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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Acetazolamide

3

XI.d Metabolic acidosis (incl. lactic acidosis/-gap). May cause hyperpnea/dyspnea

3
Last update : 31/12/2014
 
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Diagnosing DIRD
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Drug and radiation history
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Drug singularity - Correct identification of the drug
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Consistent timing of exposure v. onset of symptoms
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Clinical, imaging, BAL, pathological pattern consistent with the specific drug
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Careful exlusion of another cause
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Remission of symptoms with removal of drug
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Recurrence with rechallenge (rarely advisable)
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Causality assessment
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Publications

Acetazolamide Causes Worsening Acidosis in Uncompensated COPD Exacerbations: Increased Awareness Needed for Patient Safety.
The Journal of emergency medicine 2020 Jun;58;953-958 2020 Jun
Acetazolamide Use in Severe Chronic Obstructive Pulmonary Disease. Pros and Cons.
Annals of the American Thoracic Society 2017 Jul;14;1086-1093 2017 Jul
The importance of identifying the association between metabolic alkalosis and respiratory acidosis.
Archivos de bronconeumologia 2012 Feb;48;65-6 2012 Feb
Metabolic acidosis induced by acetazolamide.
Journal of the American Optometric Association 1991 Dec;62;934-7 1991 Dec
Significant metabolic acidosis induced by acetazolamide. Not a rare complication.
Archives of internal medicine 1985 Oct;145;1815-7 1985 Oct

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