What drugs should be avoided with a sulfa allergy?
- Sulfamethoxazole, cotrimoxazole
- Sulfasalazine
- Sodium sufacetamide
- Silver sulfadiazine
Which medications to avoid in patients with sulfa allergy?
Sulfonamide medications that may be OK
- Certain diabetes medications — glyburide (Glynase, Diabeta) and glimepiride (Amaryl), for example
- Some nonsteroidal anti-inflammatory drugs, such as celecoxib (Celebrex)
- The migraine medication sumatriptan (Imitrex)
- Certain "water pills" (diuretics), such as furosemide (Lasix) and hydrochlorothiazide (Microzide)
Is Lasix contraindicated for sulfa allergy?
Water pills, or diuretics, including furosemide (Lasix) and hydrochlorothiazide (Microzide) Can you take hydrochlorothiazide if you are allergic to sulfa? You should not use hydrochlorothiazide if you are allergic to it, or if you are unable to urinate. To make sure hydrochlorothiazide is safe for you, tell your doctor if you have: an allergy to sulfa drugs or penicillin.
Is it OK to take Celebrex with a sulfa allergy?
Revisiting the meaning of 'sulfa' allergy Celecoxib, a selective cyclo-oxygenase-2 inhibitor, is a diaryl-substituted pyrazole derivative containing a sulfonamide substituent. Because of this structural component, celecoxib is contraindicated for use in patients who have demonstrated allergic reactions to sulfonamides.
Can I take hydrochlorothiazide if I'm allergic to sulfa?
Antibiotics containing chemicals called sulfonamides (“sulfa drugs”) can trigger an allergic reaction if you have a sulfa allergy....Sulfa drugs to consider for people with Bactrim allergies.Medication typeMedication nameDiuretics (water pills)ChlorthalidoneFurosemide (Lasix)HydrochlorothiazideIndapamide27 more rows•May 18, 2022
Can you use thiazide diuretics with sulfa allergy?
For example, the package insert for furosemide states that “patients allergic to sulfonamides may also be allergic to furosemide” [1]. Therefore, in clinical practice, the use of thiazide or some loop diuretics is often avoided in patients with a prior history of sulfonamide allergy.
Which loop diuretic is not a sulfonamide?
1,3,4 Ethacrynic acid is the only loop diuretic on the US market that does not contain a sulfonamide sub- stituent.
Is furosemide safe in sulfa allergy?
For most patients with sulfa allergy who have no history of life-threatening reactions and are not allergic to more than one class of sulfonamides, however, available evidence suggests that furosemide can be used safely in an emergency.
Does chlorthalidone have sulfa?
The pharmacist reports that the drug interaction system is flagging the chlorthalidone as a problem due to ED's allergy to SMX since chlorthalidone also contains a sulfa moiety.
Is torsemide a sulfonamide?
Torsemide belongs to the pyridine-sulfonylurea class of loop diuretics. Its primary site of activity is the thick ascending limb of the loop of Henle, where it blocks active reabsorption of sodium and chloride, resulting in diuresis, natriuresis, and other effects.
Is furosemide a sulfonamide?
After some reflection and discussion with my patient, I believe that, considering her history of serious reaction to hydrochlorothiazide, all possible alternatives should be explored before using another sulfonamide diuretic, such as furosemide.
Can you take lisinopril if you are allergic to sulfa?
You should not use this medicine if you have ever had angioedema, if you are unable to urinate, or if you are allergic to sulfa drugs or to any ACE inhibitor. Do not take hydrochlorothiazide and lisinopril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).
Is Metolazone a sulfa drug?
In addition, thiazide diuretics, including metolazone, are sulfonamides; those with hypersensitivity to sulfonamides ("sulfa allergy") may also be allergic to metolazone.
Can you be allergic to Lasix?
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
What drugs should be avoided with sulfa allergy?
Drugs to Avoid With Sulfa AllergiesSulfamethoxazole / trimethoprim (Bactrim, Sulfatrim), a sulfa combination drug that can be taken in liquid or pill form for many types of infections.Sulfacetamide (BLEPH-10), drops for eye infections.Sulfadiazine silver (Silvadene), a cream to prevent and treat burn infections.More items...•
What is a thiazide diuretic drug?
Thiazide diuretics are an FDA-approved class of drugs that inhibit the reabsorption of 3% to 5% of luminal sodium in the distal convoluted tubule of the nephron. By doing so, thiazide diuretics promote natriuresis and diuresis.
What medications cause a reaction to sulfa?
Other medications that may cause a reaction. Other types of sulfa medications may trigger a reaction in some people who have a sulfonamide antibiotic allergy: Sulfasalazine (Azulfidine), used to treat Crohn's disease, ulcerative colitis and rheumatoid arthritis. Dapsone, used to treat leprosy, dermatitis and certain types of pneumonia.
What is a water pill?
Certain "water pills" (diuretics), such as furosemide (Lasix) and hydrochlorothiazide (Microzide) An allergy to sulfonamide medications is different from having an adverse reaction to wine or food that contains sulfites.
Can sulfa be used for HIV?
Always tell your doctor about your sensitivities to medication. There are no diagnostic tests for sulfa allergy. However, sulfa desensitization might be an option, especially if medication containing sulfamethoxazole is needed.
Is sumatriptan a diuretic?
The migraine medication sumatriptan (Imitrex) Certain "water pills" (diuretics), such as furosemide (Lasix) and hydrochlorothiazide (Microzide) An allergy to sulfonamide medications is different from having an adverse reaction to wine or food that contains sulfites.
Can you take sulfonamide with dapsone?
Dapsone, used to treat leprosy, dermatitis and certain types of pneumonia. Keep in mind that if you have a reaction to a sulfonamide antibiotic, you may still be able to take other sulfonamide medications without having a reaction.