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Action plan for side effects

Authoring team

If blood dyscrasia:

  • rash or mouth ulcers
  • WBC < 3500
  • platelets < 150,000 stop gold and inform rheumatologist.

If proteinuria or haematuria "+" on two or more occasions:

  • inform rheumatologist
  • perform MSU and 24-hour urinary protein collection

If eosinophilia occurs:

  • reduce Gold dose or frequency and observe patient more carefully
  • note that eosinophilia may precede skin rash

Oral gold has fewer side effects than i.m. The most common side effect is diarrhoea, reduced by taking bulking agents such as bran.

Source: Dr Watts, Rheumatologist, Ipswich, Suffolk

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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