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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Baclofen

2

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

1
Last update : 06/09/2012
 
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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
Baclofen withdrawal
1

Publications

Coma and Respiratory Failure in a 2-Year-Old Child After Accidental Overdose of Baclofen.
South Dakota medicine : the journal of the South Dakota State Medical Association 2020 Mar;73;106-110 2020 Mar
A nationwide register-based survey of baclofen toxicity.
Basic & clinical pharmacology & toxicology 2015 May;116;452-6 2015 May
Baclofen and γ-hydroxybutyrate (GHB), a dangerous combination.
Journal of addiction medicine 2015;9;75-7 2015
Intrathecal baclofen toxicity: an unusual cause of paediatric postoperative coma and respiratory depression.
European journal of anaesthesiology 2014 Jun;31;334-6 2014 Jun
Severe respiratory depression by low-dose baclofen in the treatment of chronic hiccups in a patient undergoing CAPD.
Nephron 2000 Dec;86;546-7 2000 Dec

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