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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pulmonary Fibrosis

my mother is suffering from pulmonary fibrosis since two years, every time she is given gupison and tapered gradually, after a period of time from stopping gupison she gets the symptoms again , (SOB, wheezes, and hypoxia) she is on lasix continuously . This time she has been doing great on gupison 20 mg since 3 months. I am thinking to keep her on the same dose to avoid her suffering again, she is already on wheelchair and taking calcium and vitamin D tablets , she is 73 years old . Am I making a mistake?
Wed, 29 Oct 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Pulmonary fibrosis is end stage pulmonary disease with no effective drugs available.
No proven treatment is available. Gimison is steroid and should be given in low doses if you want to give it for long time.
Continue calcium and D3.
I advice few more things which helps your mother more.
1. Tab perfinodone is newer antifibrotic drug.
2. N acetyl cystine is also used in fibrosis as it is antioxidant and antiinflammatory.
3. Home oxygen therapy.
4. Pukmonary vacconation with pbeumococcal and h.influenza to prevent future infection.
5. Chest pysiotherapy.
So better to consult pulmonologist and discuss all these.
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Suggest Treatment For Pulmonary Fibrosis

Thanks for your question on HCM. Pulmonary fibrosis is end stage pulmonary disease with no effective drugs available. No proven treatment is available. Gimison is steroid and should be given in low doses if you want to give it for long time. Continue calcium and D3. I advice few more things which helps your mother more. 1. Tab perfinodone is newer antifibrotic drug. 2. N acetyl cystine is also used in fibrosis as it is antioxidant and antiinflammatory. 3. Home oxygen therapy. 4. Pukmonary vacconation with pbeumococcal and h.influenza to prevent future infection. 5. Chest pysiotherapy. So better to consult pulmonologist and discuss all these.