The following adverse reactions have been reported during post-marketing use, and in the scientific literature.
Blood and lymphatic system disorders: Uncommon: Leukopenia.
Not known: Increased serum osmolality.
Immune system disorders: Not known: Hypersensitivity.
Skin and subcutaneous tissue disorders: Very rare: Severe cutaneous adverse reactions (SCARs): Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) have been reported (see Precautions).
Not known: Allergic skin reactions such as rash, pruritus, contact dermatitis. Gray discoloration of the skin under the influence of sunlight.
General disorders and administration site conditions: Unknown: Burning sensation or pain.
Systemic absorption of silver sulfadiazine can very rarely cause side effects associated with systemic sulfonamide therapy.
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