Britannica Sources used in this answer

Which side effects besides drowsiness can antihistamines cause?

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While drowsiness is the most frequently reported side effect of antihistamines in adults, these medications can cause several other undesirable reactions depending on the specific drug and the individual patient.

According to the Britannica entry on antihistamines, other potential side effects include:

  • Gastrointestinal irritation
  • Headache
  • Blurred vision
  • Dryness of the mouth

It is important to note that the incidence and severity of these effects vary by person and medication. Additionally, older H1 antihistamines may impair performance—such as when driving—and can enhance the effects of alcohol or other central nervous system depressants. Newer H1 antihistamines are generally designed to avoid the sedative effects associated with earlier versions because they do not cross the blood-brain barrier as readily.1