SubEx
Diphenhydramine·Sleep better·finding 26 of 26
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★☆☆Contested — the evidence disagrees with itself, or the finding carries a caution. A caution or conflict always shows one star, however strong the sources are.

Mental & cognitive · increases · contested

Non-drowsy antihistamines, which barely reach the brain, climbed too

Among 714,052 patients, second-generation antihistamines climbed with cumulative dose from 11% to 26% higher. The sedating ones climbed further, from 13% to 51%.

What the study found

Non-drowsy antihistamines climbed with dose too

This is the finding that undercuts the usual explanation. Second-generation antihistamines barely enter the brain, yet in the same 714,052 patients their dementia risk climbed with cumulative dose as well, from 11% higher to 26%. The sedating ones climbed further, from 13% to 51%.

The caveat · More prescriptions, more diagnoses

A pattern shared by drugs that do and do not reach the brain points somewhere other than the drug. More medicine dispensed means more medical contact and more chances for a diagnosis to be recorded, and heavier users are sicker to begin with. The authors call for trials to confirm any association.

What we don't know

A pattern shared by drugs that do and do not reach the brain points somewhere other than the drug. More medicine dispensed means more medical contact and more chances for a diagnosis to be recorded, and heavier users are sicker to begin with. The authors call for trials to confirm any association.