Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My dad, aged 84, was diagnosed with blocked arteries, and after medicated treatment for a month, he recently underwent a medicated stent or balloon surgery. Doctors informed us that the surgery went well and opened two arteries. Unfortunately, after he left the hospital the next day, he complained about itching, and we saw his back and stomach were red. He developed some kind of rash that it is sometimes very itchy. Now he has a red back and stomach, but there is no itching. I am wondering whether this is a complication from the insertion of a medical stent or a side effect of a new medication that was added. I have read that a rash can be a warning sign of an adverse reaction and become more serious. Please find attached list of medicines he is on and a picture of his stomach. Please advise if his condition is a serious complication that needs urgent medical attention.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. This is an allergic reaction to medicines. It is difficult to say exactly which medicine is causing this. The medicine which is causing the reaction needs to be stopped. If the reaction is mild, it may disappear with repeated use of medicine. If it worsens, you may need to visit an allergy specialist who will perform skin tests with every medicine to know which medicine is causing the issue. In the case of Aspirin allergy, desensitization is done in which slowly incremental doses are given in the hospital to overcome the allergy. Sometimes one medicine is stopped at a time to see which one is causing the issue. For allergic reactions I would suggest Anti-allergic like tablet Avil (pheniramine maleate)twice a day. Apply Hydrocortisone cream on rashes. However, please consult an allergy specialist, discuss with them and start taking the medications with their consent. If he develops shortness of breath, wheezing, or swelling on his lips or mouth, then immediately visit the emergency department. Hope I have answered your question.
Patient's Query
Hello doctor,
Thank you for your reply. He started two new medicines Allupironol (zyloric) and Spironolactone 25 mg the rest of the medicines were taken before without having this allergic reaction. Is it safe to stop one of these medicines? Also, is there a possibility that the allergy is caused by the medicated stents and balloons? Thank you.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern. Allergic reactions to these stents are rare but if occur they usually lead to stent blockage. Yes, you can stop Allopurinol and Spironolactone safely. May later reintroduce them one by one. I hope this helps. Thank you and take care.
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Cardiology
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