Clinical adverse events on oral gold
- 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.
- diarrhoea
Reduce dose, add fibre to diet. Stop if unacceptable
- Nausea
Reduce dose, take with food. Stop if unacceptable.
- Abdominal pain
Reduce dose, add fibre to diet, consider other causes. Stop if unacceptable.
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