Evidence map›Paper›PMID 41877767›Full record

ArticleSexual medicine2026

From sedation to stimulation: anecdotal case reports of enhanced sexual arousal in men and women taking diphenhydramine hydrochloride.

Melitzsa Pascale Regis, James G Pfaus

Abstract readCase Reports
In one paragraph

Article in Sexual medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Melitzsa Pascale RegisHealth Sciences Program, Broward College, Fort Lauderdale, FL 33301, United States.
James G PfausDepartment of Psychology and Life Sciences, Charles University, Prague 18200, Czech Republic.ORCID https://orcid.org/0000-0001-6953-3663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Unexpected enhancement of sexual arousal, desire, and orgasm following diphenhydramine (DPH) ingestion has emerged in anecdotal reports across online platforms. Aims: To examine whether there are common effects of DPH on the sexual responses of women and men who respond to DPH with excitation rather than sedation. Methods: Qualitative case data were gathered from surveys of men and women on a DPH Reddit site to examine the consistency, intensity, and subjective nature of DPH effects on sexual arousal, desire, and orgasm. Results: Participants described enhanced sexual arousal, orgasm, increased stimulation sensitivity, and profound emotional release from DPH. Some found the effects stronger than those of prescription medications for sexual arousal disorders. Conclusion: These observations suggest a paradoxical pharmacological action of DPH, potentially involving dopaminergic and/or histaminergic pathways. While DPH itself is not a recognized therapeutic agent for the treatment of sexual dysfunctions, these unexpected effects may point toward a novel neurochemical mechanism of sexual excitation in some individuals that warrants further investigation.

Indexed as

antihistaminedisinhibitionorgasmsexual arousal

Identifiers

PMID41877767
PMCPMC13006966

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.