can i take furosemide if allergic to sulfa

Diuretics like bumetanide (Bumex) and furosemide (Lasix

) are prescribed for lower extremity edema (swelling) and heart failure. Yes, you can take them. Glimepiride, glipizide and glyburide are non-insulin medications that treat type 2 diabetes. Yes, they are safe if you have a sulfa allergy.

Full Answer

Can I take furosemide if allergic to sulfa?

patients reporting a sulfa allergy should be given other sulfonamide-containing drugs such as furosemide. The term sulfa allergy can be misleading because it usu - ally describes any allergic reaction to sulfonamides; however, clinically, it only refers to responses to sulfonamide anti - microbials.1The sulfonamide antibiotics

Is metformin safe with sulfa allergy?

Sulfonylureas can be taken alone or with metformin, pioglitazone (a thiazolidinedione) or insulin. If you’re allergic to sulfa, you can’t take a sulfonylurea. This class of medicines includes rosiglitazone and pioglitazone. These medicines help your body respond better to insulin.

Can you take a diuretic with sulfa allergy?

What diuretics are safe with sulfa allergy? Diuretics that do not contain a sulfonamide group (eg, amiloride hydrochloride, eplerenone, ethacrynic acid, spironolactone, and triamterene) are safe for patients with an allergy to sulfa. Also, can you take hydrochlorothiazide if you are allergic to sulfa drugs?

Can people with sulfa allergy take tamsulosin?

Tamsulosin (Flomax) used to treat symptoms related to enlarged prostate or benign prostatic hypertrophy (BPH), is safe to take in folks with a sulfa allergy. Sulfa-based eye drops like Genoptic (gentamicin sulfate), Polytrim (polymyxin B/trimethoprim), atropine sulfate , and Maxitrol (neomycin/dexamethasone/polymyxin B) are safe to use in those ...

What diuretics are safe with sulfa allergy?

Diuretics that do not contain a sulfonamide group (eg, amiloride hydrochloride, eplerenone, ethacrynic acid, spironolactone, and triamterene) are safe for patients with an allergy to sulfa.

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...•

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 be allergic to furosemide?

If you have an allergy to sulfonamides (sulfa drugs), you may also be allergic to furosemide. Taking this drug can cause a severe allergic reaction, causing symptoms such as: trouble breathing or swallowing. swelling of your throat or tongue.

Which drugs are contraindicated in patient allergic to sulfonamides and sulfa?

A number of other drugs (for example diuretics, anti-diabetic drugs, cyclooxygenase-2 inhibitors and triptans) are also chemically speaking sulphonamides, and many of these are considered to be contraindicated in patients who have experienced an allergic reaction to sulfonamide antibiotics.

What medications have sulfa in it?

Sulfa-containing drugs include:sulfonamide antibiotics, including sulfamethoxazole-trimethoprim (Bactrim, Septra) and erythromycin-sulfisoxazole (Eryzole, Pediazole)some diabetes medications, such as glyburide (Diabeta, Glynase PresTabs)More items...

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 substituent.

What are the contraindications of furosemide?

Contraindications / PrecautionsSulfonamide hypersensitivity, thiazide diuretic hypersensitivity. ... Acid/base imbalance, electrolyte imbalance, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, metabolic alkalosis. ... Diabetes mellitus, hyperglycemia. ... Diarrhea, heart failure, ventricular arrhythmias.More items...

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

Who should not take diuretics?

Ask your doctor if you should avoid or be cautious using diuretics if you:Have severe liver or kidney disease.Are dehydrated.Have an irregular heartbeat.Are in the third trimester of pregnancy and/or have developed high blood pressure during your pregnancy.Are age 65 or older.Have gout.More items...•

What drug classification is furosemide?

Descriptions. Furosemide belongs to a group of medicines called loop diuretics (also known as water pills). Furosemide is given to help treat fluid retention (edema) and swelling that is caused by congestive heart failure, liver disease, kidney disease, or other medical conditions.

Do Covid vaccines contain sulfa?

1. Do people with a sulfa allergy have any increased risk of allergic reactions to the COVID vaccine? There are no components of the COVID vaccine that present any specific risk with sulfa allergies.

Is Zpack a sulfa drug?

