COPD Treatment Guidelines
Prescribing Steroids in Respiratory Conditions
Prescribe by brand Oronac® [licensed food supplement]
For pulmonary fibrosis, limited to historic use, specialist initiation. NICE CG163
Nebulised Acetylcysteine is unlicensed and for consultant initiation only. Wye Valley NHS Trust use the injectable preparation via this route. Contact ext 4017 for details.
The evidence for mucolytics is poor. Use on advice from a respiratory specialist. Review after a trial period e.g. 3 – 6 months and discontinue if no benefit.
Do not prescribe for new CF patients: NHSE commissioned
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