RE: IPF8 Oct 2020 12:17
https://www.pulmonaryfibrosis.org/life-with-pf/pulmonary-fibrosis-treatment-options
MEDICATION FOR PULMONARY FIBROSIS
DRUG THERAPY
Drug therapy for pulmonary fibrosis is often specific for the particular type of PF a patient has. In other words, the treatment for one disease may not be the right one for another. It is important to discuss drug therapy with your physician relative to your form of pulmonary fibrosis. Some common therapies (but not all potential therapies) are listed below.
Nintedanib (Ofev®): Nintedanib is an anti-fibrotic drug that is approved in the United States to treat idiopathic pulmonary fibrosis, scleroderma-associated ILD (SSc-ILD), and chronic interstitial lung diseases in which fibrosis continues to progress. In clinical trials, nintedanib has been shown to slow the decline in lung function in SSc-ILD, progressive fibrosing ILD, and mild-to-moderate IPF. It is taken by mouth twice a day. For more information, please visit ofev.com.
Pirfenidone (Esbriet®, Pirfenex®, Pirespa®): Pirfenidone is an antifibrotic and anti-inflammatory drug approved to treat IPF in the US, Europe, Canada, Asia, and Australia. In clinical trials, pirfenidone has been shown to slow progression of mild-to-moderate idiopathic pulmonary fibrosis. It is taken by mouth three times a day. For more information, please visit esbriet.com.
Corticosteroids (prednisone): Prednisone is used to treat and prevent inflammation by weakening the immune system. While prednisone is not usually used to treat idiopathic pulmonary fibrosis, it is sometimes used to treat inflammation in the lungs of people living with other forms of pulmonary fibrosis. Since prednisone suppresses the immune system, it can potentially increase the frequency and severity of infections. Prednisone has many other side effects as well.
Mycophenolate mofetil/mycophenolic acid (CellCept®): Similar to prednisone, mycophenolate mofetil (MMF) also can treat and prevent inflammation by suppressing the immune system. MMF is sometimes used in combination with prednisone, but is also used alone. MMF is not indicated for the treatment of IPF, but like prednisone can be used for people living with other forms of PF. Some possible side effects include infections, diarrhea, and low blood cell counts. Pregnant women should not take MMF, and women of childbearing age need to use contraception while taking MMF.
Azathioprine (Imuran®): Azathioprine is used to suppress the immune system similarly to MMF. Some possible side effects include infections, low blood cell counts, and liver and pancreatic problems.Several other anti-inflammatory therapies such as methotrexate, cyclophosphamide, cyclosporine, rapamycin (sirolimus), and tacrolimus have been used to treat different forms of interstitial lung disease. As mentioned previously, treatment with these agents is often tailored to specific diseases or forms of ILD and pulmonary fibrosis.