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Drug Eruption and Interactions - PHARMACEUTICAL REVIEW

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584 ZICONOTIDE<br />

Note: *Ziconotide is a synthetic analog of a substance isolated from<br />

the venom of carnivorous oceanic snails that sting their prey with a<br />

cocktail of neurotoxins injected through a harpoon-like tube.<br />

Ziconotide is 100 to 1,000 times more powerful than morphine.<br />

ZIDOVUDINE<br />

Synonyms: azidothymidine; AZT; compound S<br />

Trade names: Combivir (GSK) (Shire); Novo-AZT; Retrovir<br />

(GSK); Retrovis; Trizivir<br />

Indications: HIV infection<br />

Category: Antiretroviral; Nucleoside analog reverse<br />

transcriptase inhibitor<br />

Half-life: 1 hour<br />

Clinically important, potentially hazardous interactions<br />

with: clarithromycin, ganciclovir, PEG-interferon, ribavirin<br />

Reactions<br />

Skin<br />

Acne (5%)<br />

(1988): McEvoy GK, Am Hosp Formulary Service: <strong>Drug</strong> Info 392<br />

Purpura<br />

Rash (sic) (17%)<br />

(1996): Henry K+, AnnInternMed124, 855<br />

(1987): Richman DD+, NEnglJMed317, 192<br />

Stevens–Johnson syndrome<br />

(2003): Rotunda A+, Acta Derm Venereol 83(1), 1<br />

(1989): Langtry HD+, <strong>Drug</strong>s 37, 408<br />

(1989): Yarchoan R+, NEnglJMed321, 726<br />

Toxic epidermal necrolysis<br />

(2003): Rotunda A+, Acta Derm Venereol 83(1), 1<br />

(1996): Murri R+, Clin Infect Dis 23, 640<br />

Urticaria (5%)<br />

(1989): Gelman K+, AIDS 3, 555 (>5%)<br />

Oral pigmentation<br />

(1991): Poizot-Martin I+, Presse Med (French) 20, 632<br />

(1991): Tadini G+, Arch Dermatol 127, 267<br />

(1990): Ficarra G+, Oral Surg Oral Med Oral Pathol 70, 748<br />

(1990): Grau-Massanes M+, JAmAcadDermatol22, 687<br />

(1990): Greenberg RG+, JAmAcadDermatol22, 327<br />

(1990): Poizot-Martin I+, Int Conf AIDS 6, 357<br />

(1989): Merenich JA+, Am J Med 86, 469<br />

Oral ulceration (

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