Zomepirac

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Zomepirac Anaphylaxis Three middle-aged patients who were fundamentally healthy (one patient was taking methyclothiazide for hypertension) developed symptoms and signs of anaphylaxis after taking zomepirac tablets. All had taken the drug previously and 2 had also taken ibuprofen in the past. Soon after the ingestion of zomepirac, the patients complained of itching, l"rghtheadedness, dyspnoea, weakness and/or chest pain . They were found to be mildly shocked 'Initially and had skin rashes (erlhematous or urticarial) . Two had pulmonary rhonchi. All responded well to IV antihistamines, steroids and/or adrenaline [epinephrine]. These reactions were likely to have been caused by zomepirac because of the convincing temporal relationship between the ingestion of the drug and the onset of symptoms. Further, on withdrawal of the drug, a quick recovery was made. Sandler. R.H.: Anna ls 01 Emergency Medicine 14.- 1 71 · 174 (FeIJ 1985)

Transcript of Zomepirac

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Zomepirac Anaphylaxis

Three middle-aged patients who were fundamentally healthy (one patient was taking methyclothiazide for hypertension) developed symptoms and signs of anaphylaxis after taking zomepirac tablets. All had taken the drug previously and 2 had also taken ibuprofen in the past.

Soon after the ingestion of zomepirac, the patients complained of itching, l"rghtheadedness, dyspnoea, weakness and/or chest pain . They were found to be mildly shocked 'Initially and had skin rashes (erlhematous or urticarial) . Two had pulmonary rhonchi. All responded well to IV antihistamines, steroids and/or adrenaline [epinephrine] .

These reactions were likely to have been caused by zomepirac because of the convincing temporal relationship between the ingestion of the drug and the onset of symptoms. Further, on withdrawal of the drug, a quick recovery was made. Sandler. R.H.: Annals 01 Emergency Medicine 14.-171 · 174 (FeIJ 1985)