Immediate Hypersensitivity Reactions Caused by Drug Excipients: A Literature Review

被引:24
作者
Caballero, M. L. [1 ]
Quirce, S. [1 ]
机构
[1] La Paz Univ Hosp, Dept Allergy, IdiPAZ, Madrid, Spain
关键词
Allergy; Drug immediate hypersensitivity reaction; Excipient; Pharmaceutical excipients; ACUTE ALLERGIC REACTION; INTRAOPERATIVE ANAPHYLAXIS; CARBOXYMETHYLCELLULOSE COMPONENT; MACROGOL HYPERSENSITIVITY; POLYETHYLENE-GLYCOLS; CONTACT URTICARIA; HISTAMINE-RELEASE; MILK-PROTEINS; EYE-DROPS; GELATIN;
D O I
10.18176/jiaci.0476
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The European Medicines Agency defines excipients as the constituents of a pharmaceutical form apart from the active substance. Immediate hypersensitivity reactions (IHRs) caused by excipients contained in the formulation of medications have been described. However, there are no data on the prevalence of IHRs due to drug excipients. Clinical manifestations of allergy to excipients can range from skin disorders to life-threatening systemic reactions. The aim of this study was to review the literature on allergy to pharmaceutical excipients and to record the IHRs described with various types of medications, specifically reactions due to the excipients contained in their formulations. The cases reported were sorted alphabetically by type of medication and excipient in order to obtain a list of the excipients most frequently involved for each type of medication.
引用
收藏
页码:86 / 100
页数:15
相关论文
共 111 条
[1]   Anaphylaxis to polyvinylpyrrolidone after vaginal application of povidone-iodine [J].
Adachi, A ;
Fukunaga, A ;
Hayashi, K ;
Kunisada, M ;
Horikawa, T .
CONTACT DERMATITIS, 2003, 48 (03) :133-136
[2]   Life-threatening intraoperative anaphylaxis to gelatin in Floseal during pediatric spinal surgery [J].
Agarwal, Niti S. ;
Spalding, Collette ;
Nassef, Mervat .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 2015, 3 (01) :110-111
[3]   Anaphylaxis with use of eye-drops containing benzalkonium chloride preservative [J].
Anderson, Diana ;
Faltay, Bela ;
Haller, Nairmeen A. .
CLINICAL AND EXPERIMENTAL OPTOMETRY, 2009, 92 (05) :444-446
[4]   Immediate allergic reactions by polyethylene glycol 4000:: two cases [J].
Anton Girones, M. ;
Roan Roan, J. ;
de la Hoz, B. ;
Sanchez Cano, M. .
ALLERGOLOGIA ET IMMUNOPATHOLOGIA, 2008, 36 (02) :110-112
[5]   Egg sensitization caused by immediate hypersensitivity reaction to drug-containing lysozyme [J].
Artesani, Maria Cristina ;
Donnanno, Simona ;
Cavagni, Giovanni ;
Calzone, Luigi ;
D'Urbano, Leila .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2008, 101 (01) :105-105
[6]  
Berasategui MTA, 2011, J INVEST ALLERG CLIN, V21, P496
[7]  
Badiu I, 2015, J INVEST ALLERG CLIN, V25, P368
[8]   Place of Excipients in Systemic Drug Allergy [J].
Barbaud, Annick .
IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA, 2014, 34 (03) :671-+
[9]   Hypersensitivity and vaccines: an update [J].
Barbaud, Annick ;
Deschildre, Antoine ;
Waton, Julie ;
Raison-Peyron, Nadia ;
Trechot, Philippe .
EUROPEAN JOURNAL OF DERMATOLOGY, 2013, 23 (02) :135-141
[10]  
Beaudouin E, 1992, Allerg Immunol (Paris), V24, P333