Treatment Of Idiopathic Pulmonary Fibrosis
Key Points
Key Points
- Idiopathic pulmonary fibrosis (IPF) is a specific form of chronic, progressive, fibrosing interstitial pneumonia of unknown cause occurring in adults.
- Radiologic and/or histopathologic patterns are consistent with usual interstitial pneumonia.
- Significant advances have been recently made in the clinical management of IPF.
- All of the recommendations in favor of treatment are conditional, meaning that decisions to treat patients with IPF should be individualized. Clinicians should be cautious to not interpret recommendations with the same grade as having the same net effects.
- The recommendations in favor of treatment put a higher value on the potential benefit of patient-important outcomes such as disease progression as measured by FVC decline and mortality and a lower value on potentially significant adverse effects and the cost of treatment.
Treatment
Treatm...
...Recommended DrugsaHaving trouble v...
...able 2. Recommendations
...or patients with IPF, the guideline comm...
...nicians NOT use imatinib. ( Moderate , S, M)695...
...NOT use warfarin anticoagulation in patien...
...use the combination therapy of N-acet...
...T use ambrisentan, a selective ER-A endot...
...ts with IPF, the guideline committe...
...cians use nintedanib. ( Moderate , C, M)695...
...ans use pirfenidone. ( Moderate ,...
...ians NOT use sildenafil, a phosphodiesterase-5...
Clinicians NOT use bosentan or macite...
...ns NOT use N-acetylcysteine monoth...
...ians use regular anti-acid treatmen...