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Treatments and drugs

By Mayo Clinic staff

If you have hypersensitivity or chemical pneumonitis, avoiding allergens is a common-sense approach to treatment. By eliminating exposure to the allergen or chemical irritating your lungs, you'll likely notice that your symptoms lessen.

In severe cases of pneumonitis, treatment may include:

  • Corticosteroids. Drugs that reduce inflammation, such as prednisone, can help relieve the symptoms of pneumonitis. Corticosteroids are usually taken as a pill. These drugs work by suppressing your immune system, reducing inflammation in your lungs. However, long-term corticosteroid use also increases your risk of developing infections and is associated with the thinning of bones (osteoporosis).
  • Antibiotics. If you have a bacterial infection in your lungs, your doctor may prescribe an antibiotic, which may be given through a vein in your arm or taken as a pill, depending on the severity of the infection.
  • Oxygen therapy. If you're having a lot of trouble breathing, you may need oxygen therapy through a mask or plastic tubing with prongs that fit into your nostrils. Some people need oxygen therapy constantly, while others might need it only during exercise or sleep.
References
  1. Dorland's Illustrated Medical Dictionary. 31st ed. Philadelphia, Pa.: Saunders Elsevier; 2007:1496.
  2. Rosenow EC (expert opinion). Mayo Clinic, Rochester, Minn. April 14, 2011.
  3. Hypersensitivity pneumonitis. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hp/hp_all.html. Accessed March 31, 2011.
  4. Rose CS, et al. Hypersensitivity pneumonitis. In: Mason RJ, et al. Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/das/book/body/192068760-2/0/1288/0.html. Accessed March 31, 2011.
  5. King TE. Epidemiology and causes of hypersensitivity pneumonitis (extrinsic allergic alveolitis). http://www.uptodate.com/home/index.html. Accessed March 31, 2011.
  6. Machtay M. Pulmonary complications of anticancer treatment. In: Abeloff MD, et al. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1709/0.html. Accessed March 31, 2011.
  7. Selman M, et al. Diagnosis and management of the idiopathic interstitial pneumonias. In: Mason RJ, et al. Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/das/book/body/192068760-2/0/1288/0.html. Accessed March 31, 2011.
  8. King TE. Diagnosis of hypersensitivity pneumonitis (extrinsic allergic alveolitis). http://www.uptodate.com/home/index.html. Accessed March 31, 2011.
  9. King TE. Treatment and prognosis of hypersensitivity pneumonitis (extrinsic allergic alveolitis). http://www.uptodate.com/home/index.html. Accessed March 31, 2011.
DS00962 June 3, 2011

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