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Featuring Demian Dressler, DVM and Sue Ettinger, DVM, Dip. ACVIM (Oncology), authors of The Dog Cancer Survival Guide

Benadryl For Dogs With Mast Cell Tumors: How It Can Help

Updated: January 26th, 2022

Summary

Vets often prescribe Benadryl for mast cell tumors. Why on earth do they do that? Dr. Dressler explains how this common allergy med can help.

Benadryl for mast cell tumorsBenadryl for mast cell tumors? What on earth does an over-the-counter allergy medicine have to do with cancer?? Let’s find out.

Most of us have heard of Benadryl, the brand name for diphenhydramine hydrochloride. It’s an antihistamine, which means it reduces the effects of excess histamines in the body.

In human medicine, we usually use it for allergies: hay fever, runny eyes, sneezing, and allergic sinus congestion. It is also used for more sudden-onset allergic reactions, including hives, facial swelling and so on.

In veterinary care,  we use it to treat things like insect stings, vaccine reactions or other allergic reactions in dogs.

And we often recommend Benadryl for dogs suffering from mast cell tumors.

Dogs with cancer are not experiencing allergies. So, what’s the logic?


Dr. Dressler goes into deep detail on Mast Cell Tumors in his audio seminar.


Well, it turns out there are similarities between a dog with a high mast cell burden and a dog experiencing allergic flare-ups. And Benadryl for mast cell tumors can address those.

Mast Cells Are Weird and Cool

Mast cells are really interesting cells. They are part of the immune system, a type of white blood cell.

Mast cells help rid the body of foreign invaders or material. They also help in healing. They do this in part by generating a substance called histamine. Yup, the same histamine that we talk about when it comes to allergies.

Mast cells that are normal release histamine as part of their work. Histamine helps attract other white cells to trouble spots, like foreign bacteria, or viruses, or injuries. They’re like those red flags your car’s roadside safety kit has. Histamine “marks” an area of the body that is in trouble, so other immune cells can find the area.

Histamine also causes blood vessels to dilate (get larger), and get a little “leaky.” The increased blood flow brings more white blood cells more quickly, and the little leaks help the white blood cells slip out of the blood and into the area that needs them.

So, you see, histamine is an important part of our immune system.

Mast Cell Detects Trouble ==> Releases Histamine ==> Attracting Other Immune Cells ==> Which Kill Invaders and/or Repair Injuries

So, yay histamine, right?

Yes. Mast cells are cool, because they produce histamine. Until they produce too much.

Mast Cells Can Overdo It

As with all things, balance is needed when it comes to histamine. Too much histamine is not good for the body.

When mast cells release too much histamine, whether during an allergic reaction or by huge numbers of cancerous mast cells, bad things happen.

  • The blood vessels in the area of the mast cells dilate, bringing inflammation and swelling of body tissues. In allergic reactions, this looks like hives and abnormal swelling.
  • The excess histamine is capable of causing the lining of the stomach to produce excessive acid. This causes loss of appetite and lethargy.
  • Blood pressure can be affected if enough histamine is secreted. It can drop to truly dangerous levels as many blood vessels open up all at once.

As it turns out, when a lot of mast cells are busy releasing their contents, they secrete lots of things, not only histamine. There are other chemical signals that work in tandem with the histamine, and those get released, too.

The end result of all these mast cells releasing their chemical signals is that the dog’s body goes into a completely abnormal state.

Inflammation and swelling results, and discomfort, as well. I would imagine the sensation is like getting stung or perhaps old stings (itchy, burning). Those with allergies might be familiar with the feeling of all-0ver discomfort, a sort of panicky itchy weird feeling. I imagine it is something like that for our dogs who have a massive release of histamine.



Histamine and Mast Cell Tumors

Now, both cancerous and non-cancerous mast cell tumors are capable of releasing histamine, and both are capable of releasing too much.

If your dog has allergies, you might see a little swelling or redness, and itching. Same is true if your dog has mast cell tumors.

But NOT every mast cell tumor will release very high levels of histamine that cause terrible symptoms like those above.

So if your dog has mast cell tumors, don’t assume that you will see those symptoms.

Only the most severe cases will have these high levels of histamine release.

Why We Use Benadryl for Mast Cell Tumors

Benadryl blocks the effects of histamine in the body, which is why it’s called an “antihistamine.”

Basically, it helps the body cope with abnormally high histamine levels.

That’s why you might hear your veterinarian recommend it for your dog with mast cell tumors: it can help to block the uncomfortable-to-dangerous effects of excess histamine released by cancerous mast cells.

Benadryl can help with the side effects of excess histamine sometimes associated with mast cell tumors.

Remember how excess histamine can also affect the stomach, by causing extra stomach acid? Benadryl helps with that, too. However, sometimes veterinarians will also suggest using an antacid as well, just to be sure to protect the tummy. Cimetidine and famotidine (Tagamet and Pepcid) are often used, and ulcers (if they are present) are often treated with misoprostol (Cytotec) and sucralfate (Carafate).

Please ask your veterinarian for the dose recommendation for your own specific dog and their specific condition.

Diet Matters

If you’ve read my book, you know that I recommend a low-carb, relatively high fat, moderate protein diet for dogs with cancer.

If your dog with mast cell tumors is also experiencing excess histamine release — and remember, not all do — there are special dietary considerations you should also be aware of. You can read more about special nutritional choices for dogs with mast cell tumors in this article.

