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Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

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Other<br />

Death<br />

(2002): Avarello TP+, Neurol Sci 23, S55 (from contaminants)<br />

Fever<br />

(2002): Avarello TP+, Neurol Sci 23, S55<br />

Note: Tryptophan is an essential amino acid. It is a precursor of<br />

serotonin <strong>and</strong> is also converted to nicotinic acid <strong>and</strong> nicotinamide<br />

TURMERIC<br />

Scientific names: Curcuma aromatica; Curcuma domestica;<br />

Curcuma longa; Curcuma xanthorrhiza<br />

Family: Zingiberaceae<br />

Trade <strong>and</strong> other common names: Calebin-A; Chiang Huang;<br />

Curcumin; E100; Haridra; Indian Saffron; Jiang Huang; Yellow<br />

Root; Yu Jin; Zedoary<br />

Category: Anti-inflammatory; TNF inhibitor<br />

Purported indications <strong>and</strong> other uses: Arthritis,<br />

anticarcinogen, stimulant, carminative, amenorrhea, angina,<br />

asthma, colorectal cancer, delirium, diarrhea, dyspepsia,<br />

flatulence, hemorrhage, hepatitis, hypercholesterolemia,<br />

hypertension, jaundice, mania, menstrual disorders, ophthalmia,<br />

tendonitis. Topical: conjuctivitis, skin cancer, smallpox,<br />

chickenpox, leg ulcers. Food coloring in cheese, margarine,<br />

sweets, snack foods, cosmetics, essential oil in perfumes, culinary<br />

spice<br />

Half-life: N/A<br />

Reactions<br />

Skin<br />

Allergic reactions (sic) (rare)<br />

Dermatitis<br />

(1997): Hata M+, Contact Dermatitis 36(2), 107<br />

(1993): Futrell JM+, Cutis 52(5), 288<br />

(1987): Goh CL+, Contact Dermatitis 17(3), 186<br />

Note: Persons with symptoms of gallstones or obstruction of bile<br />

passages should avoid turmeric<br />

UNOPROSTONE<br />

Synonym: UF-021<br />

Trade name: Rescula (Novartis)<br />

Indications: Open-angle glaucoma<br />

Category: Prostagl<strong>and</strong>in<br />

Half-life: 14 minutes<br />

Reactions<br />

Skin<br />

Allergic reactions (sic) (1–10%)<br />

Diaphoresis<br />

Irritation<br />

(1999): Hejkal TW+, Semin Ophthalmol 14, 114<br />

Shivering<br />

Mucosal<br />

Xerostomia<br />

(1998): Stewart WC+, JGlaucoma7, 388<br />

(1996): Haria M+, <strong>Drug</strong>s Aging 9, 213<br />

(1993): Azuma I+, Jpn J Ophthalmol 37, 514<br />

Eyes<br />

Eyelashes – hypertrichosis<br />

(1999): Hejkal TW+, Semin Ophthalmol 14, 114<br />

Eyelid edema<br />

Ocular burning (10–25%)<br />

(2003): Hommer A+, Br J Ophthalmol 87(5), 592 (with timolol)<br />

Ocular edema<br />

(2005): Arcieri ES+, Arch Ophthalmol 123(2), 186<br />

Ocular erythema<br />

(2001): Aung T+, Am J Ophthalmol 131(5), 636<br />

Ocular pigmentation<br />

(2002): Novack GD+, JAmGeriatrSoc50(5), 956<br />

(2002): Stjernschantz JW+, Surv Ophthalmol 47, S162<br />

(1999): Hejkal TW+, Semin Ophthalmol 14, 114<br />

Ocular pruritus (10–25%)<br />

Ocular stinging (10–25%)<br />

(2003): Hommer A+, Br J Ophthalmol 87(5), 592 (with timolol)<br />

Other<br />

Myalgia/Myositis/Myopathy/Myotoxicity<br />

URACIL/TEGAFUR<br />

Synonyms: UFT; TS-1; Ftorafur<br />

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

Indications: Metastatic colorectal cancer<br />

Category: Folic acid antagonist<br />

Half-life: 6.5 hours<br />

Clinically important, potentially hazardous interactions<br />

with: allopurinol, cimetidine, clozapine, metronidazole,<br />

phenytoin, warfarin<br />

Note: Tegafur is a prodrug of fluorouracil<br />

Reactions<br />

URACIL/TEGAFUR 563<br />

Skin<br />

Acral erythema<br />

(1997): Bastida J+, Acta Derm Venereol 77(1), 72<br />

(1995): Jucgla A+, Arch Dermatol 131(3), 364<br />

Dermatitis<br />

(1990): Unda Urzaiz M+, Arch Esp Urol 43(2), 143<br />

Dermatomyositis<br />

(1997): Akiyama C+, Acta Derm Venereol 77(6), 490<br />

Eczema<br />

(1986): Horio T+, Photodermatol 3(3), 192<br />

Edema<br />

(1998): Mani S+, Ann Oncol 9(9), 1035<br />

H<strong>and</strong>–foot syndrome<br />

(2000): Lin JK+, Jpn J Clin Oncol 30(11), 510 (2 cases)<br />

(1997): Bastida J+, Acta Derm Venereol 77(1), 72<br />

(1997): Rios-Buceta L+, Acta Derm Venereol 77(1), 80<br />

(1995): Jucgla A+, Arch Dermatol 131(3), 364<br />

(1991): Camps C+, Rev Clin Esp 188(3), 165<br />

Keratoderma<br />

(1998): Won YH+, Int J Dermatol 37(4), 315<br />

(1995): Jucgla A+, Arch Dermatol 131(3), 364<br />

Lupus erythematosus<br />

(2001): Yoshimasu T+, Eur J Dermatol 11(1), 54<br />

Mucha–Habermann disease<br />

(1999): Kawamura K+, JDermatol26(3), 164<br />

Palmar–plantar pigmentation<br />

(1991): Llistosella E+, Cutis 48(3), 205<br />

Photosensitivity<br />

(1997): Usuki A+, Int J Dermatol 36(8), 604<br />

(1986): Horio T+, Photodermatol 3(3), 192

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