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Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

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ATAZANAVIR<br />

Trade name: Reyataz (Bristol-Myers Squibb)<br />

Indications: HIV infection<br />

Category: Antiretroviral; Protease inhibitor, HIV<br />

Half-life: 7 hours<br />

Clinically important, potentially hazardous interactions<br />

with: bepridil, cisapride, dasatinib, dofetilide, ergot derivatives,<br />

fentanyl, garlic, indinavir, irinotecan, lapatinib, lovastatin,<br />

marihuana, midazolam, pimozide, proton-pump inhibitors,<br />

rifampin, ritonavir, sildenafil, simvastatin, solifenacin, St John’s<br />

wort, temsirolimus, triazolam<br />

Reactions<br />

Skin<br />

Allergic reactions (sic)<br />

Burning<br />

Cellulitis<br />

Diaphoresis<br />

Eczema<br />

Edema<br />

Fungal dermatitis<br />

Jaundice<br />

(2003): Murphy RL+, AIDS 17(18), 2603<br />

(2003): Sanne I+, J Acquir Immune Defic Syndr 32(1), 18<br />

Pallor<br />

Peripheral edema<br />

Photosensitivity<br />

Pruritus<br />

Purpura<br />

Rash (sic) (20%)<br />

(2006): Ouagari Z+, AIDS 20(8), 1207<br />

(2004): Busti AJ+, Pharmacotherapy 24(12), 1732<br />

Seborrhea<br />

Urticaria<br />

Vesiculobullous eruption<br />

Xerosis<br />

Mucosal<br />

Aphthous stomatitis<br />

Hair<br />

Hair – alopecia<br />

Nails<br />

Nails – changes (sic)<br />

Other<br />

Abdominal pain<br />

(2004): Busti AJ+, Pharmacotherapy 24(12), 1732<br />

Cough<br />

Fever<br />

Gynecomastia<br />

Infections (~50%)<br />

(2004): Busti AJ+, Pharmacotherapy 24(12), 1732<br />

Lipoatrophy<br />

Myalgia/Myositis/Myopathy/Myotoxicity<br />

Neurotoxicity<br />

(2004): Busti AJ+, Pharmacotherapy 24(12), 1732<br />

Pain (3%)<br />

ATENOLOL<br />

Trade names: Antipressan; Apo-Atenol; AteHexal; Atendol;<br />

Evitocor; Noten; Novo-Atenol; Nu-Atenol; Taro-Atenol; Tenolin;<br />

Tenoretic (AstraZeneca); Tenormin (AstraZeneca); Tenormine<br />

Indications: Angina, hypertension, acute myocardial infarction<br />

Category: Adrenergic beta-receptor antagonist; Antiarrhythmic<br />

class II<br />

Half-life: 6–7 hours (adults)<br />

Clinically important, potentially hazardous interactions<br />

with: alfuzosin, cisplatin, clonidine, epinephrine, verapamil<br />

Tenoretic is atenolol <strong>and</strong> chlorthalidone<br />

Reactions<br />

Skin<br />

Dermatitis<br />

Diaphoresis<br />

Edema<br />

Erythema multiforme<br />

Exanthems<br />

Facial edema<br />

Fixed eruption<br />

(1999): Palungwachira P+, J Med Assoc Thai 82, 1158<br />

Grinspan’s syndrome*<br />

(1990): Lamey PJ+, Oral Surg Oral Med Oral Pathol 70, 184<br />

Hyperkeratosis (palms <strong>and</strong> soles)<br />

Lichenoid eruption<br />

Lupus erythematosus<br />

(1997): McGuiness M+, JAmAcadDermatol37, 298<br />

(1986): Gouet D+, J Rheumatol 13, 446<br />

Necrosis<br />

Papulo-nodular lesions<br />

(1992): Shelley WB+, Cutis 50, 87 (observation)<br />

Photosensitivity<br />

Pityriasis rubra pilaris<br />

Pruritus (1–5%)<br />

Psoriasis<br />

(2002): Yilmaz MB+, Angiology 53(6), 737<br />

(1990): Wakefield PE+, Arch Dermatol 126, 968 (exacerbation)<br />

(1990): Wolf R, Dermatologica 181, 51<br />

(1988): Gold MH+, JAmAcadDermatol19, 837<br />

(1988): Heng MCY+, Int J Dermatol 27, 619<br />

(1986): Abel EA+, JAmAcadDermatol15, 1007<br />

(1984): Gawkrodger DJ+, Clin Exp Dermatol 9, 92<br />

Purpura<br />

Rash (sic)<br />

(1987): Bolzano K+, J Cardiovasc Pharmacol 9 (Suppl 3), S43<br />

Raynaud’s phenomenon<br />

(1987): Naeyaert JM+, Br J Dermatol 117, 371<br />

Toxic epidermal necrolysis<br />

Urticaria<br />

(1989): Wolf R+, Cutis 43, 231<br />

(1988): Howard PJ+, Scott Med J 33, 344<br />

Vasculitis<br />

(1989): Wolf R+, Cutis 43, 231<br />

Vitiligo<br />

Xerosis<br />

Mucosal<br />

Oral lichenoid eruption<br />

(1990): Lamey PJ+, Oral Surg Oral Med Oral Pathol 70, 184<br />

Hair<br />

Hair – alopecia<br />

(1991): Shelley WB+, Cutis 48, 368 (observation)<br />

ATENOLOL 49

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