
Was ist der Unterschied zwischen einer Nebenwirkung und einer Arzneimittelallergie?
Begutachtet von Dr Krishna Vakharia, MRCGPZuletzt aktualisiert von Victoria RawLast updated 24 Oct 2024
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Viele meiner Patienten verwechseln Nebenwirkungen oder Unverträglichkeiten mit Allergien. Nebenwirkungen können mit der Zeit nachlassen, und es gibt Maßnahmen, die Sie ergreifen können, um die Wahrscheinlichkeit ihres Auftretens zu verringern. Aber wenn Sie eine allergische Reaktion haben, müssen Sie das Medikament absetzen und es nicht erneut einnehmen.
In diesem Artikel:
Video picks for Allergien
Last year in England, more than 1 billion prescriptions were issued. That's an awful lot of medicines, and an awful lot of potential for side effects as well as allergies.
#MedSafetyWeek is an annual campaign organised by the Medicines and Healthcare products Agency (MHRA). This encourages you to report any suspected side effects from medicines, a medical device incident, or if you believe a product isn't working as intended. Das MHRA Yellow Card Scheme helps to detect and resolve potential safety issues with medicines and healthcare products.
#MedSafetyWeek 2024 (4.-10. November)

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How to tell if you have a drug allergy
A drug allergy is your immune system's reaction to a medicine. It's important to be aware of Allergien, because if you take the same medicine again, the reaction could be worse.
Antibiotika - particularly Penicillin - are a good example. The first allergic reaction many people have is an itchy rash. But once your body is primed to recognise something as an enemy, your Immunsystem reacts more strongly.
In worst case scenarios, it could result in a potentially life-threatening reaction called Anaphylaxie. This is a sudden itchy rash - like nettle rash - that's accompanied by wheezing, Herzklopfen, Schwindel, swelling around the mouth, the lips and the tongue, and more.
Ausschläge are usually due to allergy, and if you develop a rash shortly after starting a medicine it should always be checked out.
If you've ever been told you're allergic to any medicine, tell your doctor or pharmacist before they issue a new medicine.
How to tell if it's a side effect?
Zurück zum InhaltSide effects, rather than allergies, are far more common. Among the most common examples are:
Sich krank und/oder Durchfall - with antibiotics like erythromycin, statins, some painkillers and Antidepressiva medicines.
Needing to pee more often - with 'water' tablets for high blood pressure or heart failure, and some medicines for Typ-2-Diabetes.
Müdigkeit - with strong painkillers, some Antihistaminika or depression tablets and beta-blockers for abnormal heart rhythms.
Muscle aches - with Statine.
With most medicines, side effects tend to be worse just after you start the tablets, and often settle within days or weeks at most. There are exceptions. With the blood pressure-lowering ACE-Hemmer, dry Husten - or even swelling around the face and lips (Angioödem) - can develop more than one year after starting.
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Read the leaflet
Zurück zum InhaltIt's worth talking with your pharmacist and reading the patient leaflet for a full list of recognised side effects. However, it's important to remember that many side effects are very rare - they all have to be listed for legal reasons, even if most people don't get them.
Check the label of your medicine - some tablets may cause side effects if taken on an empty stomach, but will be fine with food.
Nehmen Sie niemals das verschriebene Medikament einer anderen Person ein und teilen Sie Ihres nicht mit anderen. Bewahren Sie alle Medikamente außerhalb der Sicht- und Reichweite von Kindern auf. Lesen Sie immer die Packungsbeilage (PIL) oder die Anweisungen, die mit einem Medikament oder medizinischen Gerät geliefert werden. Diese enthalten wichtige Informationen über mögliche Nebenwirkungen, Risiken und die korrekte Anwendung des Produkts.
Ask the pharmacist
Zurück zum InhaltI'm a huge fan of community pharmacists. This is yet another time they can be invaluable. Your community pharmacist really is the expert where medication is concerned.
They can tell you if a symptom is likely due to your medicine, whether it's likely to settle and what you should do. They can also advise on possible interactions between drugs you're taking. Do remember that herbal remedies and even food supplements can cause side effects or interact with prescribed medicines, so let your pharmacist know everything you're taking.
If you're having any symptoms you think might be related to your medicine, speak to your pharmacist first, unless it's a medical emergency. As with a GP appointment, it helps to be prepared. Make a list of any symptoms you have as well as any medicines you take - and that includes medicines bought over the counter. Even anti-inflammatory drugs like Ibuprofen, available without prescription, can cause tummy pain and bleeding.
Depending on what medicines you take, you may be able to book a review of your medicines with your pharmacist using Patient Access.
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What about 'natural' remedies?
Zurück zum InhaltMany people assume that 'natural’ supplements or remedies are safe and don't have side effects. However, everything that has a positive effect can have a negative effect as well. The list is endless, but some examples include St John's wort, used for Depressionen, and Aspirin - whether prescribed or taken for pain.
If you're taking the blood-thinner Warfarin - commonly used if you have an abnormal heart rhythm called Vorhofflimmern - you need to be particularly careful. It interacts with a host of prescribed medicines, supplements, and even food and drink - including Alkohol, Brussels sprouts, and curly kale.
It's important to have regular blood tests when you're taking warfarin, but it's also a good idea to have a chat with your pharmacist about possible interactions, especially if your blood tests aren't stable.
How to report side effects
If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed on this page or the information that comes with the medicine. You can also report side effects yourself - or on behalf of someone you’re caring for - using the Medicines and Healthcare products Regulatory Agency (MHRA) Yellow Card scheme.
Every report counts, and helps the MHRA monitor the safety of medicines and prevent future harm to others. You can also download the MHRA Yellow Card App in the Google Play or Apple App Store.
By reporting side effects you can help provide more information on the safety of this medicine.
Dank an das Magazin My Weekly, in dem dieser Artikel ursprünglich veröffentlicht wurde.
Patient picks for Allergien

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Wie Sie Ihr Baby vor Allergien schützen können
Allergies can be distressing for any child but particularly for babies. This is because they don't understand what is happening to them and therefore become distressed. This can be upsetting to watch as a parent. However, there are things you can do to protect your baby against allergies and ease their symptoms.
von Lawrence Higgins

Allergien, Blut und Immunsystem
Wann man sich über eine allergische Reaktion Sorgen machen sollte
Allergies are complicated. They happen when your immune system, which usually helps your body fight off infection and other intruders, over-reacts. They're also very common - affecting around one quarter of people in the UK at some point. About half of people with allergies are children but you can develop an allergy at any age. While many are mild - an itchy nose from mild hay fever is one of the commonest - others can be life-threatening. So how do you know the difference?
von Dr. Sarah Jarvis MBE, FRCGP
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Artikelverlauf
Die Informationen auf dieser Seite werden von qualifizierten Klinikern begutachtet.
Nächste Überprüfung fällig: 24. Okt. 2027
24 Oct 2024 | Neueste Version
4. Mai 2020 | Ursprünglich veröffentlicht
Verfasst von:
Dr Sarah Jarvis MBE, FRCGP

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