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What Do Lesions On The Body After Taking Bactrim Indicate?

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Posted on Tue, 16 May 2017
Question: I was diagnosed with SJS after taking 1 Bactrim tablet one week ago today. I am on a 16 day course of steroids(prednisone) totalling 540mgs (60mg for 4 days, etc) that I'm on the 3rd day of. Will I be susceptible to this kind of reaction again if I am exposed to some other drug in the future, that my body "hates"? It was the Holy Spirit that have me the discernment, NOT to take my next dose of Bactrim....I can't imagine how much more severe this could have gotten with more exposure to the offending drug. I had about twelve lesions in all, the most bothersome 1 in my mouth. Because I haven't had HC insurance since ACA, I didn't go to ER, but waited to see my Dr who treats me on a cash basis. My lesions look pretty good, I am definitely on the mend, but my question is about the future, as far as Will this happen again, and if it's a genetic predisposition as some suspect, do I follow the Mayo recommendation to notify my blood relatives...and who does that entail?
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Avoid sulpha drugs

Detailed Answer:
Thanks for asking on Health care magic.

Stevens-Johnson syndrome, also called SJS, is a rare but serious problem. Most often, it is a severe reaction to a medicine like bactrim that you have taken. It is hard to predict which drug will give such a reaction but other drugs are less likely to give such a reaction. Nevertheless, it would be advisable to avoid sulpha drugs.

Blood relatives refer to first degree relationships in your family.

Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (36 minutes later)
How many people have had a second bout of SJS, caused by a different class of drugs? Is this something that I need to be concerned about ? I feel extremely fortunate that mine was so manageable, because of its limited affected area.
doctor
Answered by Dr. Prof. Kunal Saha (5 hours later)
Brief Answer:
You need not be concerned about a second episode

Detailed Answer:
Thanks for writing back. If ten people suffer from SJS, three of them are likely to get a second episode. However, I do not suppose that you need to worry about it. Simply avoiding sulpha drugs should suffice in your case.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Do Lesions On The Body After Taking Bactrim Indicate?

Brief Answer: Avoid sulpha drugs Detailed Answer: Thanks for asking on Health care magic. Stevens-Johnson syndrome, also called SJS, is a rare but serious problem. Most often, it is a severe reaction to a medicine like bactrim that you have taken. It is hard to predict which drug will give such a reaction but other drugs are less likely to give such a reaction. Nevertheless, it would be advisable to avoid sulpha drugs. Blood relatives refer to first degree relationships in your family. Feel free to write back. Regards