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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Lepirudin

1

X.f Anaphylaxis-Anaphylactoid reaction (can be fatal)

1
Last update : 14/10/2013
 
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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
More detailed checklist

Publications

Safety-related regulatory actions for biologicals approved in the United States and the European Union.
JAMA 2008 Oct 22;300;1887-96 2008 Oct 22
Severe anaphylactic reaction after repeated intermittent exposure to lepirudin.
Pharmacotherapy 2007 May;27;760-5 2007 May
Risk of anaphylaxis after reexposure to intravenous lepirudin in patients with current or past heparin-induced thrombocytopenia.
Mayo Clinic proceedings 2005 Apr;80;491-3 2005 Apr
Anaphylactic and anaphylactoid reactions associated with lepirudin in patients with heparin-induced thrombocytopenia.
Circulation 2003 Oct 28;108;2062-5 2003 Oct 28

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