Occupational lung disease medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Supportive therapy for occupational lung disease before fibrotic disease sets in includes glucocorticoid therapy.

Medical Therapy

Pharmacologic medical therapy such as glucocorticoid is recommended among patients without fibrotic lung disease to decelerate lung disease progression and to improve lung function.

Occupational lung disease

• 1 Prefibrotic stage of lung disease
  • 1.1 Glucocorticoids
    • 1.1.1 Adult
      • Preferred regimen (1): Prednisolone or Prednisone 0.5 - 0.6 mg/kg q12h for 6 - 12 weeks

      Note (1): Taper down to 20mg after clinical improvement of DLCO, arterial blood gases, and pulse oxygen saturation. Followed by 40mg on alternate days. Finally, 5 - 10mg q12h.