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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Mazindol

1

VI.b Pulmonary arterial hypertension

1
Last update : 20/01/2012
 
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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

Publications

Delayed onset of pulmonary hypertension associated with an appetite suppressant, mazindol: a case report.
Japanese circulation journal 2000 Mar;64;218-21 2000 Mar
On the role of serotonin in the pathogenesis of pulmonary hypertension induced by anorectic drugs; an experimental study in the isolated perfused rat lung, II. Fenfluramine, mazindol, mefenorex, phentermine and R 800.
Clinical and experimental pharmacology & physiology 1976;3;323-30 1976

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