generation run 2026-04-24
59 min completedmodel pipeline-v5plan not recordedrun/e7675f9b…Selection
Verification
- record
- seen / partial
- working
The model's own caveats
- taper_unassessed
- withdrawal_documented_but_mild
- no_guidelines_body_recommendation
Reproduce
- inputs
- 41 source keys (listed under Sources)
- plan
- not recorded — template version, prompt hash and git SHA are written from 2026-09 onward
- model
- pipeline-v5
- streams
- none — agent transcripts are persisted from 2026-09 onward
31 searches — query, source, results, what was kept and why
| # | source | query | seen | kept | rationale |
|---|---|---|---|---|---|
| 1 | PubMed | diphenhydramine overdose toxicity fatal death case report | 9 | 5 | Critical safety/toxicity data including lethal concentrations |
| 2 | PubChem | diphenhydramine | 1 | 1 | Primary compound identity verification |
| 3 | PubMed | diphenhydramine pharmacology receptor binding histamine muscarinic | 10 | 3 | Directly relevant binding affinity and receptor pharmacology data |
| 4 | OpenAlex | diphenhydramine pharmacology antihistamine anticholinergic | 10 | 1 | IUPHAR histamine receptor review provides authoritative receptor classification context |
| 5 | PubMed | diphenhydramine pharmacokinetics bioavailability half-life metabolism human | 7 | 6 | Human PK data directly relevant to dosing and duration sections |
| 6 | PubMed | diphenhydramine NMDA receptor open channel block | 1 | 1 | Novel receptor mechanism beyond H1/muscarinic |
| 7 | WebSearch | diphenhydramine discovery George Rieveschl 1943 synthesis history Parke-Davis FDA approval | 10 | 3 | Historical discovery narrative not available in PubMed; web sources provide documented institutional history |
| 8 | PubMed | diphenhydramine psychotropic effects doses subjective effects volunteers | 5 | 5 | Human controlled studies of DPH subjective and psychomotor effects |
| 9 | PubMed | anticholinergic drugs dementia risk cumulative burden older adults | 8 | 2 | Chronic risk data from anticholinergic exposure relevant to DPH chronic toxicity |
| 10 | PubMed | Sanger antiemetic history nausea vomiting antihistamine discovery dimenhydrinate | 1 | 1 | Authoritative peer-reviewed history of DPH/dimenhydrinate antiemetic discovery |
| 11 | ClinicalTrials.gov | diphenhydramine sleep aid insomnia treatment placebo controlled | 10 | 1 | Completed Phase 4 DPH-specific clinical trial for insomnia |
| 12 | PubMed | physostigmine anticholinergic toxidrome treatment reversal | 8 | 2 | Physostigmine as antidote for DPH-induced anticholinergic toxidrome |
| 13 | PubMed | diphenhydramine Benadryl challenge social media TikTok adolescent overdose | 1 | 1 | Directly relevant to harm reduction and social media harm context |
| 14 | PubMed | diphenhydramine sodium channel blockade cardiac arrhythmia QRS | 5 | 5 | Critical safety mechanism data - sodium channel blockade explains cardiac toxicity |
| 15 | WebSearch | diphenhydramine legal status OTC prescription UK Australia Canada scheduling | 10 | 3 | Legal status by jurisdiction, particularly the recent Australia scheduling change |
| 16 | WebSearch | diphenhydramine LD50 rat oral mg/kg lethal dose 50 toxicology | 10 | 2 | Animal toxicity data for safety section |
| 17 | PubMed | diphenhydramine metabolism CYP2D6 CYP3A4 enzyme inhibition | 3 | 2 | CYP enzyme involvement directly relevant to drug interactions section |
| 18 | NCBI Bookshelf | diphenhydramine toxicity StatPearls | 1 | 1 | Comprehensive toxicity reference with specific dose thresholds and treatment protocols |
| 19 | IUPHAR/BPS Guide to Pharmacology | diphenhydramine binding affinity all receptors | 1 | 0 | Could not extract specific Ki values from static page; noted for further investigation |
| 20 | PubMed | diphenhydramine anticholinergic delirium hallucinations psychosis | 3 | 2 | Relevant toxicity and subjective effects data |
| 21 | NCBI Bookshelf | diphenhydramine pharmacology StatPearls | 1 | 1 | Comprehensive pharmacological reference with specific PK values |
| 22 | PubMed | diphenhydramine abuse recreational use misuse substance use disorder | 2 | 1 | Confirms recreational use patterns documented in toxicology literature |
| 23 | PubMed | antihistamine children death pediatric cough cold safety | 7 | 3 | Critical safety data for pediatric use; hallucinations at 46.5% highly relevant to effects section |
| 24 | PubMed | antihistamine QT prolongation hERG cardiac first-generation | 3 | 1 | Confirms hERG blocking mechanism of first-generation antihistamines including DPH |
| 25 | PubMed | diphenhydramine Benadryl challenge social media TikTok adolescent | 1 | 1 | Critical harm reduction data and contemporary misuse pattern |
| 26 | NCBI Bookshelf | diphenhydramine pharmacology mechanism | 1 | 1 | Authoritative reference with specific PK values |
| 27 | WebSearch | diphenhydramine Australia Schedule 4 2026 TGA rescheduling | 10 | 2 | Critical recent legal status change |
| 28 | PubMed | diphenhydramine H1 receptor binding crystal structure | 5 | 2 | H1R structural pharmacology context |
| 29 | PubMed | restless legs syndrome antihistamine worsening | 1 | 1 | Important contraindication for DPH use as sleep aid |
| 30 | DOI verification via Crossref | verify DOIs for key citations | 3 | 1 | DOI verification for key high-impact citations |
| 31 | PubChem CID 3100 | diphenhydramine chemical identity SMILES formula | 1 | 1 | Chemical identity verification for seed data |
202 claims by section — every cited sentence, checked against its source
safety58 · 1 ok
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Physostigmine, an acetylcholinesterase inhibitor, reverses the syndrome and is associated with fewer intubations and ICU admissions compared to non-antidote therapy in a cohort of 141 patients.partially supported
Retrospective analysis of 815 anticholinergic toxidrome patients; physostigmine associated with lower intubation rate (1.9% vs 8.4%). s13181-014-0452-x
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pharmacology44 · 0 ok
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neuroscience18 · 0 ok
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comparative-pharmacology16 · 0 ok
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summary16 · 0 ok
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chemistry14 · 0 ok
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clinical-evidence14 · 0 ok
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history12 · 0 ok
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pharmacokinetic-detail6 · 0 ok
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