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Harvard Medical School
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General Medical Questions
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Q: I have had severe skin rashes on separate occasions after taking antibiotics. The first one was with Ceftin, and the second was with ampicillin. Is there any connection, chemically, between these antibiotics? Do they contain sulfa?
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The Trusted Source
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Harold J. DeMonaco, M.S.

Harold J. DeMonaco, M.S., is senior analyst, Innovative Diagnostics and Therapeutics, and the chair of the Human Research Committee at the Massachusetts General Hospital. He is author of over 20 publications in the pharmacy and medical literature and routinely reviews manuscript submissions for eight medical journals.

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May 31, 2005
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A:

Of all drug classes, antibiotics are one of the most common causes of allergic reactions. The reactions can range from skin rash to severe life-threatening side effects. Ampicillin is a member of a group of drugs called penicillins. All of the penicillins contain a similar chemical structure with some minor modifications. So someone who has a rash with ampicillin is likely to have a rash when they take any penicillin.

Ceftin (also known as cefuroxime) is a member of a group of antibiotics called cephalosporins. This group of antibiotics is very closely related to the penicillins. Some people are allergic to both groups of drugs. Neither the penicillins nor cephalosporin antibiotics contain "sulfa." It is important for people who have had skin rash or other kinds of drug side effects to make certain that they remind their health care professionals. If the reactions have been severe, a medication alert bracelet is a good thing to consider. Although there are several companies that can supply bracelets and other forms of alerts, Medic Alert, a nonprofit foundation, is the oldest and best known.


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