Drug-induced pulmonary disease
Drug-induced pulmonary disease is lung disease brought on by a bad reaction to a medicine. Pulmonary means related to the lungs.
Interstitial lung disease - drug induced
Many types of lung injury can result from medicines. It is usually impossible to predict who will develop lung disease from a medicine.
Types of lung problems or diseases that may be caused by medicines include:
Many medicines and substances are known to cause lung disease in some people. These include:
Symptoms may include any of the following:
Exams and Tests
The health care provider will perform a physical exam and listen to your chest and lungs with a stethoscope. Abnormal breath sounds may be heard.
Tests that may be done include:
The first step is to stop the medicine that is causing the problem. Other treatments depend on your specific symptoms. For example, you may need oxygen until the drug-induced lung disease improves. Anti-inflammatory medicines called corticosteroids are most often used to quickly reverse the lung inflammation.
Some drug-induced lung diseases, such as pulmonary fibrosis, may never go away and can worsen, even after the medicine or substance is stopped.
Complications that may develop include:
When to Contact a Medical Professional
Call your provider if you develop symptoms of this disorder.
Note any past reaction you have had to a medicine, so that you can avoid the medicine in the future. Wear a medical alert bracelet if you have known drug reactions. Stay away from street drugs.
Dulohery MM, Maldonado F, Limper AH. Drug-induced pulmonary disease. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 71.
Raghu G. Interstitial lung disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 92.
Taylor AC, Verma N, Slater R, Mohammed TL. Bad for breathing: a pictorial of drug-induced pulmonary disease. Curr Probl Digan Radiol. 2016;45(6):429-432. PMID: 26717864 www.ncbi.nlm.nih.gov/pubmed/26717864.
Review Date: 5/21/2017
Reviewed By: Denis Hadjiliadis, MD, MHS, Paul F. Harron, Jr. Associate Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.