Treatment FAQ

what are some treatment options for cystic fibrosis

by Gayle Watsica Published 3 years ago Updated 2 years ago
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Treatments for cystic fibrosis
antibiotics to prevent and treat chest infections. medicines to make the mucus in the lungs thinner and easier to cough up. medicines to widen the airways and reduce inflammation. special techniques and devices to help clear mucus from the lungs.
Oct 28, 2021

Medication

The oldest person with cystic fibrosis was 82 years of age, and an American citizen. He or she was still alive in 2014 at the time of a published article in which they are mentioned. Though it’s not likely that they are still alive seven years later, this person is the oldest known cystic fibrosis patient to have achieved the average person’s life expectancy (and then some)!

Procedures

Nutritional support is a vital component of care for patients with cystic fibrosis. These recommendations cover caloric intake, dosing for pancreatic enzyme replacement therapy, and monitoring growth in childhood and weight status in patients of all ages.

Therapy

The severity of symptoms and the prognosis vary depending on the specific genetic defect leading to the disease, as well as the age and other associated health problems of the patient. The current average life expectancy for cystic fibrosis patients in the U.S is about 37 years.

Nutrition

She said: “When I met my husband everything changed, I wanted to be around for a long time. “I started to think about cystic fibrosis and how it could stop me from having a future with him. "I already knew he wanted children because we had been friends ...

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Who is the longest living person with cystic fibrosis?

What is routine care of patients with cystic fibrosis include?

What is the prognosis for cystic fibrosis?

How to prevent cystic fibrosis?

How to diagnose cystic fibrosis?

What tests are done for cystic fibrosis?

What is CTFR modulator?

How to clear mucus in the airways?

Why is CF malnourishment bad?

Is there a cure for cystic fibrosis?

Is second hand smoke bad for cystic fibrosis?

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What treatment options are there for cystic fibrosis?

There is no cure for cystic fibrosis, but treatment can ease symptoms, reduce complications and improve quality of life....Options for certain conditions caused by cystic fibrosis include:Nasal and sinus surgery. ... Oxygen therapy. ... Noninvasive ventilation. ... Feeding tube. ... Bowel surgery. ... Lung transplant.More items...•

What is the best used for cystic fibrosis?

High-frequency chest wall oscillation involves an inflatable vest that is attached to a machine. The machine mechanically performs chest physical therapy by vibrating at a high frequency. The vest vibrates the chest to loosen and thin mucus.

Can cystic fibrosis be cured?

There's no cure for cystic fibrosis, but a range of treatments can help control the symptoms, prevent or reduce complications, and make the condition easier to live with. Regular appointments to monitor the condition are needed and a care plan will be set up based on the person's needs.

How much does a CF vest cost?

New models of the vest can cost between $15,000 and $20,000, and may not always be covered by insurance. Requires access to electricity.

What are Treatment Methods for Cystic Fibrosis Patients?

To maintain health, chunks of time also should be set aside daily for exercise, nutritious meals and snacks, and adequate sleep. These activities must be built into a day filled with school, work, hobbies, taking care of family, and at least quarterly visits to the CF care center. 1,2 What medications are used to treat cystic fibrosis?

Cystic Fibrosis - Current Treatments

Again, there’s no one rule that fits all because the specifics of CF differ from person to person. Even so there are broad spectrums of drugs, some new, some well established, that can be carefully calibrated to achieve maximum effect for every individual.

Cystic Fibrosis - Treatment | NHLBI, NIH

While there is not yet a cure for cystic fibrosis, advances in treatment are helping people live longer, healthier lives. To better manage your condition, you or your child will work with cystic fibrosis specialists.

Cystic Fibrosis Diagnosis: Exams & Tests To Diagnose CF

Doctors use many different tests to confirm that you or a loved one has cystic fibrosis (CF). These include tests that check your blood and sweat, and sometimes your stool. Your symptoms will also ...

What to take for CF?

Vitamins: Your doctor may advise you to take vitamins -- especially A, D, E, and K. People with CF have a hard time absorbing enough of them from food. Laxatives: If constipation is a problem, your doctor can prescribe a gentle laxative or stool softener that’s safe to take for a long period of time.

What to do if you have CF?

These might include: Sinus surgery: Many people with CF have inflamed or infected sinuses. Your doctor may need to remove nasal polyps (growths inside your nasal passages). They can also do a procedure called an “ endoscopy and lavage” that suctions mucus from your airways. This will make it easier for you to breathe.

How to help a lung infection?

