Cross-Sensitivity between Paroxetine and Sertraline

Author:

Warnock Caroline A1,Azadian Abbas G2

Affiliation:

1. Caroline A Warnock BScPhm, Clinical Pharmacist, Department of Pharmaceutical Services, Centre for Addiction and Mental Health, Toronto, Ontario, Canada

2. Abbas G Azadian MD FRCPC, Staff Psychiatrist, Centre for Addiction and Mental Health; Lecturer, Department of Psychiatry, University of Toronto, Toronto

Abstract

OBJECTIVE: To report a case of possible cross-sensitivity between selective serotonin-reuptake inhibitors (SSRIs). CASE SUMMARY: A 20-year-old Southeast Asian man developed a maculopapular rash soon after starting paroxetine. Following resolution of this rash, another skin reaction with the same distribution and appearance occurred after sertraline therapy was started. DISCUSSION: Cross-reactivity between drugs with similar structures has been reported; however, cross-reactivity among SSRI antidepressants is unexpected given their differences in chemical structure. CONCLUSIONS: The possibility of cross-reactivity between SSRI antidepressants should be considered by clinicians who wish to switch from one SSRI to another due to a dermatologic reaction.

Publisher

SAGE Publications

Subject

Pharmacology (medical)

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1. (135) Recurrent Rash with Sertraline and Escitalopram: A Case Report;Journal of the Academy of Consultation-Liaison Psychiatry;2023-11

2. A case of venlafaxine-induced angioedema in an older adult;SAGE Open Medical Case Reports;2021-01

3. Urticarial lesions associated with the use of paroxetine: a case report;Psychiatry and Clinical Psychopharmacology;2018-05-18

4. Adverse cutaneous effects of psychotropic medications;Expert Review of Dermatology;2013-12

5. Erythema multiforme photoinduced by paroxetine and herpes simplex virus;Photodermatology, Photoimmunology & Photomedicine;2011-07-05

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