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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Amiodarone

5

I.l Diffuse alveolar damage (DAD) (see alsoo under IIb and XVf)

3
Last update : 11/05/2012
 
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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
Dronedarone
2
Excipients-Vehicle-Preservatives (of drugs)
5
Thyroid hormones (exogenous)
1

Publications

Severe amiodarone induced pulmonary toxicity.
Journal of thoracic disease 2012 Dec;4;667-70 2012 Dec
Causes and prognosis of diffuse alveolar damage diagnosed on surgical lung biopsy.
Chest 2007 Jul;132;50-7 2007 Jul
Acute fatal post-CABG low dose amiodarone lung toxicity.
Asian cardiovascular & thoracic annals 2007 Dec;15;e66-8 2007 Dec

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