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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Phenylephrine

2

II.i Flash (fulminate) pulmonary edema

1
Last update : 14/05/2014
 
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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

Recurrent Priapism Gone Wrong: ST-Elevation Myocardial Infarction and Cardiogenic Shock After Penile Corporal Phenylephrine Irrigation.
The Journal of emergency medicine 2017 Jun;52;859-862 2017 Jun
Pulmonary edema following instillation of topical phenylephrine eyedrops in a child under general anesthesia.
European journal of ophthalmology 2011;21;115-7 2011

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