IPF treatment. Steroids and nac do not work as by a recent not yet published randomized study. Pirfenidone is approved in japan and germany, at around $80, 000 every year. It stops deterioration in about 1/3 of treated patients but no improvement. I would not use it because the benefits are small. But I do have several patients who buy it overseas.
Bronchoscopy. A bronchoscopy with biopsies should be performed to get a real diagnosis. That is what I do for a living.
Yes. Interstitial lung disease are a group of many different types of lung disease. Some are treatable. Often immune suppresent such as steriods are used. Other times triggering agents can be removed. It is important to find out what type of interstitial lung disease you have.
ILD. Unfortunately, there are no known treatments for ild. There are multiple clinical trials on going, and perhaps going to the nih website, you can find a center who participates in one of the trials near you.
Unfortunately none. There is no effective treatment for interstitial lung disease that alters progression or mortality. In fact treatment has been shown to worsen survival over no treatment. That said, two treatments are currently in progress; perfenidone and n-acetyl -cysteine may have some limited role in improving outcomes, but the data is not yet complete. Read more...