In a message dated 2/17/2002 5:14:35 PM Eastern Standard Time,
writes:
> So here's a question back to the list: If a child has had a non-severe,
> non-specific, non-systemic, non-urticarial rash associated with Amoxil in
> the past, is there likely to be a significant risk of anaphylaxis with
> trying another course before doing formal skin or RAST testing? Any
> opinions?
At 11:49 PM 2/18/02 -0500, wrote:
I do about the same thing you do. If it really doesn't sound urticarial, I'm
willing to try it again without testing. I'll tell the parents to watch the
child carefully and call me if a rash appears. I have not had any problems
so far.
Moshe Adler, MD
I should have written in my previous message about how reproducible a true
Amoxil allergy can be. A new family specifically told me their child
didn't have any allergies. After starting Amoxil, I received a call that
night saying that the child had hives all over after the first dose, and
they sheepishly admitted they'd "sort-of" forgotten about the allergy. No
anaphylaxis, but she sure had a night of itching - and I'll bet that family
won't make that mistake again!
Michael Sachs, M.D.
General Pediatrician