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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Heroin (intravenous)

5

IV.a Bronchospasm - Wheezing - Asthma

3
Last update : 10/08/2012
 
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Heroin (inhaled, insufflated, snorted)
4
Methadone
5
Opiates - Opioids - Opium
5

Publications

Heroin insufflation as a trigger for patients with life-threatening asthma.
Chest 2003 Feb;123;510-7 2003 Feb
Inhaled heroin-induced status asthmaticus: five cases and a review of the literature.
Chest 2000 Jan;117;272-5 2000 Jan
[Heroin inhalation-induced asthma and eosinophilic pneumonia].
Duodecim; laaketieteellinen aikakauskirja 1993;109;56-9 1993
Asthma in opiate addicts.
Journal of psychosomatic research 1987;31;41-4 1987

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