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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Psyllium

2

IV.a Bronchospasm - Wheezing - Asthma

1
Last update : 21/06/2013
 
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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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Publications

Adverse effects of psyllium.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 1992 Jan 01;146;16-7 1992 Jan 01
Delayed psyllium allergy in three nurses.
Hospital pharmacy 1992 Dec;27;1061-2 1992 Dec
Asthma from psyllium in laxative manufacture.
Annals of internal medicine 1975 Sep;83;361-2 1975 Sep

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