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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Fentanyl

5

VIII.q Tongue involvement (edema, glossitis, hematoma)

1
Last update : 07/04/2013
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Acetylfentanyl
1
Butyrfentanyl
2
Carfentanyl (carboxymethoxyfentanyl)
2
Fentanyl (smoked, snorted, insufflated, inhaled)
2
Fentanyl (topical)
3
Fentanyl analogs/derivatives/substituted
5
Opiates - Opioids - Opium
5

Publications

Three cases with different presentation of fentanyl-induced muscle rigidity--a rare problem in intensive care of neonates.
American journal of perinatology 2000;17;23-6 2000

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