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The Drug-Induced Cardiotoxicity Website and App

Frequency - Incidence

Incidence of cardiac adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for cardiac adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

II.g

QTc prolongation

Publications

Simon M, Rague J

A Case Report of Torsade de Pointes and Brugada Pattern Associated with Loperamide Misuse and Supratherapeutic Loperamide Concentrations.

The Journal of emergency medicine. 2021;61(4):e54-e59

Idris A, Mihora DC, Kaye K

Loperamide abuse cardiotoxicity. Should loperamide still be an over the counter medication?

The American journal of emergency medicine. 2018;36(9):1716.e1-1716.e3

Akel T, Bekheit S

Loperamide cardiotoxicity: "A Brief Review".

Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc. 2018;23(2):e12505

Enakpene EO, Riaz IB, Shirazi FM, Raz Y, Indik JH

The long QT teaser: loperamide abuse.

The American journal of medicine. 2015;128(10):1083-6