Pitfalls of 'inert' ingredients.

نویسنده

  • J S Millar
چکیده

Sequence of events DURING the 1999/2000 influenza outbreak, a 53-year-old man consulted because of a persistent productive cough that followed a flu-like illness. The patient was examined and prescribed erythromycin (Erymax® [Elan]) capsules. He made it very clear that he had a previous history of aspirin allergy and was reassured that there was no known cross-sensitivity between erythromycin and aspirin. Two days later, the patient’s wife came to the surgery; she was angry and upset because, shortly after taking the erythromycin capsules, her husband had developed some tingling and swelling of his fingers and feet similar to the symptoms he had previously experienced with aspirin. They were both disturbed to find the following warning in the erythromycin patient information leaflet: ‘... capsules containing the colouring agent E110. This can cause allergic-type reactions including asthma. You are more likely to have a reaction if you are also allergic to aspirin.’ Since the patient had highlighted his aspirin allergy, he and his wife were upset that he had been prescribed a preparation that could cause problems in patients with this history. Despite a home visit to review the patient and make a full apology, the patient’s wife went on to make a formal complaint.

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عنوان ژورنال:
  • The British journal of general practice : the journal of the Royal College of General Practitioners

دوره 51 468  شماره 

صفحات  -

تاریخ انتشار 2001