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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

III.c

Hemoptysis

Superwarfarins in cannabinoid samples can cause severe bleeding diathesis (See: Kelkar, A.H. et al. An Outbreak of Synthetic Cannabinoid–Associated Coagulopathy in Illinois. N Engl J Med, 2018. 379: 1216-23

Publications

Connors JM

Hemorrhagic Highs from Synthetic Cannabinoids - A New Epidemic.

The New England journal of medicine. 2018;379(13):1275-1277

Card DJ, Francis S, Deuchande K, Harrington DJ

Superwarfarin poisoning and its management.

BMJ case reports. 2014;2014