Stevens-Johnson Syndrome: Causes, Triggers, and What You Need to Know

When your body overreacts to a medication, it can turn deadly. Stevens-Johnson Syndrome, a rare but severe immune reaction that attacks the skin and mucous membranes. Also known as SJS, it starts like the flu but quickly turns into a medical emergency where your skin begins to blister and peel. This isn’t just a rash. It’s your immune system misfiring, often after taking a common drug, and it can kill if not caught fast.

Most cases are triggered by medications, especially antibiotics, anti-seizure drugs, and pain relievers. Trimethoprim-sulfamethoxazole, a common antibiotic, is one of the top offenders. So are allopurinol, used for gout, and carbamazepine, an anti-seizure medicine. Even over-the-counter painkillers like ibuprofen or naproxen can set it off in rare cases. It’s not about dosage—it’s about your body’s unique response. Some people have genetic markers that make them far more vulnerable.

It doesn’t just hurt your skin. Your eyes, mouth, throat, and genitals can blister and swell. Many patients end up in the hospital, sometimes in burn units, because the damage is so deep. The biggest danger? Infection. Once your skin barrier breaks down, bacteria get in. That’s why speed matters. If you notice a red or purplish rash that spreads, blisters, or peels—especially after starting a new drug—don’t wait. Get help immediately.

There’s no cure, only damage control. Doctors stop the triggering drug right away, give you fluids, manage pain, and protect your skin and mucous membranes. Recovery takes weeks, and some people are left with permanent eye damage or scarring. Prevention is your best tool: know your risk, track your meds, and speak up if something feels wrong.

What you’ll find below are real, practical stories and guides from people who’ve been through this—and the experts who help them. You’ll learn which drugs are most likely to cause it, how to spot the early signs before it’s too late, and what to do if you or someone you care about starts showing symptoms. This isn’t theoretical. It’s life-or-death information, written plainly so you can act fast when it counts.

Severe Adverse Drug Reactions: When to Seek Emergency Help

Severe Adverse Drug Reactions: When to Seek Emergency Help

Severe adverse drug reactions can be life-threatening within minutes. Learn the warning signs of anaphylaxis, Stevens-Johnson Syndrome, and other emergencies - and what to do right now to save a life.

Ruaridh Wood 3.12.2025