Severe hemorrhagic syndrome due to similarity of drug names.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 18249310.
- Also identified by DOI 10.1016/j.ejim.2007.03.018.
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Abstract
The 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.