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November 8, 2009
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The Cleveland Clinic

Drug Allergies

Allergies: Allergies to Medications

Many drugs can cause adverse side effects, and certain medicines can trigger allergic reactions. In an allergic reaction, the immune system mistakenly responds to a drug by creating an immune response against it. The immune system recognizes the drug as a foreign substance and the body produces certain chemicals, such as large amounts of histamine in an attempt to expel the drug from the body.

What Are the Symptoms of Drug Allergy?

Symptoms can range from mild to life-threatening. Even in people who aren't allergic, many drugs can cause irritation, such as an upset stomach. But during an allergic reaction, the release of histamine can cause symptoms like hives, skin rash, itchy skin or eyes, congestion, and swelling in the mouth and throat.

A more severe reaction may include difficulty breathing, blueness of the skin, dizziness, fainting, anxiety, confusion, rapid pulse, nausea, diarrhea, and abdominal problems.

Which Drug Allergies Are Most Common?

The most common drug associated with allergies is penicillin. Other antibiotics similar to penicillin can also trigger allergic reactions.

Other drugs commonly found to cause reactions include sulfa drugs, barbiturates, anticonvulsants, insulin, and iodine (found in many X-ray contrast dyes).

How Are Drug Allergies Diagnosed?

A doctor diagnoses a drug allergy by carefully reviewing your medical history and symptoms. If your doctor suspects that you are allergic to an antibiotic such as penicillin, he or she may do a skin test to confirm it. However, skin testing does not work for all drugs, and in some cases it could be dangerous. If you have had a severe, life-threatening reaction to a particular drug, your doctor will simply rule out that drug as a treatment option for you. Conducting an allergy test to determine if the initial reaction was a "true" allergic response isn't worth the risk.



Next: How are drug allergies treated? »

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Introduction to fainting (syncope)

Fainting, "blacking out," or syncope is the temporary loss of consciousness followed by the return to full wakefulness. This loss of consciousness is accompanied by loss of muscle tone that can result in falling or slumping over. To better understand why fainting can occur; it is helpful to explain why somebody is awake.

The brain has multiple parts, including two hemispheres, the cerebellum, and the brain stem. The brain requires blood flow to provide oxygen and glucose (sugar) to its cells to sustain life. For the body to be awake, an area known as the reticular activating system located in the brain stem needs to be turned on, and at least one brain hemisphere needs to be functioning. For syncope to occur, either the reticular activating system needs to lose its blood supply, or both hemispheres of the brain need to be deprived of blood, oxygen, or glucose. For the brain to stop functioning, th...

Read the Fainting (Syncope) article »










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