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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Protamine

2

IV.f Severe or catastrophic bronchospasm or asthma attack (can be fatal)

1
Last update : 05/08/2012
 
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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

Publications

Catastrophic Bronchial Spasm Due to a Severe Anaphylactic Reaction to Protamine.
The Korean journal of thoracic and cardiovascular surgery 2016 Dec;49;472-474 2016 Dec
The successful management of severe protamine-induced pulmonary hypertension using inhaled prostacyclin.
Anesthesia and analgesia 2010 Feb 01;110;365-9 2010 Feb 01
[Complications caused by protamine. 1: Pharmacology and pathophysiology].
Der Anaesthesist 1991 Jul;40;365-74 1991 Jul

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