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Diagnosing DIRD
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The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Dijon, France
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Drugs
Patterns
Benzodiazepines
5
IV.v
Deterioration/exacerbation of preexisting asthma or COPD
2
Not all studies confirmed that (See PMID 24482539)
Last update :
21/11/2014
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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
More detailed checklist
See also under
Ethanol (ethyl alcohol, 'alcohol')
Midazolam
Publications
Benzodiazepine drug use and adverse respiratory outcomes among older adults with COPD.