Of course, diet is just one of five steps in my Full Spectrum approach to cancer care. In addition to diet, nutraceuticals, anti-metastatic supplements, and mind-body strategies, you can find an entire chapter on the conventional care for mast cell tumors in chapter 30 of The Dog Cancer Survival Guide.

All my best,

Dr D


If your dog has mast cell tumors, this book is a wealth of information. In addition to the main steps Dr. D recommends, read the extra chapter dedicated to mast cell tumors from Dr. Ettinger, his oncologist co-author.


 

Leave a Comment





  1. maddy on November 8, 2012 at 8:41 pm

    Need to make comment to get newsletter 🙂 Thanks for all the great info.

  2. Nelda on October 3, 2012 at 5:01 pm

    My 10 year old dog Ellie has been to the vet numerous times since July. She has nasal congestion, mucus running from her nose (at times it was bloody) and she just snores and makes all types of noises. We did have her nose scoped and the Vet could not find anything. We have tried many antibiotics and none worked.The vet gave her a Prednisone short just 7 days ago, and it only worked for a few days and now she is back to be stuffed up sounding and mucus running out of her nose.(no blood yet). Can I give her benadryl too? He believes she does have a tumor but we can’t afford to have her checked further. Will the Apocaps work for this? I need help and suggestions guys. My vet of course probably will not recommend anything since we don’t know EXACTLY what type of tumor is in her nose…the prednisone does seem to shrink it when she first got the shot..it just didn’t last. We do know it is the nose since her trachea and everything else looked fine.

  3. Kevin on June 1, 2012 at 6:40 pm

    Type-o : he had the lump for 1 day.

  4. Kevin on June 1, 2012 at 6:38 pm

    The vet has me giving my dog benadryl to treat his nasal-cancer-like symptoms along with prednisone. He’s had 2 nosebleeds, constant nasal congestion and for 1 he had a half-dollar sized lump on his nose. He gets worse when I run out of benedryl and only gets better when I get more. Could it be possible that this isn’t cancer? I haven’t been able to get xrays done because of financial difficulties and because I’m hesitant to have him put under and out of my sight all day while he recovers from the anesthesia. I’m not trying to get my hopes up because hope is a heavy burden for me right now. It’s easier to accept his fate than it is to deal with the ups and downs of hopelessness and denial.

  5. Susan on May 18, 2012 at 1:35 am

    Dr. D.
    I hope my post helps someone. Our 6 year old redhead longhaired chihuahua has had 2 malignant mast cell surgeries. They have been stage 2. After her second surgery, I read about Bendryl and discussed it with our vet. He said to try it. Every morning we give her 2 mg of children’s storebrand Benadryl and so far she has done well. She had surgery about 2 months ago on a suspicious growth, but it was benign which was encouraging.
    Thank you so much for your information!!!!!

  6. Nancy on June 22, 2011 at 4:50 pm

    Hello Dr. D,

    I have a question I can not find the answer to. I have a 4 1/2 year old pug who had a mast cell carcinoma removed from his side in April, 2010. After the first surgery we were told that his margins were dirty and that he would need more surgery, A week later they removed more tissue and we were told that his margins were clean. A few days ago without any notice, he developed hives all over his body and head. His face and snout was very swollen. We rushed him to the vet and they gave him an injection of benadryl and a steroid. We were told to give him benadryl 25 mg 3 more times. Today he seems fine, however, we have no idea what happened, Do you think this could have happened due to a recurrance of the mast cell carcinoma or just some allergic reaction. I do not seem any lumps on his body. The vet that treated him is not our regular vet and did not know his history of the mast cell carcinoma.

    Any suggestions or information would be greatly appreciated

    Thank you.

  7. Cindy on June 6, 2011 at 6:50 pm

    How long should you keep giving the dosage of benadryl twice a day. My dog is close to 100 lbs.

  8. Lisa Richards on February 11, 2011 at 4:10 am

    Dr. D.
    I will get your book, it sounds like it has good information. I had a question if you have time. My 10 year old lab was tested positive for mast cell. We removed bumps. 3 months later more came back. We removed them again. 2 months later tested positive again. Went to oncologist who advised to remove the cancerous bumps and start chemo. We removed them 2 days later, they all came back “negative” for cancer! This third surgery was tough on her and to find them all negative made no sense and doctor couldn’t say why that happened. My dog has been on benadryl, pepcid ac, and prednizone for 4 months. Nothing has returned, they say take her off all meds. Is there any benefit to staying on bendaryl and pepcid ac to prevent it from coming back?

  9. Tammi on November 12, 2010 at 1:55 pm

    Dr. Dressler,
    My dog was diagnosed with Osteosarcoma about 3 months ago. I was wondering if I can give him the Apocaps? He is currently on pred, sucralfate, and tramadol. Thank you for all your research.
    Sincerely,
    tammi

    • DemianDressler on November 23, 2010 at 6:29 pm

      Dear Tammi,
      sorry to hear about your dog 🙁
      I use Apocaps routinely in dogs that have osteosarcoma. If you are using pred, cut the labeled dose down to half on the Apocaps. Of course you want to always have your vet involved in any steps in your dog’s care.
      Best,
      Dr D

  10. Shawn on November 12, 2010 at 12:42 pm

    Hello,

    I brought my 3 year boxer to the vet to look at a small growth on the inside of his ear and wanted the vet to aspirate to ensure it was not malignant. Before the vet tried to aspirate it, she gave him an injection of benadry. What would the purpose of giving benadryl prior to knowing exactly what type of growth it was? Thanks for your help with this.

    Respectfully,

    Stitus

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