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Severe reactions

Updated this week

The information provided on this article is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. While we strive to present accurate and up-to-date details about potential side effects, individual experiences may vary. Always consult a qualified healthcare provider before starting, changing, or discontinuing any medication or treatment. If you experience severe or unexpected side effects, seek medical attention immediately.

What are severe medication reactions?

Severe medication reactions are serious adverse effects that occur in response to taking medication. These reactions go beyond mild side effects and may require immediate medical attention. They can affect various body systems and may be life-threatening in some cases.

Common types of severe reactions

  • Anaphylaxis: A severe, potentially life-threatening allergic reaction that can cause difficulty breathing, swelling, hives, and a drop in blood pressure

  • Stevens-Johnson Syndrome (SJS): A rare but serious disorder affecting the skin and mucous membranes, causing rash, blisters, and shedding of skin

  • Toxic Epidermal Necrolysis (TEN): Similar to SJS but more severe, affecting larger areas of the body

  • Drug-induced liver injury: Damage to the liver cells that may lead to elevated liver enzymes, jaundice, or liver failure

  • Severe cutaneous adverse reactions (SCARs): A group of serious skin reactions that may include extensive rash, fever, and internal organ involvement

Warning signs to watch for

  • Skin: Widespread rash, blisters, peeling skin, or unusual bruising

  • Breathing: Shortness of breath, wheezing, or chest tightness

  • Swelling: Of the face, lips, tongue, or throat

  • Digestive system: Severe abdominal pain, persistent vomiting, or bloody diarrhoea

  • Neurological: Severe headache, confusion, seizures, or extreme drowsiness

  • Other: High fever, yellowing of the skin or eyes (jaundice), or unusual bleeding

When to seek emergency help

Call emergency services (000) immediately if you experience:

  • Difficulty breathing or swallowing

  • Swelling of the face, lips, tongue, or throat

  • Severe, rapidly spreading rash or blisters

  • Chest pain or rapid heartbeat

  • Loss of consciousness

  • Severe dizziness or inability to stand

Management and treatment

Treatment for severe medication reactions depends on the specific type and severity, but may include:

  • Discontinuation of the suspected medication (under medical supervision)

  • Antihistamines for allergic reactions

  • Corticosteroids to reduce inflammation

  • Adrenaline for anaphylaxis

  • Hospitalisation for monitoring and supportive care

  • Specialised care for specific reactions like SJS/TEN or organ damage

Prevention tips

  • Always inform healthcare providers about all medications you are taking

  • Provide a complete allergy history to your healthcare providers

  • Wear a medical alert bracelet if you have known severe drug allergies

  • Follow medication dosing instructions exactly

  • Do not take medications prescribed for someone else

  • Ask your doctor or pharmacist about potential drug interactions

Long-term considerations

After experiencing a severe medication reaction:

  • Document the reaction thoroughly for future medical care

  • Consider genetic testing if recommended by your doctor

  • Be vigilant about checking ingredients in all medications

  • Schedule regular follow-up appointments to monitor recovery

Conclusion

Severe medication reactions, while rare, require immediate attention and proper management. Being informed about potential risks and knowing when to seek medical help can be life-saving. Always communicate openly with your healthcare providers about your medications and any reactions you experience.

Remember that most people take medications without experiencing severe reactions, but staying vigilant and educated about warning signs ensures you can respond quickly if needed. Your healthcare team is your best resource for personalised guidance about medication safety.

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