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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Pseudoephedrine

1

XII.g Coronary artery disease (acute) - Myocardial ischemia/infarction

1
Last update : 10/07/2012
 
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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
Ephedrine
1
Methamphetamine
5

Publications

A Case with Repeated Recurrent Acute Coronary Syndrome due to Pseudoephedrine Use: Kounis Syndrome.
Case reports in medicine 2014;2014;742905 2014
ST elevation myocardial infarction presenting after use of pseudoephedrine.
Cardiovascular toxicology 2009 Jun;9;103-4 2009 Jun
Acute coronary syndrome presenting after pseudoephedrine use and regression with beta-blocker therapy.
The Canadian journal of cardiology 2008 Nov;24;e86-8 2008 Nov
Myocardial infarction associated with pseudoephedrine use and acute streptococcal infection in a boy with normal coronary arteries.
The Canadian journal of cardiology 2006 Mar 01;22;254-6 2006 Mar 01
Acute myocardial ischemia associated with ingestion of bupropion and pseudoephedrine in a 21-year-old man.
The Canadian journal of cardiology 2001 May;17;599-601 2001 May

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