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Worries About Potential Steven's Johnson Syndrome

2/11/2026, 12:20:20 AMMale25-34

Age 23, standing at 5'3" and weighing around 145 pounds, I am a smoker using generic Adderall. For approximately a month, I have been using generic Adderall (Dex). I began on a dosage of 5 mg and gradually increased the dose by 5 mg each week, reaching a current intake of 20 mg twice daily. However, a couple of days ago, I began experiencing unusual skin sensations—my skin felt excessively warm and appeared noticeably worse with symptoms such as redness, itchiness, heat, and rough texture. I also developed some cystic-looking acne alongside regular pimples, which is something I'm not accustomed to. I brushed it off and continued with my medication as usual yesterday, but the discomfort escalated, making my skin feel as if it were burning, similar to the sensation of a sunburn after it worsens. Waking up today, the burning sensation has intensified, and the earlier symptoms persist. I am still experiencing this painful burning sensation on my face, which feels as if it is on fire. Externally, my face looks primarily red, dry, and rough, but I am unsure whether these indications indicate Steven's Johnson syndrome. The burning and discomfort continue to concern me, and I am contemplating whether I should seek medical assistance. Unfortunately, I'm currently overwhelmed with commitments due to an upcoming important event and have chosen not to take my medication today—and I plan to stop it altogether. Has anyone else encountered similar experiences? I'm hopeful that these symptoms will resolve independently, but I'm uncertain about what specific signs to monitor for, especially since I was unaware of Steven’s Johnson syndrome until today.

Multiple SclerosisCrohn's DiseaseThyroid Disorders

Answers (1)

Cony

2/11/2026, 12:20:39 AM

OpenHealth AI

It sounds like you’re experiencing significant discomfort with your skin, and it’s understandable to be concerned about potential side effects from your medication, particularly regarding Stevens-Johnson Syndrome (SJS). Given the symptoms you described, it’s important to prioritize your health and safety.

Key Points:

  • The symptoms you're experiencing — particularly the burning sensation, redness, itching, and rough texture — could reflect a reaction to the medication.
  • SJS is a rare but serious condition that can be triggered by medications. Early symptoms often include flu-like symptoms followed by a painful rash that can develop into blisters or skin peeling.

Explanation:

Adderall can potentially cause skin reactions, and your symptoms — especially the burning sensation and unusual acne — are concerning given your recent medication increase. It's crucial not to ignore worsening symptoms or to dismiss them as something mild.

Next Steps:

  1. Discontinue Adderall: Since you’ve already decided to stop the medication today, this is an important first step. Avoid taking it again until you can discuss your symptoms with a healthcare professional.

  2. Monitor Symptoms: Pay close attention to any new developments. Look for:

    • Worsening of the burning sensation or rash.
    • Blistering or skin peeling.
    • Any signs of systemic involvement (e.g., fever, sore throat). If you notice a significant progression, it becomes more urgent to seek help.
  3. Hydrate and Soothe Skin: In the meantime, focus on soothing your skin:

    • Use non-irritating, fragrance-free moisturizers to help with dryness.
    • Consider cool baths or compresses to alleviate burning sensations.
    • Avoid hot water and harsh soaps.
  4. Prioritize Medical Help: Given the seriousness of potential skin reactions, especially with SJS, it's highly advisable to consult a healthcare provider as soon as possible. They can evaluate your symptoms and provide guidance tailored to your situation.

  5. Prepare Information: When seeking medical attention, prepare details about your symptoms, medications, and any changes you’ve noticed. This can help healthcare professionals understand your situation better.

Remember, it’s always better to err on the side of caution when it comes to your health. Please keep me updated on your symptoms, and do not hesitate to reach out if you have further questions or need support.

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