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Table 4 Treatment, culprit and tolerated drugs after and during SCARs

From: Tolerated drugs in subjects with severe cutaneous adverse reactions (SCARs) induced by anticonvulsants and review of the literature

Patient

SCARs

Culprit drug

Latency (weeks)

Treatment

Tolerated anticonvulsants

Other tolerated drugs

P1

DRESS

Phenytoin

3

Methylprednisolone for 3 months

Clonazepam

Ibuprofen, clarithromycin

P2

DRESS

Phenytoin

3

Prednisone for 1 year

Levetiracetam

Metamizole, tramadol, amoxicillin, clarithromycin, ketoprofen, metoclopramide, rituximab, lercanidipine

P3

SJS

Lamotrigine

4

Hydrocortisone bolus, prednisone for 1 month and immunoglobulin intravenously

Delorazepam and lormetazepam

Echinocandin

P4

SJS

Phenytoin

4

Hydrocortisone bolus, prednisone for 1 month and immunoglobulin intravenously

Diazepam

Teicoplanin, haloperidol

P5

TEN

Valproic acid

2

Prednisone for 1 month and immunoglobulin intravenously

Diazepam and levetiracetam

Meropenem

P6

TEN

Lamotrigine

2

Prednisone for 1 month and immunoglobulin intravenously

Diazepam and levetiracetam

Teicoplanin

  1. SCARs: severe cutaneous adverse reactions, SJS: Stevens–Johnson syndrome, DRESS: drug reaction with eosinophilia and systemic symptoms, TEN: toxic epidermal necrolysis