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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Paclitaxel

5

XII.s Heart block (bundle branch- or AV-)

1
Last update : 05/07/2014
 
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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
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Publications

Peri-operative atrioventricular block as a result of chemotherapy with epirubicin and paclitaxel.
Anaesthesia 2007 Feb;62;186-9 2007 Feb
Life-threatening adverse drug reaction to paclitaxel. Postmarketing surveillance.
Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico 2006 Jan;8;60-1 2006 Jan

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