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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. Katy on September 7, 2014 at 10:20 pm

    Dear Doctors,
    My Pit Bull has MCT. Benadryl makes her so drowsy. Would an alternate antihistamine like Claritin be as effective? What is the recommended dose of both Benadryl and (if indicated) Claritin for a 65 pound dog? Thank you!!

    • Katherine on November 13, 2015 at 2:08 pm

      Benadryl-1mg/lb. My pit just got his biopsy results back, low grade 2. He’s only 4. I’m heartbroken about this. He will now go on benadryl and tagamet for the rest of his life.

  2. Susan Kazara Harper on September 19, 2013 at 5:16 am

    Hi Olive, There’s no way to predict in this format a life expectancy for Lu. It depends on so many factors including type of cancer, staging, whether any other body systems are affected, her immune system, nutrition etc. Your best advisor is your own veterinarian who knows Lu and what she’s been through, and knows you as Lu’s carer. I hope you have read The Dog Cancer Survival Guide and have implemented the Dog Cancer Diet. Nutrition and emotional support are vital. If your vet has prescribed the Benadryl (which makes me think she has been diagnosed with MCT?) then give all of her symptoms to your vet and inquire how you can help her with the nausea. Above all, please don’t focus on “how long does she have’. Make the most of every day and keep Lu happy. She’s living in the moment and is not worried about the future. It’s a lesson we can all take to heart. All the best.

  3. olive on September 16, 2013 at 6:25 pm

    My little Lu is on her second tumor. She’s 7 years old and both tumors have been in the same spot – her neck. This time the tumor is literally directly beneath the scar from her last surgery. I am giving her benadryl twice a day and I give her pepto when she vomits. If she is too active, she vomits and has diahrea. If she has this next surgery, what is her life expectancy???

    • DrSueCancerVet on September 29, 2013 at 3:52 pm

      Hi Olive,
      I am sorry about Lu’s MCT, but remember these are generally very treatable tumors, and one size does not fit all – so no one can tell you thru the web what her life expectancy is.
      I would stronlgy recommend you see an oncologist who can examine Lu, review her records, and make recommendations to find out if the tumor has spread and recommend treatment options.
      Also check out my series on MCT – lots on info there, but see a specialist too!
      https://www.dogcancerblog.com/blog/the-oncologists-thoughts-on-mast-cell-tumors/#.UkjXwee9KSM
      All my best, Dr Sue

  4. Cinny on September 9, 2013 at 6:39 am

    My vet also recommended ginger and turmeric caps as supplements to my raw food/probiotic enhanced dog diet, and benedryl when turmors are in early stages of inflammation. We do a few days of prednisone when a tumor is raw and red. This seems to settle the histamines down. My 6 year old boxer has been in great shape for 10 months since he was first diagnosed with stage 2 and had one surgery. I have also added esciac caps.

  5. Michael vaughn on September 4, 2013 at 5:01 pm

    My dog is 13 yrs old and has been getting these tumors of some sort but she busted one and she’s running a fever and acting abnormal. Please reply ASAP

  6. Jacqueline on May 29, 2013 at 12:13 am

    Hi Dr D

    My dog has a small pea sized lump in his skin. We had the needle aspiration done yesterday and it is a MCT. My boy is 10 years old and such a happy dog that I really don’t want to have him operated on (I am also worried about the effects of anesthetic on him as he is a French Bulldog, has never been operated on and has breathing difficulties) Is it possible that the lump may just stay the way it is and have no detrimental effect on his life? I am planning to start him on prednisolone tonight. Am I doing the right thing – or is removal of the lump the best cause of action?

  7. Denise on April 22, 2013 at 7:16 am

    Dear Dr.,
    My 10 year old, Auusie Shepherd, has been developing lumps from his chest to his back legs. He has several on his rib cage and around his leg bones at the shoulder joint. Vet isn’t worried, but his appetite is starting to lessen and he is always ready for a nap. Would the use of the antihistamine possibly work for him?

    • Dr. Demian Dressler on April 24, 2013 at 12:33 pm

      Dear Denise
      my feeling on this is that you should be in contact with your vet about the cause of the bumps. If they are hives (allergic), then antihistamines can help in some cases. But it is very important to determine whether there is an allergic issue occurring, and also why your Aussie is eating less. The bumps may or may not be related to the loss of appetite. That way you can provide the proper care for the actual issue.
      I hope this helps
      Best
      Dr D

  8. Kevin on February 28, 2013 at 9:19 am

    Hello,

    We have a 14-yr old female Yorkie-Poo that has a mast cell tumor on her right rear paw (right between the far-right digit, and the next one in). It is quite large and steadily growing. We are working with an oncologist, and she is on chemo; however, it has not worked. The tumor is still growing, although it is currently not bleeding. The tumor is already in her lymph node higher up on her leg. She has her ‘spunk’ and is eating well with no signs of pain.

    We have been given two options: 1.) Surgery to remove either part of her foot, or her entire leg, or 2.) Let her live out her remaining time.

    What should we do? Do people normally have surgery on a 14-yr old dog? Will she survive the pain and healing?

    Or do people normally let her live out her time? What type of phases would a dog normally go through from here on out? When would we know when to put her to sleep so she doesn’t feel any pain (from ulcers, etc.)?

    Thanks for any help or insight into this difficult time.

    • Dr. Demian Dressler on March 6, 2013 at 4:36 pm

      Dear Kevin
      If the conventional options are not working well it would be good to use some other tools. Have you read the Guide yet? I’d be thinking diet, apocaps, low dose oral neoplasene with mirtazapine, possibly palliative radiation…as some first thoughts. You could also consider a different chemo drug (switch from palladia, kinavet,or use the injectable drug protocols etc)
      I would discuss these options with your vet, or for integrative vets perhaps contact the veterinary institute of integrative medicine, or the American Holistic Animal Association.
      Here is another link or two I wrote that might help too:
      https://www.dogcancerblog.com/blog/an-overview-of-what-else-can-i-do/
      https://www.dogcancerblog.com/blog/what-is-treatment-plan-analysis/
      I hope this helps
      Dr D

  9. Lakisha on February 23, 2013 at 12:00 pm

    Hi Dr. D!

    Thanks for the helpful information. I have a 7 year old cockpoo that just had a grade 3 tumor removed. My vet referred me to a onologist and she suggested radiation and chemo. The onocologist also did an ultrasound and it seems as though the cancer has not spread. We’ve changed her diet and started her on Benadryl and other supplements. Do you have an other suggestions? Is there more we shold be doing?

  10. Danielle on November 24, 2012 at 5:54 pm

    Our Dog Roxi is a 96Lb American Bulldog. She is all white in color & has alway had allergy problems. She was diagnosed w/ Mast Cell Tumors about 3 years ago. Each day has been different for our girl. One day she is GREAT w/ no bumps, redness or irritation. Other days she will flare up w/ Large (cyst like) bumps all over. Mainly on her hine legs, rear end & belly just under the legs. She has had flare ups before that seemed to go away w/ Benadryl, prednisone & sometimes w/ antibiotics. This time however… She seems like nothing is working. She has been vomiting (which she usually doesn’t do) all day. He belly that has the cysts seems to want to burst open. She has had this happen in the past, but the cyst/group of many cysts is much larger. We recently gave her Echinacea along w/ licoric root. Would this cause her to be upset to in the stomach? We are worried about our girl & just want her to be okay. Does anyone have any advice on how to help her w/ the nausea and or Mast Cells? I’ve called our local vet, but they are out till Monday. Your advice it appreciated! 🙂

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