Figures
- Figure 1
A multifaceted approach to the comprehensive supportive care of F-ILD. Comprehensive supportive care of F-ILD comprises four categories of clinical approaches: end-of-life care, supportive measures, disease-modifying treatment and symptom relief. These approaches should be taken with close collaboration between patients, caregivers, and the healthcare team. Reproduced from [10] with permission of the American Thoracic Society. Copyright © 2020 American Thoracic Society. The American Journal of Respiratory and Critical Care Medicine is an official journal of the American Thoracic Society.
Tables
- Table 1
Potential management approaches for common symptoms in F-ILD
Symptom Approximate frequency in F-ILD Management approaches Dyspnoea 54–98% [18] Supplemental oxygen
Benzodiazepines
Opiates
Pulmonary rehabilitation
Multidisciplinary breathlessness service intervention
Fatigue 8–29% [18] Pulmonary rehabilitation
Supplemental oxygen
Anxiety and depression 14–50% [17, 18] Antidepressants
Cognitive behavioural therapy
Cough 59–100% [18] Treat exacerbating factors, e.g. proton pump inhibitors for gastro-oesophageal reflux
Pirfenidone
Thalidomide (significant toxicity)
Target cough reflex with gabapentin or amitriptyline
Inhaled sodium cromoglycate (trial currently ongoing; clinicaltrials.gov, NCT03864328)
