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Medicines that can cause Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) and closely related medicines

Medicines that can cause Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) and closely related medicines
If you had SJS or TEN with one of these, you must avoid all other medicines that are in the same group and closely related medicines
Generic name US brand names
GROUP 1: Used to prevent gout attacks
Allopurinol Aloprim, Zyloprim
There are no known closely related medicines to allopurinol
GROUP 2: Some anti-seizure medicines – Used to prevent seizures or pain
Carbamazepine Tegretol, Carbatrol, Epitol, Equetro
Fosphenytoin Cerebyx
Lamotrigine Lamictal
Phenobarbital (phenobarbitone) Luminal
Phenytoin Dilantin, Dilantin Infatabs, Phenytek
Primidone Mysoline
Following are closely related to above anti-epileptic drugs and must also be avoided:
Eslicarbazepine Aptiom
Felbamate Felbatol
Oxcarbazepine Trileptal, Oxtellar XR
Phenobarbital combinations for stomach problems Donnatal
Zonisamide Zonegran
GROUP 3: "Sulfa" antibiotics – Used for treating infections
Trimethoprim-sulfamethoxazole (also called cotrimoxazole and TMP-SMX) Bactrim, Septra, Sulfatrim
Sulfadiazine No brand (generic only)
Sulfadoxine and pyrimethamine Fansidar
Following are closely related to above "sulfa" antibiotics and must also be avoided:
Erythromycin-sulfisoxazole Pediazole
Silver sulfadiazine cream Silvadene, SSD, Thermazene
Sulfacetamide-containing skin products including cleansers, creams, foams, gels, lotions, pads, washes, and shampoos APOP, AVAR, Klaron, Claris, Ovace, Plexion, Prascion, Rosanil, Seb-Prev, SSS, Sulfacet-R, Sulfacleanse, Sumadan, Sumaxin, Verti-sulf, Zencia, others
Sulfacetamide-containing eye drops, eye ointments, and ear drops Bleph-10, Blephamide
Sulfacetamide, sulfanilamide, and/or sulfathiazole vaginal products AVS, VVS, Triple Sulfa Vaginal
Sulfasalazine used for treating colitis or rheumatoid arthritis Azulfidine
GROUP 4: Nonsteroidal drugs (also called "NSAIDs") – Used to treat pain or inflammation
Meloxicam Mobic
Piroxicam Feldene
Tenoxicam (not available in the US) Brand depends on country

Other NSAIDs should in general be avoided:

NOTE – Carefully check all medicine labels, including pain relievers, cough or cold medicines, shots, ointments, creams, gels, patches, eye drops, and nose sprays to be sure they contain no NSAID.
Ibuprofen Advil, Motrin
Naproxen Aleve
Celecoxib Celebrex
Ketorolac Toradol, Sprix, Acular, Acuvail
Diclofenac Voltaren, Flector, Pennsaid
Indomethacin Indocin
NOTE – Many other prescription and non-prescription medicines contain NSAIDs. Have your doctor, nurse, or pharmacist confirm that any medicine you are thinking of using does not contain an NSAID.
  • An HIV medicine called nevirapine (brand name: Viramune), which is not used often in most countries, has been linked to SJS/TEN.
  • Some other medicines have also been very rarely linked to SJS/TEN.
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