Treatments for Occupational asthma -- Plastics industry

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Treatment List for Occupational asthma -- Plastics industry

The list of treatments mentioned in various sources for Occupational asthma -- Plastics industry 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:
- Short acting beta agonists
- Ipratropium
- Oral steroids
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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