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Drug-induced diarrhoea.

O Chassany1, A Michaux, J F Bergmann

  • 1Internal Medicine Department, Lariboisière University Hospital, Paris, France. olivier.chassany@lrb.ap-hop-paris.fr

Drug Safety
|January 27, 2000
PubMed
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Diarrhoea is a common adverse drug effect, with over 700 medications implicated. Antimicrobials are a frequent cause, leading to a spectrum of conditions from mild symptoms to severe colitis.

Area of Science:

  • Gastroenterology
  • Pharmacology
  • Clinical Medicine

Background:

  • Diarrhoea is a frequent adverse drug event, accounting for approximately 7% of all drug side effects.
  • Over 700 drugs are known to cause diarrhoea, with antimicrobials being the most common culprits.
  • Drug-induced diarrhoea presents a spectrum of severity, ranging from mild to severe conditions like pseudomembranous colitis.

Purpose of the Study:

  • To review the causes, mechanisms, and clinical presentation of drug-induced diarrhoea.
  • To highlight the importance of drug history in diagnosing drug-induced diarrhoea.
  • To discuss the challenges in establishing a temporal relationship between drug use and symptom onset.

Main Methods:

  • Literature review of drugs implicated in causing diarrhoea.

Related Experiment Videos

  • Analysis of pathophysiological mechanisms involved in drug-induced diarrhoea.
  • Discussion of clinical presentation, diagnosis, and management considerations.
  • Main Results:

    • Antimicrobials account for 25% of drug-induced diarrhoea cases.
    • Multiple pathophysiological mechanisms, including osmotic, secretory, and malabsorptive processes, contribute to drug-induced diarrhoea.
    • Both acute and chronic diarrhoea can occur, with onset varying from days to months or years after drug initiation.

    Conclusions:

    • Accurate drug history is crucial for diagnosing drug-induced diarrhoea and avoiding unnecessary investigations.
    • Clinical examination should assess severity indicators like fever, dehydration, and rectal bleeding.
    • Recognizing the diverse range of causative agents and mechanisms is essential for effective patient management.