Suspect poisoning? US: ASPCA Poison Control (888) 426-4435 · UK: 01202 509 000 · Severe symptoms → nearest emergency vet now.

My 5 kg dog ate a 25 mg diphenhydramine pill. Is that dangerous for a small dog?

Dogs · Emergency guide

Last reviewed: 2026-09-05 · Reference ranges: ASPCA, Pet Poison Helpline & Merck Veterinary Manual

Short answer

Yes, this is a toxic dose for a small dog and requires immediate action. A 25 mg pill is a high dose for a 5 kg pet and can cause agitation, tremors, and a dangerously high body temperature. Call your vet or the ASPCA Animal Poison Control Center at (888) 426-4435 right away, and have the medication package ready. Do not try to make your dog vomit unless a professional instructs you to.

Why is this dangerous?

Diphenhydramine is an antihistamine with stimulant and anticholinergic effects at high doses. Pets that take too much become agitated, twitchy and hot rather than sleepy.

Many human products also contain decongestants or acetaminophen, and liquid versions may contain xylitol or alcohol — all additional poisons.

Why speed matters

Delaying care significantly worsens outcomes. Some signs appear hours or days later, so "looks fine right now" is not a reason to wait.

Signs to watch for

  • Agitation, restlessness, unusual excitement
  • Tremors, muscle twitching, dilated pupils
  • Dry mouth, fast heart rate, high temperature
  • Vomiting, wobbliness
  • Seizures, coma and breathing depression in severe cases

What to do right now

  1. Call your vet or a poison line and state the exact tablet strength and count.
  2. Check the label for xylitol, decongestants and acetaminophen — mention them if present.
  3. Do not induce vomiting unless instructed.
  4. Never dose a pet from a human packet; ask your vet for the correct amount and the pet-specific product.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.

The step-by-step response, from the first minute to the vet visit, is in our Antihistamines (Diphenhydramine) emergency guide.

Open the full emergency guide: Antihistamines (Diphenhydramine) →