Zithromax and Bactrim belong to different antibiotic drug classes. Zithromax is a macrolide antibiotic and Bactrim is a combination of a sulfonamide antibiotic (a “sulfa” drug) and a folic acid inhibitor.

Is prednisone a sulfa drug?

What is this medication? SULFACETAMIDE; PREDNISOLONE (sul fa SEE ta mide; pred NISS oh lone) is a combination of a steroid and a sulfa antibiotic. It helps to reduce swelling, redness, and itching of the eye. It also is used to treat eye infections.

Is amoxicillin a sulfa drug?

by Drugs.com It is a penicillin type antibiotic and it does not have sulfa in it. Amoxicillin is used to treat many different types of infection caused by bacteria, such as tonsillitis, bronchitis, pneumonia, gonorrhea, and infections of the ear, nose, throat, skin, or urinary tract.

How long after taking furosemide can you take sucralfate?

Don’t take sucralfate within 2 hours of taking furosemide.

How does furosemide work?

These drugs are often used to treat similar conditions. Furosemide works by helping your body get rid of excess salt and water. It does this by increasing the amount of urine your body makes. This helps lower your blood pressure as well as reduce swelling.

What temperature should furosemide be kept at?

Keep furosemide at room temperature of 59°F (15°C) to 86°F (30°C).

Can furosemide cause low thyroid levels?

Low thyroid levels warning: High doses (over 80 mg) of furosemide can cause low levels of thyroid hormones. If you’re taking high doses of this drug and have symptoms of thyroid problems, call your doctor. These symptoms can include: tiredness. weakness.

Does furosemide cause arthritis?

Taking this drug with furosemide can increase your risk of gouty arthritis:

Can furosemide be taken with NSAIDs?

Taking NSAIDs (nonsteroidal anti-inflammatory drugs) with furosemide can increase the levels of these drugs in your body. This raises your risk of dangerous side effects. NSAIDs include:

Can you take levothyroxine with furosemide?

Taking high doses of levothyroxine with furosemide can make levothyroxine less effective. This means it won’t work as well to treat your thyroid condition.

What are the chemicals that cause sulfa allergy?

Antibiotics containing chemicals called sulfonamides can trigger a reaction if you have a sulfa allergy. These antibiotics include combination drugs:

Can sulfa be tested?

There are no diagnostic tests for sulfa allergy. However, sulfa desensitization might be an option, especially if medication containing sulfamethoxazole is needed.

Can you be allergic to sulfonamide?

An allergy to sulfonamide medications is different from having an adverse reaction to wine or food that contains sulfites. Having a reaction to sulfites in something you eat or drink doesn't mean you'll be allergic to sulfonamide medication.

How to prevent sulfa allergy?

Sulfa Allergy Prevention. If you have a drug allergy, it’s best to avoid medications that will cause a bad reaction or side effect. Here are some other tips: Notify your health care providers. Tell them about any drug allergies so they can make a note in your medical records. Wear a medical bracelet.

What is a sulfa allergy?

A sulfa allergy is a rash or more serious reaction to sulfa drugs. These drugs can treat a range of health problems from eye infections to rheumatoid arthritis (RA). Sulfa drugs, also called sulfonamides, include antibiotics as well as other types of drugs. Allergies happen most often with antibiotics. About 3 percent of people have some type of ...

What are the symptoms of sulfa allergy?

If you’re allergic to sulfa drugs or any other medication, you may have one or more of these symptoms: Skin rash or hives. Itchy eyes or skin. Breathing problems. Face swelling. The reaction can also cause these serious skin reactions: Sulfonamide drug hypersensitivity syndrome.

What are some examples of sulfa drugs?

Here are a few examples of common sulfa drugs that could cause problems: Sulfamethoxazole / 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.

How many people have a reaction to sulfa?

About 3 percent of people have some type of reaction to them. Tell your doctor right away if you think you’re having a reaction to a sulfa drug. They’ll decide whether to take you off the drug and how to treat your symptoms.

What is the life threatening reaction to a drug allergy?

Anaphylaxis. This life-threatening reaction to a drug allergy causes trouble breathing, a drop in blood pressure, and other symptoms.

When was sulfa first used?

