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Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

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40 APRACLONIDINE<br />

Mucosal<br />

Xerostomia (1–10%)<br />

(1987): Abrams DA+, Arch Ophthalmol 105, 1205 (52%)<br />

Eyes<br />

Eyelid edema (0.5%)<br />

Edema (>0.5%)<br />

Rash (sic) (>0.5%)<br />

Stevens–Johnson syndrome<br />

Urticaria<br />

Mucosal<br />

Mucocutaneous reactions (sic)<br />

Sialorrhea (>0.5%)<br />

Hair<br />

Hair – alopecia (>0.5%)<br />

Other<br />

Abdominal pain (>0.5%)<br />

Cough (>0.5%)<br />

Fever<br />

Infections<br />

(2004): D<strong>and</strong>o TM+, <strong>Drug</strong>s 64(7), 777<br />

(2003): Chawla SP+, Cancer 97(9), 2290 (13%)<br />

Myalgia/Myositis/Myopathy/Myotoxicity (>0.5%)<br />

Upper respiratory infection (>0.5%)<br />

*Note: Aprepitant treatment is given along with a 5-HT3-receptor<br />

antagonist <strong>and</strong> dexamethasone<br />

APROBARBITAL<br />

Trade name: Alurate (Roche)<br />

Indications: Short-term sedation, sleep induction<br />

Category: Barbiturate<br />

Half-life: 14–34 hours<br />

Clinically important, potentially hazardous interactions<br />

with: alcohol, brompheniramine, buclizine, dicumarol,<br />

ethanolamine, warfarin<br />

Reactions<br />

Skin<br />

Angioedema<br />

Exanthems<br />

Exfoliative dermatitis<br />

Purpura<br />

Rash (sic)<br />

Stevens–Johnson syndrome<br />

Urticaria<br />

Other<br />

Rhabdomyolysis<br />

(1990): Larpin R+, Presse Med 19(30), 1403<br />

Serum sickness<br />

APROTININ<br />

Trade name: Trasylol (Bayer)<br />

Indications: For prophylactic use to reduce blood loss in patients<br />

undergoing coronary artery bypass surgery<br />

Category: Antifibrinolytic; Protease inhibitor<br />

Half-life: 150 minutes<br />

Reactions<br />

Skin<br />

Allergic reactions (sic) (0.5%)<br />

(1994): Bayo M+, Rev Esp Anestesiol Reanim (Spanish) 41, 123<br />

(1983): Freeman JG+, Curr Med Res Opin 8, 559 (2 cases)<br />

Angioedema<br />

Erythema<br />

Exanthems<br />

(2000): Beierlein W+, Transfusion 40, 302 (generalized)<br />

Pruritus<br />

Rash (sic)<br />

Urticaria<br />

Other<br />

Anaphylactoid reactions/Anaphylaxis (0.5%)<br />

(2007): Kaddoum RN+, J Cardiothorac Vasc Anesth 21(2), 243<br />

(2007): Umeda Y+, Kyobu Geka 60(1), 69<br />

(2005): Shirai T+, Intern Med 44(10), 1088<br />

(2001): Dietrich W+, Anesthesiology 95(1), 64<br />

(2000): Beierlein W, Ann Thorac Surg 69, 1298<br />

(2000): Laxenaire MC+, AnnFrAnesthReanim(French) 19, 96<br />

(2000): Pecquet C+, Ann Fr Anesth 19(10), 755<br />

(1999): Cohen DM+, Ann Thorac Surg 67, 837<br />

(1999): Laxenaire MC, AnnFrAnesthReanim(French) 18, 796 (4<br />

cases)<br />

(1999): Ong BC+, Anaesth Intensive Care 27, 538<br />

(1999): Ryckwaert Y+, AnnFrAnesthReanim(French) 18, 904<br />

(1998): Scheule AM+, Gastrointest Endosc 48, 83<br />

(1997): Dietrich W+, J Thorac Cardiovasc Surg 113, 194<br />

(1997): Orsel I+, AnnFrAnesthReanim(French) 16, 292<br />

(1997): Scheule AM+, Ann Thorac Surg 63, 242

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