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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Rofecoxib

1

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

1
Last update : 13/09/2012
 
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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
COX2 inhibitors
2

Publications

Safety profile of rofecoxib as used in general practice in England: results of a prescription-event monitoring study.
British journal of clinical pharmacology 2003 Feb;55;166-74 2003 Feb
Anaphylactoid reaction to a cyclooxygenase-2 inhibitor in a patient who had a reaction to a cyclooxygenase-1 inhibitor.
The New England journal of medicine 2001 Dec 20;345;1856 2001 Dec 20

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