Dalia Faheid
Fort Worth Star-Telegram
（MCT）
Feb. 8—FORT WORTH — When a 14-year-old girl took 14 Benadryl pills in the middle of the night, her older sister called their grandmother for help, wanting to avoid getting in trouble with their parents.
“It was scary. She had fractured sentences, hallucinations. Her resting heart rate was 199,” the girl’s mother later said, according to Cook Children’s Health Care System, where the teen was treated in 2020.
在流行的社交媒体平台Tiktok上观看了在线视频之后，当时在库克儿童的贝纳德里尔过量服药中也因其他两名少年而被治疗。一年半后，塔兰特县的青少年在贝纳德里尔（Benadryl）服用过量后仍在住院。
Two overdose incidents at Tarrant County high schools in late January raised alarms that the TikTok challenge could be re-circulating.
1月28日，Haltom City的Shannon高中的五名学生过量服药，两名学生住院。前一天，沃思堡理工学院高中的四名学生因摄入药物治疗后因类似的过量症状而住院。这两个学区都拒绝对所用药物或过量药物的原因发表评论。
Benadryl挑战是什么？
Benadryl, or diphenhydramine, is a common over-the-counter allergy medicine. It treats symptoms like rash, itching, watery eyes, cough, runny nose and sneezing. The Benadryl challenge, which started trending on TikTok in 2020, encourages teens to take an excessive amount as a deliriant.
“Each of these patients said they got the idea from videos on TikTok that claimed users could get high and hallucinate if they took a dozen or more of the allergy pills,” Cook Children’s said in 2020.
While the social media platform is popular for memes, dance challenges, beauty tutorials and cooking videos, the Benadryl challenge isn’t the only dangerous trend found there.
The 28% of TikTok users who are under 18 can be exposed to recent trends like the “sleepy chicken,” where users cook chicken in cough syrup, or the “blackout challenge,” which encourages users to hold their breath until they pass out.
北德克萨斯毒药中心的公共卫生教育经理利兹贝斯·佩蒂（Lizbeth Petty）说：“这些挑战并不是什么新鲜事。”“您今天要去见他们，明天要见他们。他们不太可能消失，他们引起您的注意。”
Is the Benadryl challenge trending in North Texas?
北德克萨斯毒药控制热线通常会收到贝纳德里尔过量的呼吁，其中一些与Tiktok挑战有关。
佩蒂说：“当您确实开始看到这些趋势的Tiktok或社交媒体挑战时，我们实际上确实倾向于看到该特定物质的数量增加和呼叫。”
It’s most common among young teens, Petty says.
Medstar回应了香农高中的过量事件。EMS服务发言人马特·扎瓦德斯基（Matt Zavadsky）说，现场的一名消防人员在蒂克托克挑战赛上找到了屏幕截图。
“There was an indication that there may have been a TikTok challenge related to taking medication that’s not prescribed,” Zavadsky said. “What we heard was that it was encouraging people to take Benadryl.”
为什么这个挑战在流通？
佩蒂说，孩子们特别容易受到这样的在线挑战的影响。
她说：“他们的大脑仍在发展，他们的大脑很大一部分可以帮助他们思考和做出合乎逻辑的决策或非冲动决定，但仍未得到充分发展。”“这就是为什么年幼的孩子和青少年更有可能做出更风险的决定，因为他们的大脑仍在经历发展。这很可能是他们更加参与这些挑战的原因的一部分，因为它们不会权衡收益与风险。”
Another reason is peer pressure. Petty says parents should acknowledge it exists, and reinforce that their children are not alone.
佩蒂说：“年龄较小的孩子的一种观点是因为它是非处方的，因为它不是来自我的医生，这并不有害。”“但是，某些非处方药可能比规定的药物更有害。”
Parents should let their children know that medications, whether they’re over-the-counter or prescription, can be equally as dangerous. Tell them that medications are considered drugs, which is something that changes the way your body works, Petty suggests.
What are the health risks?
Johnson & Johnson makes Benadryl. In a statement to the Star-Telegram, the company said: “This online ‘challenge’ is extremely concerning, dangerous and should be stopped immediately.”
2020年9月，食品药品监督管理局发出警告，警告大剂量的贝纳德里尔（Benadryl）严重健康问题。FDA说，服用太多会导致心脏问题，癫痫发作，昏迷或死亡。
Parents can look out for early symptoms including hallucinations, blurred vision, excessive drowsiness, loss of balance and chest pain, Petty said.
In some cases, the heart rate will return to normal without any lasting effects.
对于其他人来说，趋势可能是致命的。2020年夏季，俄克拉荷马州的一名15岁女孩名叫克洛伊·玛丽·菲利普斯（Chloe Marie Phillips）参加了挑战。
What can parents do?
Johnson & Johnson said Benadryl should only be used as directed by the label.
“Parents and caregivers play an important role in identifying and addressing this concerning behavior and should be aware of signs of misuse and abuse,” the drug maker said. “All medications should be kept out of the reach of children at all times.”
防止青少年滥用药物可能很棘手。
Petty建议父母锁定Benadryl和其他药物。
“Most of them are not prepared to take medicine on their own unless they have been properly taught by an adult and they are under supervision of an adult when taking the medicine,” she said.
Encourage teens to read and follow the dose listed on the label, she says.
佩蒂说：“他们经常不知道如何阅读毒品事实标签，该标签会告诉您有关给药，警告和如何最好地使用药物的非常重要的信息。”
According to directions on a bottle of Benadryl, children 6 to 12 should take one Benadryl tablet every four to six hours. Anyone over 12 could take one to two tablets every four to six hours. No more than six doses should be taken in 24 hours.
Petty还建议与这样的挑战进行公开对话。
“You want to acknowledge that there is this challenge happening, you want to discuss it with them, let them kind of think through it,” she said.
If your child has a TikTok account, it’s a good idea to monitor their social media to some extent, says Zavadsky of MedStar.
“It would be important for the parents to know that this is a possibility in the area, and keep an eye on your kids’ behavior,” he said. “If you notice a significant shift in their behavior patterns, or if they get more secretive with regard to their social media, do a little more investigating, ask them if they’re having any issues, ask them if they’re participating in any potential challenges.”
What to do if an overdose happens
In the event that your child has taken too much Benadryl, immediately call 911.
当您等待救护车时，不要试图引起呕吐或给他们任何喝酒或吃饭的东西。请致电800-222-1222与毒药控制联系，以获取进一步的指导。他们会让您知道您的孩子是否会根据他们的摄入量需要住院。如果服药过量是由于Tiktok挑战所致，那么他们可能服用了大剂量，需要去医院。
“We’ve taken action to stop this behavior from spreading,” the Johnson & Johnson statement read. “We work with social media platforms and their safety teams to remove these dangerous posts, including any new content we identify in our monitoring. We posted safety information on ourBenadryl.combrand site and communicated with our retail partners and our industry trade associations to inform them about the ‘challenge.’ We’ve invested in research and data to understand the root causes of teen misuse and abuse of medicines and activated plans to educate teens, parents, caregivers and healthcare providers on appropriate use of diphenhydramine-containing products.”
This story was originally published February 7, 2022 7:00 PM.
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