Common side effects of Tamiflu and Relenza include dizziness, vomiting and diarrhea. Other, more serious adverse reactions are rare but can occur, including Stevens Johnson Syndrome, or SJS. SJS is a rare reaction to medication that begins with rashes on the skin that blister over, causing the skin to peel off in sheets. Blisters also can form on the eyes and mouth, which can lead to ocular problems, dehydration, infection and, in severe cases, death.

In Hong Kong in particular, pharmacists are urging the public not to stock up on the antiviral medications, as they say the Chinese government has plenty of the medicines in stock to combat a pandemic should one arise. The urgings come just six years after the deadly SARS virus struck that nation. About 400 Chinese pharmacies – or 95 percent of the market – have joined a campaign to keep residents’ fears at bay. There have been no swine flu cases reported in Hong Kong to date.

“The pharmacies will advise individuals whether the symptoms they have reflect a cold or something more serious such as flu,” head of Pharmacovigilance Kevin Cheung Kin-man told The Standard. “If the symptoms persist for days, people will be advised to consult a doctor. In the meantime, in the case of colds, pharmacists will be able to recommend appropriate over-the- counter medication.”

SOURCE: Stevens Johnson Syndrome › Pharmacists warn against use of anti-virals amid swine flu scare

Shchekochikhin died July 3, 2003 at the age of 53 following a brief illness. His symptoms were similar to poisoning by radioactive materials that raised speculation that the journalist may have been purposely poisoned. Shchekochikhin wrote about and campaigned against organized crime and corruption.

In the years leading up to his death he had written a series of investigative articles on a Moscow furniture store allegedly at the center of a money laundering scheme that involved FSB officials. His last story on the subject detailed the murder of a key witness in the case. Two weeks later, Shchekochikhin fell ill.

According to CPJ: Committee to Protect Journalists, Shchekochikhin’s illness began with flu-like symptoms including fever, sore throat, body aches and a general burning sensation. He was diagnosed with an acute respiratory viral infection. His condition continued to decline and four days later, on June 21, 2003, he was admitted to the hospital. His symptoms worsened. His hair to fell out, his skin began to peel away and his organs started to fail. He died two weeks later. Doctors said he was suffering from an allergic reaction but his condition remained a “medical secret.”

According to Reuters, Russian investigators claim medical tests revealed no narcotics, psychotropics, strong poisons or heavy metals in Shchekochikhin’s body.

“No traces of poisoning or damage to the body that would indicate Yuri Shchekochikhin died a violent death were found,” according to the investigators’ recently released statement. They listed TEN, also known as Lyell Syndrome, as the condition that killed the journalist.

TEN is the most severe form of Stevens Johnson Syndrome, or SJS. It is most often caused by an extreme adverse reaction to common medication such as antibiotics, ibuprofen or anti-seizure medication. It presents with a rash on the skin that blisters over and peels away. Mucus membranes such as the eyes and mouth can also blister over causing serious eye complications and dehydration.

SOURCE: Stevens Johnson Syndrome › Russian investigators say journalist’s mysterious death caused by TEN

But last March, things went terribly wrong for Hannah. She noticed rashes developing all over her body. Those rashes began to blister and become painful. They also formed in her mouth and were so debilitating she couldn’t even speak. She had to write on a pad just to communicate. The rashes were accompanied by flu-like symptoms, and had become so severe in such a short time, she was taken to the emergency room. The doctors were baffled.

Hannah was admitted to the hospital while doctors monitored her worsening condition, giving her morphine for the pain. An eye doctor was called in to examine her eyes, which by now had begun to blister as well. That’s when Hannah first learned the name of her condition – Stevens Johnson Syndrome, or SJS.

SJS is a rare but life-threatening reaction to common medication in which the skin blisters over and begins peeling off in sheets. The eyes, mouth and other mucus membranes can blister over as well causing serious problems such as dehydration, infection and even death. Trileptal, which is also used to treat seizures, is one of several medications that can cause the serious reaction known as SJS. Other common medications linked to the condition include antibiotics and anti-inflammatory drugs such as ibuprofen.

Hannah spent three weeks in the hospital and gradually recovered. She attends high school, rides horses and enjoys the life of any 16-year-old. While she has overcome her battle with SJS, she still has lingering conditions to deal with. SJS has made focusing with her eyes difficult and painful. She recently got glasses to help with the condition. She also has to be careful what medications she takes because some medications may trigger SJS again. But she isn’t letting the problems keep her from doing “you know, normal high school teenager stuff.”

SOURCE: Stevens Johnson Syndrome › Hannah doing much better a year after battling SJS

The disease is a contagious respiratory illness. Symptoms usually start suddenly and may include a high fever, headache, tiredness, cough, sore throat, runny or stuffy nose, body aches and diarrhea and vomiting.

One way doctors help patients treat and prevent the flu is with TAMIFLU. Roache Laboratories, the company that makes TAMIFLU, says it is the No. 1 doctor-prescribed flu medication for the treatment of the flu for patients who have been symptomatic for no more than two days.

