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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Cocaine

5

IV.a Bronchospasm - Wheezing - Asthma

2
Last update : 31/08/2012
 
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Crack cocaine
5
Levamisole
4
Levamisole-adulterated/tainted cocaine
5
Talc (inhaled, sniffed, i.v., intrapleural)
3

Publications

Cocaine Allergy in Drug-Dependent Patients and Allergic People.
The journal of allergy and clinical immunology. In practice 2018;6;201-207 2018
Prevalence of cocaine use and its impact on asthma exacerbation in an urban population.
Chest 2000 May;117;1324-9 2000 May
Cocaine-associated asthma.
The American journal of medicine 1990 Apr;88;438-9 1990 Apr
Airway complications from free-basing cocaine.
Chest 1989 Feb;95;476-7 1989 Feb
A review of the respiratory effects of smoking cocaine.
The American journal of medicine 1989 Dec;87;664-8 1989 Dec

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