ChlorpheniramineDiphenhydramine
Labeled forAllergiesCough and cold, Allergies, Pain
Pharmacologic classHistamine-1 Receptor AntagonistHistamine-1 Receptor Antagonist
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)July 13, 1949March 4, 1946
First generic approvedMay 9, 1972May 9, 1972
Generic labelers (NDC)2 labelers20 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0177 per tablet (Allergy 4 mg tablet)$0.898 per mL (Diphenhydramine 50 mg/mL vial)
12-month price change+8%+0.8%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded08
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)6,553164,832
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to chlorpheniramine
every medicine labeled for the same conditions