Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

Drug Eruption and Interactions - PHARMACEUTICAL REVIEW Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

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Chills (5–10%) Hypersensitivity (

406 ORAL CONTRACEPTIVES Mucosal Gingival hyperplasia/hypertrophy Oral pigmentation (1980): Hertz RS+, J Am Dent Assoc 100, 713 (gingival) Hair Hair – alopecia (1989): Burke KE, Postgrad Med 85, 52 (1987): Kovacs G+, Australasian J Dermatol 28, 86 (1982): Hauser GA+, Int J Tissue React 4, 159 (1981): Scholz C+, Zentralbl Gynakol (German) 103, 1158 Hair – alopecia areata Hair – hirsutism (1994): Burdova M+, Ceska Gynekol (Czech) 59, 62 (1987): Kovacs G+, Australasian J Dermatol 28, 86 (1981): Scholz C+, Zentralbl Gynakol (German) 103, 1158 Nails Nails – onycholysis Other Application-site reactions (sic) (92%) (2002): Sibai BM+, Fertil Steril 77(2 Suppl 2), S19 (patch) (92%) Candidiasis (1983): Lebherz TB+, Clin Ther 5, 409 Porphyria cutanea tarda (2001): Emri G+, Orv Hetil 142(47), 2635 (1992): McKenna KE+, Br J Dermatol 127, 401 (1983): Doss M, Dtsch Med Wochenschr (German) 108, 1857 (1983): Zaumseil RP+, Zentralbl Gynakol (German) 105, 527 (1982): Zaumseil RP+, ZGesamteInMed(German) 37, 703 (1981): Fiedler H+, Dermatol Monatsschr (German) 167, 481 Porphyria variegata Pseudoporphyria (2003): Silver EA+, Arch Dermatol 139, 227 Thrombophlebitis (1985): Taylor F, Aust Fam Physician 14(8), 744 ORLISTAT Trade name: Xenical (Roche) Indications: Obesity, weight reduction Category: Lipase inhibitor Half-life: 1–2 hours Clinically important, potentially hazardous interactions with: cyclosporine, warfarin Reactions Skin Dermatitis Lichenoid eruption (2006): Sergeant A+, Br J Dermatol 154(5), 1020 Nodular eruption Rash (sic) (4.3%) Xerosis Mucosal Gingivitis (4.1%) Vaginitis (3.8%) (2006): Acharya NV+, Int J Obes (Lond) 30(11), 1645 Other Abdominal pain (2006): Acharya NV+, Int J Obes (Lond) 30(11), 1645 Hepatotoxicity (2006): Umemura T+, Am J Med 119(8), e7 Myalgia/Myositis/Myopathy/Myotoxicity (4.2%) Tendinopathy/Tendon rupture ORPHENADRINE Trade names: Banflex (Forest); Biorfen; Biorphen; Disipal; Distalene; Flexojet; Flexon; Myolin; Norflex (3M); Norgesic; Opheryl; Orfenace; Prolongatum Indications: Painful musculoskeletal conditions Category: Central muscle relaxant; Muscarinic antagonist Half-life: 14 hours Reactions Skin Exanthems Fixed eruption (1998): Mahboob A+, Int J Dermatol 37, 833 Pigmentation Pruritus Rash (sic) (1–10%) Urticaria Mucosal Xerostomia Other Anaphylactoid reactions/Anaphylaxis Embolia cutis medicamentosa (Nicolau syndrome) Hypersensitivity OSELTAMIVIR Trade name: Tamiflu (Roche) Indications: Influenza infection Category: Antiviral; Neuraminidase inhibitor Half-life: 6–10 hours Reactions Skin Rash (sic) (2005): Kaji M+, J Infect Chemother 11(1), 41 (2003): Li L+, Chin Med J (Engl) 116(1), 44 Toxic epidermal necrolysis (2006): Prescrire Int 15(85), 182 Other Cough (2002): Bowles SK+, JAmGeriatrSoc50(4), 608 Death (2006): Prescrire Int 15(85), 182 Myalgia/Myositis/Myopathy/Myotoxicity (2001): McNicholl IR+, Ann Pharmacother 35(1), 57 Neurotoxicity (2006): Prescrire Int 15(85), 182 Upper respiratory infection (2001): McNicholl IR+, Ann Pharmacother 35(1), 57