The medication is approved for both adults and children aged 1 year and older. But according to its safety labeling, and an announcement by the U.S. Chamber of Commerce, during post-marketing rare cases of Stevens Johnson Syndrome (SYS) and toxic epidermal necrolysis (TEN) have been reported by patients using TAMIFLU.

SJS and TEN are serious adverse reactions to medication. There are more than 200 types of medications that have been linked to SJS/TEN, most commonly ibuprofen, antibiotics and anti-seizure medication. The reaction begins with a rash on the skin that blisters over and causes the skin to peel off in sheets. Mucus membranes, such as the eyes and mouth, can blister over leading to serious health concerns such as dehydration, infection, blindness and even death. TEN is the most severe form of SJS, and carries a fatality risk of up to 30-40 percent.

Patients who experience a severe adverse reaction to medication they are taking are encouraged to contact their healthcare provider immediately or go to the emergency room.

SOURCE: Stevens Johnson Syndrome › TAMIFLU carries risk of serious adverse reaction

I thought that comment was odd. But a week later, my sinus infection had not improved. I took the prescription to my pharmacist. I told him that my doctor had told me to only fill the prescription if I felt I really needed it. I asked if there was any reason I should not take the med, given that I simply was not getting over my ailment. The pharmacist nodded and said Ketek was a powerful antibiotic and had some strong side effects. But if a week had passed since seeing my doctor and I was not on the mend, perhaps I should fill it.

I’m not one to react adversely to medicine. And I can usually ride out minor side effects, believing that if it has been prescribed for me, it’s working some sort of miracle. I started the drug and almost immediately after taking the medication I felt even sicker than before, with dizziness, headaches and an overall feverish feeling. I took a second dose the next day and the miserable symptoms returned. I realized then that it must be the Ketek and stopped taking it.

You may remember me telling you about Kim Oakes. She’s the remarkable woman who survived a painful battle with toxic epidermal necrolysis (TEN), the most severe form of Stevens Johnson Syndrome (SJS). SJS/TEN is a severe adverse reaction to medication in which the skin blisters and peels away. The eyes, mouth and other mucus membranes can also blister over causing serious complications and even death.

More than 200 drugs have been linked to SJS/TEN. Kim’s reaction was caused by a common antibiotic called Clavulin. She said she knew immediately after taking the first dose of Clavulin that something was wrong. The medication made her feel worse, not better.

The same happened with Hannah, the 14-year-old who had a serious bout with SJS that was linked to her bipolar medication trileptal. Hannah said the medication had made her physically ill for weeks before she broke out in painful rashes and blisters. She just didn’t realize it was the trileptal that was making her so ill.

Since writing about SJS, I have learned about the many medications that can cause SJS/TEN. And yes, Ketek is on the list. There have been publicized reports of SJS/TEN related to the antibiotic. Since my trial with Ketek, I have told my doctors not to prescribe it to me.

So, just a word of warning during these days when colds and flu are on the rise. Be aware of the medicines you are prescribed. Read up on the side effects and adverse reactions. And stay safe.

SOURCE: Stevens Johnson Syndrome › Beware of side effects from meds this season

“I was scared because first I couldn’t talk (because of the blisters in her mouth) and now I was in the hospital not even knowing what was going on,” she said. Among the physicians who examined her was an eye doctor, who knew immediately what she had. He said one of his employees had had the same thing a month earlier. He said, “She has Stevens Johnson Syndrome (SJS),” he said. Hannah quickly wrote down, “What the heck is that?”

“No one could really explain it to me,” she said. “They were taking blood and giving me morphine and drugging me up and they didn’t even know what had made me so sick.”

By the time Hannah was able to go home three weeks later, she learned what caused her SJS – it was a severe adverse reaction to her bipolar medication, trileptal.

Trileptal, also approved for the treatment of epilepsy, recently amended its safety labeling to include a warning of the risk of SJS and its more severe form, toxic epidermal necrolysis (TEN). SJS and TEN are hypersensitivity disorders that begin as a rash that blisters over and causes the skin to peel away. Mucus membranes also can be affected with blisters causing dehydration, infection, blindness and even death.

It has been almost a year since Hannah became ill. She has recovered but the memory of SJS still lingers in her mind. Her skin is almost completely healed, but now she must avoid the many medications that have been associated with SJS and TEN for fear of a relapse. “I can’t take Midol or Advil anymore,” she said. “Now, my mom tells me what to take.”

SOURCE: Stevens Johnson Syndrome › Teenager shares story of serious reaction to medication

Beatham’s girlfriend of two years, Louise Armstrong, came down with flu-like symptoms in late December. The morning of New Year’s Eve, Beatham woke in their Penrith, Australia, home to find his partner gravely ill with blisters covering her body. He called the ambulance, but it was too late. Armstrong had died.

