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The Drug-Induced Respiratory Disease Website and App

Oxygen (dioxygen, O2)

Like NO, molecular oxygen or dioxygen or O2 is listed as a drug. Oxygen can cause lung damage known as hyperoxic lung injury (HLI/HOLI). Oxygen can also trigger or potentiate amiodarone-, chemotherapy- and radiation-induced lung injury. Elevated FIO2 above 0.6 for >24hr may cause HLI/HOLI. See PMID: 21994818, 22804568, 23271823. See also PMID 4936578, 4948324, 6247652, 9887137, 15485081, 20430708, 25314313. And an interesting study in pigs at PMID 10924582

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

I - Interstitial/parenchymal lung disease

II - Pulmonary edema - Acute lung injury - ARDS

IV - Airway involvement

VIII - Central-large-upper airway (incl. pharyngeal-nasal) involvement

IX - Neuromuscular / CNS involvement - Disordered breathing (during sleep)

XI - Miscellaneous

XV - Pathology

XVI - Imaging

XIX - Cytological, biochemical features of/in BAL, pleural fluid or FNA