Analysis of a Serious Adverse Reaction of Pulmonary Fibrosis Caused by Dronedarone

Curr Ther Res Clin Exp. 2024 Mar 12:100:100743. doi: 10.1016/j.curtheres.2024.100743. eCollection 2024.

Abstract

Objective: This study aims to analyze a severe adverse reaction of pulmonary fibrosis induced by dronedarone hydrochloride tablets, and to provide a reference for clinical rational medication through drug precautions.

Methods: A case of pulmonary fibrosis induced by dronedarone hydrochloride tablets, along with related literature was retrospectively analyzed.

Results: Patients over 65 years old with a history of exposure to amiodarone may increase the incidence of pulmonary toxicity induced by dronedarone, and dronedarone should not be selected as a substitute treatment drug for patients with amiodarone-induced pulmonary toxicity.

Conclusions: It is recommended that clinicians monitor the diffusion capacity of carbon monoxide and lung ventilation function of patients before and after using dronedarone for treatment. For patients with a history of amiodarone exposure, intermittent monitoring of chest X-rays and lung function is necessary. If lung function decreases, dronedarone should be immediately discontinued.

Keywords: Adverse reactions; Amiodarone hydrochloride tablets; Dronedarone hydrochloride tablets; Drug precaution; Pulmonary fibrosis.

Publication types

  • Case Reports