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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Dextromethorphan

1

IX.d Respiratory failure from ventilatory depression (due to neuromuscular blockade/paralysis)

1
Last update : 06/04/2020
 
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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

Dextromethorphan abuse: clinical effects and management.
Journal of the American Pharmacists Association : JAPhA 2009;49;e20-5; quiz e26-7 2009
Dextromethorphan poisoning: an evidence-based consensus guideline for out-of-hospital management.
Clinical toxicology (Philadelphia, Pa.) 2007 Sep;45;662-77 2007 Sep

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