Drug Allergy- Causes, Symptoms, and Treatment
Medikoe Wellness Expert
80 feet road indira nagar, Bengaluru Feb 9, 2017
Drug allergy is an abnormal reaction of the immune system to a certain medication. Any medicines, over the counter prescriptions, are capable of inducing a drug allergy.
The very common symptoms of drug allergy are hives, rash or fever.
Drug allergy is not the same as a drug side effect and drug toxicity which is caused by an overdose of medication.
Symptoms of Drug Allergy
Symptoms of drug allergy occur within an hour after taking medicine. Other reactions may occur days or weeks later.
The symptoms of drug allergy include:
Anaphylaxis is a very rare, life-threatening reaction to a drug allergy that causes dysfunction of the body systems. The symptoms of anaphylaxis are-
- Rapid pulse
- Loss of consciousness
- Abdominal cramps
- Trouble in breathing
Other conditions caused by Drug Allergy
Less common drug allergy reactions happen days or weeks after exposure to a drug. These conditions involve:
- Drug-induced anaemia
- Drug rash with eosinophilia and systemic symptoms
- Serum sickness
- Inflammation in the kidneys
Causes of Drug Allergy
A drug allergy occurs when the immune system by mistake identifies a drug as a harmful substance such as a virus or bacteria. When your immune system detects a drug as a harmful substance, it will develop an antibody specific to that drug. Sometimes an allergy does not develop until there have been repeated exposures.
Drugs commonly linked to Allergies
Any drug can cause an allergic reaction, but some drugs are more commonly associated with allergies. The drugs are:
- Antibiotics, such as penicillin
- Pain relievers which include aspirin, ibuprofen and naproxen sodium
- Chemotherapy drugs for treating cancer
- Medications for autoimmune diseases such as rheumatoid arthritis
Sometimes a drug produces symptoms the same as those of a drug allergy, but the drug reaction is not triggered by immune system activity. A few drugs that are commonly associated with this condition include:
- Dyes used in imaging tests
- Opiates for treating pain
- Local anaesthetics
Who can you prevent Drug Allergy?
If you have a drug allergy, then you should try to avoid the drug. Make sure that the particular drug is identified in your medical records.
Try wearing a medical alert bracelet that identifies your drug allergy.
Diagnosis of Drug Allergy
Studies have found that drug allergies might be overdiagnosed and that patients might report drug allergies that have never been confirmed. The doctor will do the physical examination and ask you about your medical history. The doctor will ask you about your symptoms, the time you took medications.
The doctor may ask for other tests, which include the following:
In a skin test, the allergist administers a small amount of a suspect drug to your skin either with a patch, a tiny needle, or an injection. A positive reaction to a test will cause an itchy, red, raised bump and suggests that you may have a drug allergy.
A negative result suggests that you are not allergic to that particular drug.
The doctor may order blood tests for detecting allergic reactions to certain drugs. These tests are not performed often because of limited research on their accuracy.
What does the result of the diagnosis say?
The doctor, after analysing your results, can reach one of the following conclusions:
- You have a drug allergy
- You don't have a drug allergy
- You may have a drug allergy, with varying degrees of certainty
With the help of these conclusions, the doctor makes future treatment decisions.
Treatment of Drug Allergy
Drug allergy can be treated in two ways:
- Treatment that may enable you to take an allergy-causing drug in case it is medically necessary.
- Treatment for present allergy symptoms
Treating current symptoms
The following methods are used to treat an allergic reaction to a drug:
Withdrawal of the drug- If the diagnosis of any particular drug comes positive, then the doctor may ask you to discontinue the drug. In a lot of cases, this may be the only treatment for drug allergy.
Antihistamines- The doctor may recommend antihistamines to block immune system chemicals activated during an allergic reaction.
Corticosteroids- Oral or injected corticosteroids are used to treat inflammation associated with more serious reactions.
Treatment of Anaphylaxis- The treatment of anaphylaxis requires an immediate injection as well as hospital care to maintain blood pressure and support breathing.
Taking allergy-causing drugs
If you are allergic to any drug, your doctor will not prescribe that drug until necessary. The doctor provides careful supervision and supportive care to treat an adverse reaction.
If the drug allergy diagnosis is uncertain, then the doctor may recommend a graded drug challenge. In this procedure, the doctor gives you two to five doses of the drug, starting with a little dose and increasing to the desired dose.
If it is necessary to take the drug that causes an allergic reaction, the doctor may recommend a drug desensitisation treatment. In this treatment, a very small dose and then gradually larger doses every 15 to 30 minutes over several hours or days is administered. If you reach the desired dosage with no reaction, then you can continue the treatment.
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