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Drug-induced dysphagia
Other Resources UpToDate PubMed

Drug-induced dysphagia

Contributors: Michael W. Winter MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Drug-induced dysphagia is a subjective sensation of difficulty swallowing or dysfunctional swallowing due to the effects of medication. This can manifest as difficulty initiating a swallow, a choking or coughing sensation, or aspiration. Drug classes that may contribute to difficulty swallowing include neuroleptics, chemotherapy agents, antihypertensives, tricyclic antidepressants, anticholinergics, antihistamines, antiparkinsonian agents, and other drugs that impair saliva production.

Optimal treatment of drug-induced dysphagia is discontinuation of the offending agent. If that is not feasible, changing formulations, increasing water intake concurrent with dosing, or swallow rehabilitation may be helpful.

Related Topics: Drug-induced cough, Drug-induced esophagitis

Codes

ICD10CM:
R13.10 – Dysphagia, unspecified
T50.905A – Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter

SNOMEDCT:
278993004 – Drug-induced
40739000 – Dysphagia

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

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References

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Last Reviewed:07/02/2018
Last Updated:07/12/2018
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Drug-induced dysphagia
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A medical illustration showing key findings of Drug-induced dysphagia
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