Medications to AVOID in PTC

Medications that are known to precipitate Pseudotumor CEREBRI (PTC) and should be AVOIDED:

1. Tetracycline, Doxycycline, Minocycline (usually prescribed for treatment of Acne and Rosacea)

2. Vitamin A and related compounds:

a. Excess Vitamin A intake (pills, liver, isotretinoin)

b. Retinoic acid (ATRA used in Acne crèmes, treatment of acute leukemia)

3. Growth Hormone (rHGH, synthetic)

4. Anabolic steroids & withdrawal from chronic use of corticosteroids (e.g. Prednisone, dexamethasone)

5. Other medications include:

Amiodarone, Diphenylhydantoin, Lithium carbonate, Nalidixic acid, sulfa antibiotics, Oral contraceptives

Medical conditions associated with PTC:

  • Recent weight gain, obesity (not necessarily in kids),

  • Sleep apnea

  • Anemia

  • Addison’s disease (adrenal insufficiency)

  • Lupus (cause of PTC: ? kidney disease or clotting problems)

Dr. Swaraj Bose Neuro-Ophthalmologist & Orbital Surgeon

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