Male patient, Age 69 (with unstoppable coughing, even after antibiotics). Diagnosed with ILD in HRCT, and mild restricted pattern in PFT. Given Nintedanib 100 mg BD (with steroids) for 3 months, relieved from frequent cough, but continuous steroids was not good. Moved to other doctor, he gave only nintedanib 100 mg BD, cough syrup next 2-3 months. But, cough was still there. For better result, moved to other doc, gave Pirfenidone 267 mg BD, with steroid sparing agents (Serommune/Azathioprine 50 mg)-4-5 months. Condition improved, very less cough, patient is stable, no other complications, blood reports normal, but PFT still showed mild restricted pattern. Now, Doctor increased dose of pirfenidone to 801 mg BD with Serommune and Azathioprine 50 mg-20 days...still going on. Patient is fine, very less cough.
I request your opinions, if this medication fine or Prifenidone overdose ? This will be fine or may have issues in long term ?
Appreciate your suggestions on important points to focus
Answers (5)
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Hi. I understand your concern. Do a online consult for a detailed analysis of your symptoms and to suggest you further management plan and treatment prescription for the same
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Ongoing medication is ok
Dosage of pirfenidone is also optimum
Pirfenidone is initially started in low doses and gradually increased to optimum dosage with monitoring of liver function test
Consult a pulmonologist for better understanding and evaluation
Any ct chest done
How much improvement in fev1
And many more parameters needed
U should stick to one good pulmonologist who is near u
Don’t change doctors for ur ILD TREATMENT
ILD NEED TO BE KIND OF LIFE LONG DISEASES LIKE DIABETES
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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