Sulfa antibiotics have been widely used for more than 70 years. The first antibiotic was a sulfa drug introduced in 1936. Today, these drugs include burn creams, vaginal suppositories, and eye drops as well as medications for many types of infections.

How do I know if I have a sulfa allergy?

If you were prescribed Bactrim for an infection and had an allergic reaction to it, including symptoms of a fever and/or rash 7 to 14 days after starting the antibiotic, you have a sulfa allergy.

How is Bactrim different from other sulfa drugs?

The term “sulfa drug” has contributed to ongoing confusion about whether an allergic reaction to the antibiotic, TMP/SMX, means an allergic reaction to all sulfa drugs (continue reading). Turns out the answer is no, you don’t need to avoid all sulfa drugs.

If I have a sulfa allergy from Bactrim, can I take these other drugs?

Here’s a list of common sulfa drugs that I get asked about a lot from patients who have had allergic reactions to Bactrim. If you’ve had an allergic reaction to Bactrim, you do not need to routinely avoid these medications, even though they are technically sulfonamide drugs.

To sum it up

The evidence from clinical trials suggests that folks who have had an allergic reaction to the antibiotic, Bactrim (trimethoprim/sulfamethoxazole or TMP/SMX), do not need to routinely avoid all sulfa-type drugs, including those listed above.

What is the most dangerous sulfa allergy?

If a person experiences symptoms of anaphylaxis or Stevens-Johnson syndrome , they should seek emergency treatment. A person with a sulfa allergy can experience severe complications. The most dangerous is anaphylaxis or Stevens-Johnson syndrome.

What does it feel like to be allergic to sulfa?

feeling congested. swelling of the mouth or throat. asthma or wheezing. nausea or vomiting. light-headedness. abdominal cramping. A severe allergic reaction, such as anaphylaxis, is a medical emergency, as it can be life-threatening. It is not clear why some people react to sulfa medications.

What is sulfa vs sulfite?

Sulfa vs. sulfite allergy. Complications. Treatment. Outlook. A sulfa allergy occurs when a person has an allergic reaction to drugs that contain chemicals called sulfonamides. Sulfa is a constituent of some antibiotics and other medications. Doctors and pharmacists use drugs that contain sulfa to treat many conditions, including skin disorders, ...

Why do you need to inform all healthcare providers of allergies?

An individual must inform all healthcare providers of their allergies to ensure that they do not receive any medications that may cause an adverse reaction.

What is the name of the allergy that causes red blisters around the mouth, throat, and eyes?

Stevens-Johnson syndrome. Stevens-Johnson syndrome is another rare but severe form of a sulfa allergy, which affects a person’s skin, mucous membrane, genitals, and eyes. Symptoms of Stevens-Johnson syndrome include: flu-like symptoms. painful red blisters around the mouth, throat, eyes, or genitals.

Is sulfate a preservative?

Sulfites are used as additives and preservatives in many wines and foods. Also, sulfa is different from sulfates and sulfur. Both sulfa medications and sulfite can cause allergic reactions, but these two conditions are not related.

Can sulfonamide cause allergic reactions?

Other medications that contain a sulfonamide do not appear to cause allergic reactions in people with a sulfa allergy. These include: medication for migraines, such as naratriptan (Amerge) and sumatriptan (Imitrex, Sumavel, Dosepro) Anyone who has a sulfa allergy should make sure they tell their doctor and pharmacist.

Is Zocdoc a substitute for medical advice?

Zocdoc Answers is for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment.

Do diuretics have sulfur?

There are many diuretics that don't have a sulfur component (such as HCTZ, ethacrynic acid, metolazone). It is rare that none of these other diuretics work, however it is possible. There are some types of heart failure where no diuretics work -- this should be evaluated by an advanced heart failure specialist.

Is lasix used for congestive heart failure?

Answer. Congestive heart failure is a very common condition. There are many therapies for this, of which lasix (or furosemide -- the chemical name) is very commonly used. I would recommend discussing this with the allergist and your cardiologist.

Sulfonamide Antibiotics That Can Cause A Reaction

Other Medications That May Cause A Reaction

Sulfonamide Medications That May Be OK

Sulfonamide Antibiotics That Can Cause A Reaction

Other Medications That May Cause A Reaction

Sulfonamide Medications That May Be OK