Abstract
To determine whether acetazolamide or furosemide produce allergic cross-reactions in patients with self-reported "sulfa allergy." Retrospective case series. A retrospective review included patients with intracranial hypertension and a self-reported sulfa allergy treated with either acetazolamide or furosemide seen at the University of Iowa Hospitals and Clinics from 1972 to 2003. All presumed medication-related side effects were collected, including both predictable adverse effects (for example, paresthesias, fatigue) and unpredictable adverse reactions (for example, cutaneous fixed eruptions, urticaria, Stevens-Johnson syndrome, toxic epidermal necrolysis, angioedema, anaphylaxis). We reviewed 363 charts. Of these, 329 patients (91%) were excluded. Of the remaining 34 cases that did report a so-called sulfa allergy, 13 (38%) received acetazolamide alone, 7 (21%) received furosemide alone, and 14 (41%) received both acetazolamide and furosemide. Of the 27 patients who received acetazolamide, 10 (37%) had no documented allergic cross-reaction to sulfa, and 2 (7%) cases had urticaria. The remaining 15 (56%) of acetazolamide-treated patients experienced predictable adverse reactions for this drug (for example, paresthesias). No pa...Continue Reading
References
Dec 22, 1975·JAMA : the Journal of the American Medical Association·F E Karch, L Lasagna
Sep 15, 1992·American Journal of Ophthalmology·J PeraltaJ Fernández-Guardiola
Jan 2, 1991·JAMA : the Journal of the American Medical Association·T J Sullivan
May 1, 1990·Archives of Ophthalmology·J G Stock
Oct 1, 1987·The Journal of Allergy and Clinical Immunology·J R HansbroughD D Chaplin
May 1, 1967·The British Journal of Ophthalmology·A Kristinsson
Jan 25, 2000·Clinical Therapeutics·R PattersonJ Lefkowith
Feb 7, 2001·Anaesthesia·C S Dwenger
May 2, 2001·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·S KnowlesN H Shear
Sep 11, 2001·Southern Medical Journal·S A Tilles
Oct 24, 2003·The New England Journal of Medicine·Brian L StromDan Pettitt
Citations
Dec 14, 2011·Archives of Neurology·Daniel Platt, Robert C Griggs
Nov 11, 2010·Current Treatment Options in Neurology·Melissa W Ko
Mar 7, 2008·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Donald A Dibbern, Anthony Montanaro
Mar 1, 2013·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Guilherme B GuedesM Bruce Shields
May 2, 2012·BMC Research Notes·Radhika KumarJames Chodosh
Jan 11, 2014·AJNR. American Journal of Neuroradiology·P G KranzL Gray
Dec 31, 2010·High Altitude Medicine & Biology·Thomas E Kelly, Peter H Hackett
Jun 26, 2012·High Altitude Medicine & Biology·Bengt KayserMartin R Tramèr
Mar 13, 2014·Expert Opinion on Drug Safety·Erik R Swenson
Nov 21, 2015·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Martin W ten HoveUNKNOWN NORDIC Idiopathic Intracranial Hypertension Study Group
Apr 8, 2014·Neurologic Clinics·Deborah I Friedman
Mar 7, 2008·Chest·Andrew M Luks, Erik R Swenson
Nov 10, 2015·The Ocular Surface·Sahar KohanimJames Chodosh
Jul 20, 2010·Neurologic Clinics·Michael Wall
Jun 19, 2007·La Presse médicale·Amélie DaveluyFrançoise Haramburu
Feb 14, 2007·The American Journal of Geriatric Pharmacotherapy·J Mark RuscinJohn Scott
Nov 7, 2006·Immunology and Allergy Clinics of North America·Paul A Greenberger
May 17, 2007·Internal Medicine Journal·W B Smith, R J Mullins
Mar 24, 2006·Pharmacotherapy·Brian A Hemstreet, Robert L Page
Apr 25, 2008·Seminars in Ophthalmology·Ronald HammersWalter M Jay
Jan 17, 2017·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Asal GharibSyeda T Hamadani
Sep 25, 2017·Chemical Biology & Drug Design·Fatemeh Mohammadipanah, Fatemeh Salimi
Apr 8, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Megan A Van Berkel, Jessica L Elefritz
Aug 15, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Nicole R Wulf, Karl A Matuszewski
Oct 22, 2008·International Ophthalmology Clinics·Casey C Geringer, Nauman R Imami
Jul 22, 2006·Journal of Biomolecular Screening·Rema IyerBrian C Tripp
May 23, 2017·Current Ophthalmology Reports·Thasarat S VajaranantAhmad A Aref
Dec 15, 2005·The Annals of Pharmacotherapy·Paul JuangRonald Zolty
Jul 1, 2018·Ophthalmology and Therapy·Tirth J ShahPhillip C Hoopes
Sep 4, 2019·Expert Review of Neurotherapeutics·Deborah I Friedman
Jun 8, 2018·Current Allergy and Asthma Reports·Joshua M DornGerald W Volcheck