BUPROPİONA BAĞLI JENERALİZE AKUT ÜRTİKER Bupropion – Induced Generalized Acute Urticaria
Bupropion depresyon ve sigara bırakma tedavisinde kullanılan, norepinefrin ve dopamin gerialım inhibitörüdür. 1997 yılında ABD Gıda ve İlaç İdaresi (FDA) tarafından sigara bırakma tedavisindeonaylanmıştır. Bupropion, bu endikasyonda Zyban ticari ismiyle sürekli salınımlı bir ürünolarak formüle edilmiştir. En sık görülen yan etkiler iştahsızlık, ağız kuruluğu, uykusuzluk, başağrısı ve kabızlıktır. Bupropion ayrıca jeneralize akut ürtiker ve anjioödemi indükleyebilir. Bupropiyonkaynaklı ürtikere bazen anjioödem, artralji, serum benzeri reaksiyon veya anafilaksi belirtilerieşlik eder. Burada, sigara bırakmak için bupropiyon kullanımının neden olduğu bir jeneralizeakut ürtiker olgusunu sunuyoruz.Anahtar Sözcu¨kler: Bupropion; Ürtiker; Kutanöz ilaç reaksiyonuABSTRACTBupropion is a norepinephrine and dopamine reuptake inhibitor used to treat depression andfor smoking cessation. It was approved by the U.S. Food and Drug Administration (FDA) for useas a smoking cessation in 1997. Bupropion was formulated for this indication as a sustainedreleaseproduct marketed under the brand name Zyban. The most common side effects are lossof appetite, dry mouth, insomnia, headache and constipation. Bupropion may also induce generalizedacute urticaria and angioedema. Bupropion-induced urticaria is sometimes accompaniedby angioedema, arthralgia, serum-like reaction or symptoms of anaphylaxis. We report a case ofgeneralized acute urticaria caused by bupropion used for smoking cessation.Keywords: Bupropion; Urticaria; Cutaneous drug reaction
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- 1. Hu LY, Liu CJ, Lu T, Hu TM, Tsai CF, Hu YW, et al. Delayed onset
urticaria in depressive patients with bupropion prescription: a
nationwide population-based study. 2013;8:e80064.
2. Crain D, Bhat A. Current treatment options in smoking cessation.
Hosp Pract(1995). 2010 ;38:53-61.
3. Tackett AE, Smith KM. Bupropion-induced angioedema. Am J
Health Syst Pharm. 2008;65:1627-1630.
4. Beyens MN, Guy C, Mounier G, Laporte S, Ollagnier M. Serious
adverse reactions of bupropion for smoking cessation: analysis of
the French Pharmacovigilance Database from 2001 to 2004. Drug
Saf. 2008;31:1017-1026.
5. Cooper KD. Urticaria and angioedema: diagnosis and evaluation.
J Am Acad Dermatol. 1991;25:166-174; discussion 174-176. Review.
6. Fays S, Tréchot P, Schmutz JL, Cuny JF, Truchetet F, Barbaud A. Bupropion
and generalized acute urticaria: eight cases. Br J Dermatol.
2003;148:177-178.
7. Tuman TC, Tuman BA, Göksügür N, Kayka N, Yıldırım O. Urticaria
and Angioedema Associated With Bupropion: Three Cases. Prim
Care Companion CNS Disord. 2016;18(4).
8. Mitkov MV, Trowbridge RM, Lockshin BN, Caplan JP. Dermatologic
side effects of psychotropic medications. Psychosomatics.
2014;55:1-20.