406 ORAL CONTRACEPTIVES<br />

Mucosal<br />

Gingival hyperplasia/hypertrophy<br />

Oral pigmentation<br />

(1980): Hertz RS+, J Am Dent Assoc 100, 713 (gingival)<br />

Hair<br />

Hair – alopecia<br />

(1989): Burke KE, Postgrad Med 85, 52<br />

(1987): Kovacs G+, Australasian J Dermatol 28, 86<br />

(1982): Hauser GA+, Int J Tissue React 4, 159<br />

(1981): Scholz C+, Zentralbl Gynakol (German) 103, 1158<br />

Hair – alopecia areata<br />

Hair – hirsutism<br />

(1994): Burdova M+, Ceska Gynekol (Czech) 59, 62<br />

(1987): Kovacs G+, Australasian J Dermatol 28, 86<br />

(1981): Scholz C+, Zentralbl Gynakol (German) 103, 1158<br />

Nails<br />

Nails – onycholysis<br />

Other<br />

Application-site reactions (sic) (92%)<br />

(2002): Sibai BM+, Fertil Steril 77(2 Suppl 2), S19 (patch) (92%)<br />

C<strong>and</strong>idiasis<br />

(1983): Lebherz TB+, Clin Ther 5, 409<br />

Porphyria cutanea tarda<br />

(2001): Emri G+, Orv Hetil 142(47), 2635<br />

(1992): McKenna KE+, Br J Dermatol 127, 401<br />

(1983): Doss M, Dtsch Med Wochenschr (German) 108, 1857<br />

(1983): Zaumseil RP+, Zentralbl Gynakol (German) 105, 527<br />

(1982): Zaumseil RP+, ZGesamteInMed(German) 37, 703<br />

(1981): Fiedler H+, Dermatol Monatsschr (German) 167, 481<br />

Porphyria variegata<br />

Pseudoporphyria<br />

(2003): Silver EA+, Arch Dermatol 139, 227<br />

Thrombophlebitis<br />

(1985): Taylor F, Aust Fam Physician 14(8), 744<br />

ORLISTAT<br />

Trade name: Xenical (Roche)<br />

Indications: Obesity, weight reduction<br />

Category: Lipase inhibitor<br />

Half-life: 1–2 hours<br />

Clinically important, potentially hazardous interactions<br />

with: cyclosporine, warfarin<br />

Reactions<br />

Skin<br />

Dermatitis<br />

Lichenoid eruption<br />

(2006): Sergeant A+, Br J Dermatol 154(5), 1020<br />

Nodular eruption<br />

Rash (sic) (4.3%)<br />

Xerosis<br />

Mucosal<br />

Gingivitis (4.1%)<br />

Vaginitis (3.8%)<br />

(2006): Acharya NV+, Int J Obes (Lond) 30(11), 1645<br />

Other<br />

Abdominal pain<br />

(2006): Acharya NV+, Int J Obes (Lond) 30(11), 1645<br />

Hepatotoxicity<br />

(2006): Umemura T+, Am J Med 119(8), e7<br />

Myalgia/Myositis/Myopathy/Myotoxicity (4.2%)<br />

Tendinopathy/Tendon rupture<br />

ORPHENADRINE<br />

Trade names: Banflex (Forest); Biorfen; Biorphen; Disipal;<br />

Distalene; Flexojet; Flexon; Myolin; Norflex (3M); Norgesic;<br />

Opheryl; Orfenace; Prolongatum<br />

Indications: Painful musculoskeletal conditions<br />

Category: Central muscle relaxant; Muscarinic antagonist<br />

Half-life: 14 hours<br />

Reactions<br />

Skin<br />

Exanthems<br />

Fixed eruption<br />

(1998): Mahboob A+, Int J Dermatol 37, 833<br />

Pigmentation<br />

Pruritus<br />

Rash (sic) (1–10%)<br />

Urticaria<br />

Mucosal<br />

Xerostomia<br />

Other<br />

Anaphylactoid reactions/Anaphylaxis<br />

Embolia cutis medicamentosa (Nicolau syndrome)<br />

Hypersensitivity<br />

OSELTAMIVIR<br />

Trade name: Tamiflu (Roche)<br />

Indications: Influenza infection<br />

Category: Antiviral; Neuraminidase inhibitor<br />

Half-life: 6–10 hours<br />

Reactions<br />

Skin<br />

Rash (sic)<br />

(2005): Kaji M+, J Infect Chemother 11(1), 41<br />

(2003): Li L+, Chin Med J (Engl) 116(1), 44<br />

Toxic epidermal necrolysis<br />

(2006): Prescrire Int 15(85), 182<br />

Other<br />

Cough<br />

(2002): Bowles SK+, JAmGeriatrSoc50(4), 608<br />

Death<br />

(2006): Prescrire Int 15(85), 182<br />

Myalgia/Myositis/Myopathy/Myotoxicity<br />

(2001): McNicholl IR+, Ann Pharmacother 35(1), 57<br />

Neurotoxicity<br />

(2006): Prescrire Int 15(85), 182<br />

Upper respiratory infection<br />

(2001): McNicholl IR+, Ann Pharmacother 35(1), 57

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