• Eur. J. Intern. Med. · Mar 2008

    Case Reports

    Severe hemorrhagic syndrome due to similarity of drug names.

    • L Chiche, G Thomas, S Canavese, S Branger, R Jean, and J M Durand.
    • Service de Médecine Interne, Hôpital de la Conception, 147 bd Baille, 13005 Marseille, France. laurent.chiche@ap-hm.fr
    • Eur. J. Intern. Med. 2008 Mar 1; 19 (2): 135-6.

    AbstractThe names of many drugs look or sound like those of other drugs, which leads to confusion and potentially harmful medication errors. We report a nearly fatal permutation between two drugs including a vitamin K antagonist that resulted in a 68-year-old man being admitted to the emergency department with severe, spontaneous hemorrhagic syndrome. Such problems can be alleviated through actions by regulatory agencies, pharmaceutical manufacturers, health care professionals, and patients.

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