Drug allergy, Internal Medicine FAQ

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Understanding Post-Treatment Reactions to Syphilis: What to Expect

Reactions after syphilis treatment? Hello, Doctor Liao. I went for an anonymous rapid syphilis test on August 13, and on August 18, I was informed that the result was positive for syphilis. On August 19, I made an appointment at the Infectious Disease Department of Pingtung Hospi...


Dr. Liao Zhongxin Reply:
Transmission Methods: 1. Close contact during sexual intercourse and other sexual activities is the primary route of transmission. Direct contact of wounds with secretions, bodily fluids, and other excretions (such as semen, blood, and vaginal secretions) from skin or mucosal les...

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Understanding Arthritis Medications: Managing Symptoms and Side Effects

Arthritis medications I have been under follow-up in the rheumatology and immunology department for a year and a half. Previously, I was not on any medication, but my erythrocyte sedimentation rate (ESR) for 2 hours and 1 hour has consistently been elevated, with values ranging f...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your question, my response is as follows: 1. Your symptoms resemble urticaria, which may be a side effect of medication; both the anti-inflammatory or pain relief medications could be potential culprits. Urticaria is generally a mild ...

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Understanding Delayed Drug Allergies: Immediate vs. Late Reactions

Delayed drug allergy Hello! I would like to ask if someone has a history of delayed drug allergy, will they experience an immediate allergic reaction if they take the same allergenic medication again, or will it still be delayed? My doctor is unsure which medication I am allergic...


Dr. Hong Yuanbin Reply:
Hello, if you consume an allergy medication again, any type of allergic reaction is possible. Therefore, if possible, it is best to avoid any suspected allergy medications. As for the symptoms you described, if it is unclear whether they are an allergic reaction, it is advisable ...

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Understanding Drug Allergies: Identifying Culprits After Medication Reactions

Drug allergy I would like to ask if it is possible for a drug allergy to manifest as a rash four days after stopping the medication? I had swollen lymph nodes that persisted for a month, so I consulted a doctor and was prescribed Augmentin 1g tablets for a week and a half. After ...


Dr. Hong Yuanbin Reply:
Hello, typically, the chance of an allergic reaction is lower if medication is stopped for four days. However, it is also possible that the subsequent medication caused the reaction, or it could be due to other factors such as food or environmental allergens. The exact cause of a...

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Understanding Allergic Reactions to Medication After Long-Term Use

The father has been taking Depakote for a long time, and after stopping the medication and then resuming it, he has developed allergic symptoms? Hello Doctor, my father is 66 years old and has a history of epilepsy and depression. He used to take two tablets of Depakene 500mg dai...


Dr. Hong Yuanbin Reply:
Hello, regarding the skin rash, it is indeed necessary to observe it directly in order to determine the cause. However, based on your description, a rash that is limited to the arms usually has a lower likelihood of being an allergy and is more likely to be localized eczema or an...

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Can I Get a Public Flu Vaccine After NSAID Allergy?

If you have a history of allergy to NSAIDs, can you receive the publicly funded influenza vaccine? Last May, I experienced a drug allergy after taking two doses of a non-steroidal anti-inflammatory drug (NSAID) called Bone Agile, which resulted in a severe systemic urticaria that...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Patients with chronic urticaria do not have a higher risk of developing allergic reactions to injections or medications, including publicly funded influenza vaccines. Therefore, as long as you have not had an allergic reaction to the influenza ...

[Read More] Can I Get a Public Flu Vaccine After NSAID Allergy?


Understanding Injection Allergies: Symptoms and What to Do Next

Injection allergy Hello Doctor: Two days ago, I strained my neck and it became swollen and painful, so yesterday I went to a clinic to receive anti-inflammatory injections (one clear and one yellow, administered in the back of my right hand). Shortly after the first injection, I ...


Dr. Xiao Yongxun Reply:
Dear Miss Wang: 1. During a single intravenous injection, it is almost always possible to see some degree of blood return; generally, it is not excessive, and you can simply push the blood back into the syringe. 2. Intravenous injections circulate throughout the body quickly und...

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Understanding Severe Reactions After Medication: Causes and Concerns

excuse me? Hello, doctor: I visited a nearby clinic due to headaches and dizziness that caused nausea. At the clinic, I received an injection (intravenous) and was prescribed medication for morning and evening (for 3 days). After returning home, I took the first dose 30 minutes l...


Dr. Yao Quan Reply:
Hello, based on your symptoms occurring one hour after taking the medication (and 1.5 to 2 hours after the injection), we can consider two possibilities: first, a drug allergy; second, a worsening of your underlying condition. However, from your description, it seems you experien...

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Understanding Small Black Dots on Your Face: Causes and Concerns

Small black spots appear on the face? Hello Dr. Yu, I would like to ask about a long-standing issue I have with acne. I am currently receiving treatment (oral medication and topical ointments) on schedule. Recently, I noticed about 10 small black spots on my face, approximately...


Dr. Yu Xianneng Reply:
It could be a drug allergy or acne; please visit the dermatology outpatient clinic.

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Understanding Drug Allergies: Managing Symptoms After Steroid Treatment

Drug allergy Hello Doctor: I have a drug allergy to Lamictal (an anticonvulsant medication) and was hospitalized for six days receiving high-dose steroid treatment. After discharge, I switched to oral steroids, but I felt very uncomfortable after taking the medication (dizziness ...


Dr. Zeng Guosen Reply:
Hello: Steroids can have gastrointestinal side effects, which may worsen gastric ulcers or cause gastrointestinal discomfort. If symptoms persist, please consult a gastroenterologist. Sincerely, Dr. Tseng Kuo-Sen, Department of Internal Medicine, Taoyuan Hospital, Ministry of Hea...

[Read More] Understanding Drug Allergies: Managing Symptoms After Steroid Treatment