Nevirapine induced Stevens Johnson Syndrome

Case Study

  • Himani Prajapati Dr. Y.S Parmar Govt. Medical College, Nahan, Sirmaur, Himachal Pradesh 173001, India.
  • Neetu Bala Dr RPGMC Kangra at Tanda 176001, India.
  • Dinesh Kansal Dr RPGMC Kangra at Tanda 176001, India.
Keywords: Stevens johnson syndrome, antiretroviral therapy, generalized erythematous eruption, nevirapine


A 56-year-old male patient presented with a complaint of lesions all over the body with a burning sensation for 4 days. He was on an ART regimen, containing zidovudine, lamivudine, and efavirenz combination for 4 years. But patient accidentally started nevirapine and after 10 days he developed maculopapular lesions which were diagnosed as SJS syndrome. There was a history of rash with nevirapine when ART was started initially in 2012. This incident of an adverse event could be assigned a term "probable" according to the WHO-UMC scale for causality assessment as the re-challenge was found positive. Severe and life-threatening SJS is more common with nevirapine than with other NNRTIs. Physicians and patients must be aware of this adverse effect on early diagnosis and treatment.

Author Biographies

Himani Prajapati, Dr. Y.S Parmar Govt. Medical College, Nahan, Sirmaur, Himachal Pradesh 173001, India.

Patient safety pharmacovigilance Associate, Department of Pharmacology

Neetu Bala, Dr RPGMC Kangra at Tanda 176001, India.

Senior Resident, Department of Pharmacology

Dinesh Kansal, Dr RPGMC Kangra at Tanda 176001, India.

professor & HOD-cum-AMC Coordinator, Department of Pharmacology,


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How to Cite
Himani Prajapati, Neetu Bala, Dinesh Kansal. Nevirapine induced Stevens Johnson Syndrome . jpadr [Internet]. 2021Jun.7 [cited 2021Oct.16];1(2):33-5. Available from: