Penicillin is widely used for various conditions such as strep throat. Even though it is highly effective, some avoid penicillin due to fear of experiencing an allergic reaction.
Take note that penicillin is the ideal therapy for certain conditions. In some cases, penicillin is needed since they are allergic to other forms of antibiotics.
What are the indications?
Minor to moderate allergic reactions to penicillin are prevalent and the symptoms might include any of the following:
- Wheezing
- Hives
- Throat tightness
- Swollen tissues under the skin, usually around the face
- Coughing
- Difficulty breathing
Even though uncommon, a serious, abrupt-onset allergic reaction to penicillin is anaphylaxis that occurs among highly sensitive individuals. This type of reaction can occur abruptly and become worse and even deadly.
The indications of anaphylaxis might include not only skin symptoms but any of the following:
- Chest tightness and difficulty breathing
- Swollen tongue, nose, throat and lips
- Dizziness, fainting or loss of consciousness that can lead to shock and heart failure
The symptoms necessitate immediate care at the nearest emergency department. Epinephrine is the treatment of choice in this crucial setting but must also be self-administered via an auto-injector right away.
Management of penicillin allergy
Individuals who had severe reactions to penicillin must seek medical care that might include an epinephrine shot and further treatment to maintain the blood pressure and regular breathing.
Individuals who experience milder reactions and suspect that an allergy to the drug is the cause, antihistamines or even oral or injected corticosteroids are given depending on the reaction. A doctor should be consulted to determine the appropriate course of treatment.