Drug Rashes
What are drug rashes?
Most rashes that are caused by an allergic reaction to a drug
appear as hives or are very itchy. Hives are raised pink spots
with white centers. Their size, shape, and location change
frequently. Some less common rashes caused by drug allergies are
widespread red patches or target-shaped rashes.
A rash caused by an allergic reaction appears on most of the body.
A rash that affects just one part of the body is not caused by
drugs.
Another kind of rash may occur when a child is taking amoxicillin
or ampicillin. It is called a nonallergic rash. It consists of
small pink spots, mainly on the chest, abdomen, and back. The rash
is not caused by an allergic reaction to the medicine. A child who
has such a rash can continue taking the medicine.
For more information see Ampicillin Rash.
Rashes in children are more likely to be caused by a viral
infection such as roseola, than by a medicine.
How can I take care of my child?
- Stopping the medication
If your child is diagnosed as being allergic to a medicine, he
can never take any drugs in that drug category again. (For
example, if he is allergic to one type of penicillin, he
cannot take any of the penicillin drugs.) Hence, this is a
critical decision. Unless your healthcare provider tells you
otherwise, have your child examined before you stop a
medicine. However, there are a few exceptions. Stop the drug
if:
- Your child has a severe rash AND is taking antiseizure or
sulfa drugs.
- You are certain your child has hives.
- Replacing the antibiotic
Anytime antibiotics are discontinued before a child has
completed the full treatment, a doctor should see the child
within 24 hours to determine whether he or she needs a new
antibiotic. Without this precaution, many children will have
flare-ups of partially treated infections.
When should I call my child's healthcare provider?
Call IMMEDIATELY if:
- Your child has hives or is very itchy.
- The rash is severe.
- The rash is purple or blood-colored spots or dots.
- Your child is acting very sick.
Call within 24 hours about:
- All children with mild widespread rashes that occur while they
are taking a medicine.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2007-03-19
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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