Mouth sores?
Hello, I have been experiencing unilateral tinnitus and have taken Xanax XR (0.5 mg) and Flunarizine (5 mg) before bed, one tablet each.
After the first dose, I noticed slight swelling on my upper lip the next day.
After the second dose, the swelling increased, but there is no itching or pain, just a feeling of a lump on the right side of my upper lip.
My diet has been the same as usual, and I go to bed around midnight.
Could this be herpes simplex or a drug allergy? Thank you for patiently reading my question.
Jane, 20~29 year old female. Ask Date: 2017/12/14
Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If you are very concerned, please seek medical attention as soon as possible.
Reply Date: 2017/12/14
More Info
When it comes to understanding the nature of lip bumps, particularly in the context of potential allergic reactions or herpes, it's essential to consider several factors, including the medications you've taken, the characteristics of the bumps, and any accompanying symptoms.
In your case, you mentioned taking Xanax (alprazolam) and Flunarizine. Xanax is primarily used for anxiety and panic disorders, while Flunarizine is often prescribed for migraine prevention and certain movement disorders. Neither of these medications is commonly associated with causing lip bumps directly. However, allergic reactions to medications can manifest in various ways, including localized swelling or hives, which could explain the bump on your lip.
The key characteristics of the bump you described are that it is swollen but not painful or itchy. This is somewhat atypical for herpes simplex virus (HSV) infections, which usually present with painful blisters or sores that can be itchy or tender. Herpes lesions often appear as clusters of small blisters that eventually crust over. In contrast, an allergic reaction might present as localized swelling without the blistering typical of herpes.
Given that the bump appeared after taking the medications, it is plausible that this could be an allergic reaction, particularly if you have a history of allergies or sensitivities to medications or other substances. Allergic reactions can occur even after taking a medication multiple times without issues, as the immune system can sometimes develop a sensitivity over time.
To further assess the situation, consider the following steps:
1. Monitor Symptoms: Keep an eye on the bump. If it changes in appearance, becomes painful, or if you develop additional symptoms (such as fever, widespread rash, or difficulty breathing), seek medical attention promptly.
2. Avoid Irritants: If you suspect an allergic reaction, try to avoid any potential irritants, including certain foods, cosmetics, or other medications, until you can consult with a healthcare provider.
3. Consult a Healthcare Provider: It is crucial to discuss your symptoms with a healthcare professional. They can perform a physical examination and may recommend allergy testing or other diagnostic measures to determine the cause of the bump.
4. Consider a Dermatologist: If the bump persists or if you have concerns about herpes, a dermatologist can provide specialized care and may perform tests to confirm or rule out HSV.
In summary, while the bump on your lip could potentially be an allergic reaction to the medications you've taken, it is essential to consult with a healthcare provider for an accurate diagnosis and appropriate management. They can help determine whether further investigation or treatment is necessary, ensuring that you receive the best care for your symptoms.
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