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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Codeine

3

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

3
Last update : 03/01/2016
 
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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
Dihydrocodeine
1
Opiates - Opioids - Opium
5

Publications

Cough, codeine and confusion.
BMJ case reports 2015 Dec 23;2015; 2015 Dec 23
Opioid-induced respiratory depression in paediatrics: a review of case reports.
British journal of anaesthesia 2013 Feb;110;175-82 2013 Feb
Apnea and oxygen desaturations in children treated with opioids after adenotonsillectomy for obstructive sleep apnea syndrome: a prospective pilot study.
Paediatric drugs 2012 Dec 01;14;411-5 2012 Dec 01

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