Usually dimers are made from identical chains but heterodimers made of two different chains from the same class are also found
Also terbinafine, diltiazem, hydroxychloroquine, isoniazid and the antibiotic sulphonamides Good outcome - settles within two weeks of stopping the drug Purpura / cutaneous vasculitis (figures 29-30) Chronology - symptoms tend to occur at around three weeks after the medication was commenced Clinical findings - palpable purpura (thrombocytopenia is non-palpable) Many drugs are implicated , the most commonly associated ones are the penicillins, minocycline, quinolones, 'sulfa' drugs, NSAID and other analgesics, thiazides and other diuretics, anticonvulsants, allopurinol, vaccines, cocaine and other illicit drugs It is important to rule out other causes of purpura before concluding the rash is secondary to a drug For more information refer to the chapter Vasculitis Ulcers / infarction (figure 31) Ulcers - two of the most commonly associated medications are hydroxyurea and nicorandil , the latter mainly affects the eyes, mouth, genitalia, perineal and perianal skin Infarction - the main cause is warfarin Drug-induced eczema Rare
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Designed to withstand gastric juices, they maintain efficacy despite prolonged exposure to stomach acid and UV light
