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Treatments for Occupational asthma -- Insulation workers

Treatment List for Occupational asthma -- Insulation workers

The list of treatments mentioned in various sources for Occupational asthma -- Insulation workers includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Avoidance of exposure to triggering agent(s)
  • Treatment of acute exacerbations:
  • Preventer drugs may be necessary in established asthma that does not improve with cessation of occupational exposure:
    • Inhaled corticosteroids - beclomethasone, budesonide, ciclesonide, fluticasone
    • Long acting beta agonists - salmeterol, eformotorol - should always be used in combination with inhaled corticosteroids
    • Cromolyns - cromoglycate and nedocromil - sometimes used in children
    • Leukotriene receptor antagonists - montelukast, zafirlukast - useful for seasonal asthma and may reduce dose of inhaled steroids
    • Controlled release theophylline - sometimes used in severe persistent asthma
  • Severe asthma requires hospitalisation and treatment may include:
    • Continuous high flow oxygen
    • Continuous or frequent nebulised beta agonists
    • Steroids - intravenous and oral
    • Intravenous salbutamol
    • Intravenous adrenaline
    • Intubation and ventilation - used as a last resort for exhaustion related to severe asthma, or respiratory arrest
  • Allergen testing and desensitisation - may have a role in patients with a strong atopic component, but its use is controversial
  • Omalizumab - monoclonal antibody that may have a role in allergic asthma, but more data is required to define its place in asthma management
  • Alternative therapies that some people utilize to alleviate symptoms include: acupuncture, ayruvedic medicine, chiropractic manipulation, massage, hypnosis, exercise, herbal medicines, vitamin supplements, stress reduction and dietary changes
  • Evidence for efficacy of these approaches is variable

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