clinical events of intramuscular gold
Last reviewed 01/2018
- Rash
Often non-specific erythematous dry & itchy. Stop drug if severe, consider using 1% hydrocortisone and/or antihistamines. Consider other causes. If mild re-introduce when settled.
- Mouth ulcers/Stomatitis
Stop if severe, reduce dose if mild/moderate. Consider carbenoxalone or difflam mouth washes. Consider other causes.
- Malaise, increased stiffness
Continue drug, reduce dose if necessary, usually settles as treatment continues.
Reduce dose, add fibre to diet. Stop if unacceptable
- Nitroid reaction - hypotension, flushing, nausea
Stop drug. Re-introduce drug at lower dose if not severe
- Dyspnoea
Stop drug. Pulmonary complications rare, but potentially serious, seek advice.
- visual disturbance
Stop drug. Can be deposits of drug in lens, seek advice.
- Alopecia
Stop drug if severe.