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Medicines that may cause swelling

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By Jan Nissl, RN, BS

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Many prescription and nonprescription medicines can cause swelling. You may be having an allergic reaction if swelling develops suddenly after taking a new medicine. The seriousness of the allergic reaction caused by a medicine will vary. If you think that you are having an allergic reaction to a medicine, call your health professional to discuss your symptoms.

Medicines or solutions used in medical procedures that may cause swelling related to an allergic reaction include:

  • Antibiotics, such as penicillins, cephalosporins, or sulfa (sulfonamides).
  • Aspirin as well as other nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Vaccines.
  • Antiseizure medicines.
  • Barbiturates.
  • Local anesthetics.
  • Contrast dyes used in X-ray studies.
  • Blood products.
  • Certain enzymes, such as trypsin.

Medicines that may cause swelling as a side effect include:

  • Hormones, such as estrogen and progesterone oral contraceptives or testosterone.
  • Dilantin, which causes swelling of the gums (gingival hypoplasia).
  • Corticosteroid therapy, such as prednisone or dexamethasone, when taken for long periods of time.
  • ACE inhibitors, such as captopril or quinapril.

Call the health professional who prescribed the medicine to determine whether you should stop taking it or take a different one. An appointment may not be necessary. If you are taking a nonprescription medicine, stop taking it. Call your health professional if you feel you need to continue taking it.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer William M. Green, MD - Emergency Medicine
Specialist Medical Reviewer H. Michael O'Connor, MD - Emergency Medicine
Last Updated October 3, 2008
Last Updated: 10/03/2008

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