My mother has lung fibrosis. Can she take Lumenac and Pirfenex together?

Hello,

Welcome to icliniq.com. After going through your history, it is obvious that your mother is suffering from (idiopathic pulmonary fibrosis) IPF (UIP). She is taking Ivepred 10 and Lumenac 600 mg for the last two years. Swelling on face and legs could be because of the steroid side effects as she is on long term Ivepred. You said her X-ray shows white shadows and her pulmonary function test (PFT) is within normal limits. For your information, IPF is a chronic progressive lung disease. Though she is started on Tab, Pirfenex it will not convert the fibrosed lung to normal. It is only to save the remaining lung from further damage (Fibrosis). Now the question is can she take Lumenac and pirfenex together. Yes, She can take both the tablets together. Next issue is about her saturation. As the damaged lung is not capable of coping up ventilation, her baseline resting saturation is remaining good, but on exertion, it is getting down because of decreased lung function due to fibrosis. The only way to maintain saturation throughout any activity is to supplement oxygen from outside.It should be given two lpm to maintain saturation above 90 %. Intermittently it should be checked in the hospital by doing ABG that is arterial blood gas. Overall she should continue tablet Pirfenex (Pirfenadone) and Lumenac (Acetylcysteine and supplemental oxygen as required. Try to avoid steroids as they have their sets of side effects.