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The Drug-Induced Respiratory Disease Website and App

Frequency - Incidence

Incidence of respiratory adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for respiratory adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

XIV.a

Methemoglobinemia

Publications

Hamza A, Nasrullah A, Singh R, DiSilvio B

Phenazopyridine-Induced Methaemoglobinaemia The Aftermath of Dysuria Treatment.

European journal of case reports in internal medicine. 2022;9(2):003191

Murphy T, Fernandez M

Acquired methemoglobinemia from phenazopyridine use.

International journal of emergency medicine. 2018;11(1):45

Yu CH, Wang CH, Chang CC

Chocolate-colored blood with normal artery oxygen: methemoglobinemia related to phenazopyridine.

The American journal of the medical sciences. 2011;341(4):337

Singh NK, Mirza N

Elderly woman with orange urine and purple hands.

Mayo Clinic proceedings. 2008;83(7):744

Gold NA, Bithoney WG

Methemoglobinemia due to ingestion of at most three pills of pyridium in a 2-year-old: case report and review.

The Journal of emergency medicine. 2003;25(2):143-8

Zimmerman RC, Green ED, Ghurabi WH, Colohan DP

Methemoglobinemia from overdose of phenazopyridine hydrochloride.

Annals of emergency medicine. 1980;9(3):147-9

Jeffery WH, Zelicoff AP, Hardy WR

Acquired methemoglobinemia and hemolytic anemia after usual doses of phenazopyridine.

Drug intelligence & clinical pharmacy. 1982;16(2):157-9