# Amitriptyline Induced Life‐Threatening Steven–Johnson Syndrome: Case Report

**Authors:** Wondwosen Mengist Dereje, Lidya Yalew, Nardos Tafesse, Teklegiorgis Goshime Getachew

PMC · DOI: 10.1002/ccr3.72129 · Clinical Case Reports · 2026-02-22

## TL;DR

This case report describes a rare instance of life-threatening Stevens–Johnson syndrome caused by amitriptyline, a drug not previously linked to this condition.

## Contribution

The novelty is the first reported case of Stevens–Johnson syndrome caused by amitriptyline.

## Key findings

- Amitriptyline can cause life-threatening Stevens–Johnson syndrome.
- This case adds to the list of drugs associated with the syndrome.

## Abstract

Stevens–Johnson syndrome is one of the few dermatological emergencies in clinical practice. The syndrome is often secondary to the usage of drugs, of which allopurinol, penicillins, sulfa drugs, ibuprofen, sodium valproate, phenytoin, lamotrigine, and carbamazepine are commonly implicated. Stevens–Johnson syndrome due to amitriptyline combination has not been reported in the literature before.

## Linked entities

- **Chemicals:** Amitriptyline (PubChem CID 2160), allopurinol (PubChem CID 135401907), penicillins (PubChem CID 2349), ibuprofen (PubChem CID 3672), sodium valproate (PubChem CID 16760703), phenytoin (PubChem CID 1775), lamotrigine (PubChem CID 3878), carbamazepine (PubChem CID 2554)
- **Diseases:** Stevens–Johnson syndrome (MONDO:0018229)

## Full-text entities

- **Diseases:** Steven-Johnson Syndrome (MESH:D013262)
- **Chemicals:** sodium valproate (MESH:D014635), phenytoin (MESH:D010672), lamotrigine (MESH:D000077213), penicillins (MESH:D010406), carbamazepine (MESH:D002220), Amitriptyline (MESH:D000639), sulfa drugs (MESH:D013449), allopurinol (MESH:D000493), ibuprofen (MESH:D007052)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12928074/full.md

## References

35 references — full list in the complete paper: https://tomesphere.com/paper/PMC12928074/full.md

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Source: https://tomesphere.com/paper/PMC12928074