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Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

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450 PREDNISOLONE<br />

PREDNISOLONE<br />

Trade names: Blephamide (Allergan); Delta-Cortef (Pharmacia);<br />

Hydeltrasol (Merck); Inflamase (Novartis); Pediapred (UCB);<br />

Prelone (Teva)<br />

Indications: Arthralgias, Asthma, Dermatoses, Ophthalmology<br />

(many others)<br />

Category: Corticosteroid, systemic<br />

Half-life: N/A<br />

Clinically important, potentially hazardous interactions<br />

with: aluminum, carbamazepine, carbimazole, cyclosporine,<br />

daclizumab, diuretics, etoposide, etretinate, grapefruit juice,<br />

indomethacin, isoniazid, itraconazole, ketoconazole, licorice, live<br />

vaccines, methotrexate, naproxen, oral contraceptives,<br />

pancuronium, phenobarbital, phenytoin, rifampicin, theophylline,<br />

trole<strong>and</strong>omycin<br />

Reactions<br />

Skin<br />

Acanthosis nigricans (sic)<br />

(2000): Ozerdem U+, Am J Ophthalmol 130(2), 240<br />

Acne<br />

(2004): Escher JC, Eur J Gastroenterol Hepatol 16(1), 47<br />

(2003): Richardus JH+, Lepr Rev 74(4), 319<br />

Acute generalized exanthematous pustulosis<br />

(2006): Buettiker U+, Dermatology 213(1), 40<br />

Allergic reactions<br />

(2000): Bircher AJ+, Dermatology 200(4), 349<br />

(1999): Burova K+, Br J Dermatol 141(3), 597<br />

Atrophy<br />

Bruising<br />

(2001): Walsh LJ+, Thorax 56(4), 279<br />

Dermatitis<br />

(2000): Bircher AJ+, Dermatology 200(4), 349<br />

(2000): Harris A+, Australas J Dermatol 41(2), 124<br />

(1998): Isaksson M+, Am J Contact Dermat 9(2), 136<br />

Erythema<br />

(1999): Alexiou C+, Laryngorhinootologie 78(10), 573<br />

(1998): Alexiou C+, Arch Otolaryngol Head Neck Surg<br />

124(11), 1260<br />

Erythema multiforme<br />

(2004): Sen P+, Ann Acad Med Singapore 33(6), 793 (recurrence)<br />

(1999): Lew DB+, Pediatr Dermatol 16(2), 146<br />

Exanthems<br />

(2005): Padial A+, Allergy 60(5), 665<br />

(2000): Bircher AJ+, Dermatology 200(4), 349<br />

(2000): Chew AL+, Cutis 65(5), 307<br />

Kaposi’s sarcoma<br />

(2004): Elliott AM+, JInfectDis190(5), 869<br />

(2001): Sato-Matsumura KC+, Br J Dermatol 145(4), 633<br />

(1997): Halpern SM+, Br J Dermatol 137(1), 140 (with<br />

azathioprine)<br />

Pruritus<br />

(1999): Alexiou C+, Laryngorhinootologie 78(10), 573<br />

(1998): Alexiou C+, Arch Otolaryngol Head Neck Surg<br />

124(11), 1260<br />

Psoriasis<br />

(2006): Elston GE+, Clin Exp Dermatol 31(1), 133 (pustular)<br />

(generalized)<br />

Squamous cell carcinoma<br />

(1999): Ahuja M+, Am J Kidney Dis 34(3), 521 (with azathioprine)<br />

Stevens–Johnson syndrome<br />

(2003): Jo DS+, Pediatr Nephrol 18(9), 959<br />

Thinning<br />

(2003): Schou AJ+, J Pediatr Endocrinol 16(7), 973<br />

Toxicoderma<br />

(1996): Mathelier-Fusade P+, Ann Dermatol Venereol 123(8), 453<br />

Urticaria<br />

(2005): Padial A+, Allergy 60(5), 665<br />

Hair<br />

Hair – hypertrichosis<br />

Eyes<br />

Cataract<br />

(2003): Richardus JH+, Lepr Rev 74(4), 319<br />

(2001): Walsh LJ+, Thorax 56(4), 279<br />

(1998): Dasgupta B+, Br J Rheumatol 37(2), 189<br />

Chorioretinopathy<br />

(2004): Koyama M+, Ophthalmologica 218(2), 107<br />

(1997): Wakakura M+, Jpn J Ophthalmol 41(3), 180<br />

Diplopia<br />

(1997): Brocq O+, Presse Med 26(6), 271<br />

Glaucoma<br />

(2003): Richardus JH+, Lepr Rev 74(4), 319<br />

(1995): Kong L+, Yan Ke Xue Bao 11(1), 53<br />

Ocular burning<br />

Ocular pain<br />

Ocular pressure<br />

(2004): Tham CC+, Am J Ophthalmol 137(1), 198<br />

(2000): Ozerdem U+, Am J Ophthalmol 130(2), 240<br />

Ocular stinging<br />

Vision blurred<br />

(2000): Ozerdem U+, Am J Ophthalmol 130(2), 240<br />

Other<br />

Adverse effects (sic)<br />

(2004): Gotzsche PC+, Cochrane Database Syst Rev f(3), CD00<br />

Anaphylactoid reactions/Anaphylaxis<br />

(2005): Erdmann SM+, JAmBoardFamPract18(2), 143<br />

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

(2002): Tanaka H+, Pediatr Int 44(6), 702<br />

(2001): Walsh LJ+, Thorax 56(4), 279<br />

Infections<br />

(2004): Lamb SR+, Clin Exp Dermatol 29(3), 254<br />

(2003): Kunisada M+, Int J Dermatol 42(9), 710<br />

(2003): Richardus JH+, Lepr Rev 74(4), 319<br />

(2002): Han BG+, Yonsei Med J 43(5), 686<br />

(2001): Polnau U+, Z Rheumatol 60(1), 41<br />

(2001): Yasumi M+, Rinsho Ketsueki 42(8), 601<br />

(2000): Hovi L+, Bone Marrow Transplant 26(9), 999<br />

(2000): Maeno Y+, Respirology 5(4), 393<br />

(1999): Ahuja M+, Am J Kidney Dis 34(3), 521 (with azathioprine)<br />

(1999): Matsuda K+, J Gastroenterol 34(3), 390<br />

(1998): Matsuno O+, Am J Trop Med Hyg 59(1), 42 (with<br />

melphalan)<br />

(1998): Yagi T+, Kekkaku 73(9), 557<br />

(1996): Gallardo D+, Bone Marrow Transplant 18(6), 1135<br />

Lipomatosis<br />

(2000): Jalladeau E+, Rev Neurol (Paris) 156(5), 517<br />

Myalgia/Myositis/Myopathy/Myotoxicity<br />

(2003): Kumar S, Neurol India 51(4), 554<br />

(2001): Walsh LJ+, Thorax 56(4), 279<br />

Side effects (sic)<br />

(2004): Potter JM+, Ther <strong>Drug</strong> Monit 26(4), 408<br />

(2001): Macchia PE+, J Endocrinol Invest 24(3), 152<br />

(2000): Eastell R+, Osteoporos Int 11(4), 331<br />

(2000): Ozaki D+, J Nippon Med Sch 67(4), 271<br />

Toxicity (sic)<br />

(2000): Hiraoka M+, Kidney Int 58(3), 1247<br />

Tumors<br />

(2000): de Bono JS+, Ann Oncol 11(6), 749

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