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Clinical events of intramuscular gold

Authoring team

  • 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.


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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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