According to the News & Star, Beatham was made to wear a paper body suit while detectives waited to hear word from the pathologist on the cause of death. The pathologist determined the cause was natural, and that she had died from a rare but severe adverse reaction to medication called Stevens Johnson Syndrome, or SJS.

SJS, and its most severe form, toxic epidermal necrolysis, or TEN, has a reported incidence of about one case per million people each year. It affects people of all ages, including young children, and is most often caused by common medication such as ibuprofen, antibiotics and anti-seizure medication, to name a few. Defined as a hypersensitivity disorder, SJS/TEN affects the skin and mucous membranes, causing the skin to blister and peel away in sheets. Blisters also can form in the mouth or eyes, and can lead to severe eye problems or blindness.

Armstrong’s parents, Ted and Angie, were distraught about their daughter’s death and puzzled why police would think their daughter’s boyfriend was to blame. At the time of their daughter’s death, they were dealing with the sudden serious illness of their son, Chris, who as hospitalized at the time with epilepsy.

“It hasn’t yet hit us fully,” Mrs. Armstrong said of her daughter’s death.

SOURCE: Stevens Johnson Syndrome › Australian woman dies from adverse reaction to medication

TOUCH IS THE SENSE OF LOVE
I’m scared,
 You hold me.
I cry,
 You hold me close.
I’m hurt,
 You hold me closer.
Touch is the sense of love.

It’s hard to imagine such a beautiful and beaming girl healthy one minute and hanging in the balance of life the next. Her struggle is laid out in a Web site her parents set up to follow her progress as she recovered from the severe reaction to medication. Photographs and poems written by Kaitlyn offer an insight into the battles she fought and the appreciation she had for those who stood by her:

FAITHFUL FATHER
Faithful father,
Tall, brave and strong.
Faithful father
To him I belong.
It was then he cried,
when I almost died.
Faithful father
My life I depend on you.

Kaitlyn’s family’s nightmare began April 5, 2002, when Kaitlyn began showing signs of the flu. She was treated at an urgent care center the next morning and by Sunday she had a severe rash and high fever. She was admitted to the hospital and her parents watched as their daughter’s health deteriorated.

The diagnosis – toxic epidermal necrolysis (TEN), a severe form of SJS, a rare but life threatening hypersensitivity disorder affecting skin and mucous membranes. The disorder affects all ages and genders, including the pediatric population. It is most often caused by a reaction to medications such as non-steroidal anti-inflammatory agents like ibuprofen and some antibiotics. Kaitlyn’s condition was caused by a common over-the-counter medication, Children’s Motrin.

Kaitlyn passed away on December 17, 2003, due to complications from SJS/TEN, but the Web site has helped those of us who have never met her understand just how extraordinary she was. With hope, maybe her story will prevent another precious child from suffering.

SOURCE: Stevens Johnson Syndrome › Young girl’s struggle with SJS laid out on Web site

In a recent Information for Healthcare Professionals sheet, the FDA described the increased risk of SJS/TEN with another antiepileptic drug, carbamazepine, in patients of Asian ancestry with the HLA-B*1502 allele. HLA-B is a human gene that provides instruction for making a protein that plays a critical role in the immune system. It is part of a family of genes called the human leukocyte antigen (HLA) complex. This complex helps the immune system distinguish the body’s own proteins from proteins made by viruses or bacteria. Several variations of the HLA-B gene are associated with adverse reactions to certain drugs.

SJS is a disorder of the skin and mucous membranes and often begins with flu-like symptoms followed by inflammation of mucous membranes and a painful red or purplish rash that spreads and blisters. It eventually causes the top layer of skin to die and shed.

Until the FDA completes its review, the agency warns healthcare providers who are considering the use of phenytoin or fosphenytoin for their patients to be aware of the risks and benefits described in the current prescribing information for the drug. Healthcare providers should consider avoiding phenytoin and fosphenytoin as alternatives for carbamazepine in patients who test positive for HLA-B*1502.

SOURCE: Stevens Johnson Syndrome › FDA warns of link between anti-epilepsy drugs and SJS

According to mediafact.com, other medications have been linked to Stevens Johnson syndrome including Bextra, Celebrex and Daypro, as well as over-the-counter pain relievers such as Motion, Ibuprofen, Children’s Motrin and Advil.

One of the main issues with Stevens Johnson syndrome is the lack of awareness from the patients that are at risk and the doctors that prescribe the medication. In a 2007 press release from SmartBrief.com, Governor Bill Ritter, Jr., of Colorado, along with the Stevens Johnson Syndrome Foundation, recognized August 2007 as the designated SJS Awareness month. Joining Colorado in recognizing this month were Arizona, Alabama, Connecticut and Tennessee.

According to the article, Stevens Johnson Syndrome affects more than two million Americans each year and has resulted in more than 140,000 deaths.

When prescribed a new medication, or even taking over-the-counter medication, educate yourself on Stevens Johnson Syndrome so you can identify the symptoms at the earliest possible stage.

SOURCE: Stevens Johnson Syndrome › Drug reactions bring awareness to Stevens Johnson Syndrome