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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Ecstasy (MDMA)

4

X.ag The serotonin syndrome

1
Last update : 24/03/2014
 
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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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See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Amphetamine (and -derivatives)
3

Publications

Full recovery after severe serotonin syndrome, severe rhabdomyolysis, multi-organ failure and disseminated intravascular coagulopathy from MDMA.
Heart & lung : the journal of critical care 2014;43;117-9 2014

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