They may also help reduce the number of lung infections you get. For instance, clapping or pounding on your chest and back helps loosen mucus so you can cough more of it out. You can do different types of ACTs at home with the help of a family member or friend. Or, you might prefer to use a medical device.

What to do if you have CF and poop?

Bowel surgery: Some people with CF have very thick, sticky poop. This can lead to a blockage or cause the bowel to fold in on itself. In both cases, surgery may be necessary. Lung transplant: If you have severe lung problems and medicine isn’t helping, you may need to consider a lung transplant.

Is there a cure for cystic fibrosis?

There’s no cure for cystic fibrosis (CF). But many treatments can reduce your symptoms and improve your quality of life. Here’s an overview of the most common.

How to help cystic fibrosis patients?

That’s why it’s important to find ways to manage stress. Yoga, meditation, exercise, hanging out with friends, and hobbies are all popular and effective ways to manage stress, anxiety, ...

What are the best ways to help someone with CF?

Medications, vaccinations, enzymes, and airway clearance techniques only play one part in keeping someone with CF as healthy as possible. Lifestyle also matters, with nutrition, exercise, sleep habits, stress management, and organizational ability all playing equally important roles.

How far away should you be from someone with cystic fibrosis?

The 6-foot rule. People with cystic fibrosis are especially vulnerable to lung infections carried by other people with CF. That is why it’s important for people with CF to keep a distance of 6 feet from others with CF from a different household.

How to help CF?

Exercise. Among its many benefits for people with CF, exercise builds lung capacity, helps with airway clearance, builds strong bones, and strengthens the heart and breathing muscles. Dedication to daily exercise keeps people with CF healthier, longer.

How much time do you spend on CF?

It varies by individual, but the average amount of time an adult with CF spends on their treatments (medications, enzymes, and airway clearance) is 108 minutes per day, regardless of the severity of their disease. Caregivers of children with CF report 74 minutes ...

How to maintain health in CF?

To maintain health, chunks of time also should be set aside daily for exercise, nutritious meals and snacks, and adequate sleep. These activities must be built into a day filled with school, work, hobbies, taking care of family, and at least quarterly visits to the CF care center. 1,2.

Why do people with CF need extra calories?

But these can’t just be empty calories. Due to their gastrointestinal system not digesting food properly, a condition called malabsorption, people with CF need extra nutrition to prevent malnutrition and failure to thrive as children. 3

What is the best treatment for cystic fibrosis?

bronchodilators to widen the airways and make breathing easier. steroid medicine to treat small growths inside the nose (nasal polyps) It's also important that people with cystic fibrosis are up-to-date with all routine vaccinations and have the flu jab each year once they're old enough.

Why is it important to eat well with cystic fibrosis?

Eating well is important for people with cystic fibrosis because the mucus can make it difficult to digest food and absorb nutrients. The pancreas often doesn't work properly, making it even harder to digest food. A dietitian will advise on how to take in extra calories and nutrients to avoid malnutrition.

What are some medicines that help with lungs?

medicines to make the mucus in the lungs thinner and easier to cough up – for example, dornase alfa, hypertonic saline and mannitol dry powder.

How to clear mucus from lungs?

Exercise . Any kind of physical activity, like running, swimming or football, can help clear mucus from the lungs and improve physical strength and overall health. A physiotherapist can advise on the right exercises and activities for each individual.

Can cystic fibrosis be treated with a lung transplant?

In severe cases of cystic fibrosis, when the lungs stop working properly and all medical treatments have failed to help, a lung transplant may be recommended. A lung transplant is a serious operation that carries risks, but it can greatly improve the length and quality of life for people with severe cystic fibrosis.

Is cystic fibrosis cured?

There's no cure for cystic fibrosis, but a range of treatments can help control the symptoms, prevent or reduce complications, and make the condition easier to live with. Regular appointments to monitor the condition are needed and a care plan will be set up based on the person's needs. People with cystic fibrosis are treated by a team ...

How do you treat CF?

Many people with CF use inhalation devices and inhaled therapies to help maintain lung health and function. Various forms of inhalation devices can be found to help treat CF. These devices are used to deliver medication directly to the lungs, working to help alleviate symptoms of the disease. These include metered dose inhalers, conventional nebulizers, ultrasonic nebulizers, vibrating mesh technology nebulizers, and adaptive aerosol delivery nebulizers. There are different types of therapies that may be inhaled including bronchodilators, mucolytics, corticosteroids, and some antibiotics.

Why do you need bronchodilators for CF?

To prevent bronchospasms (a sudden constriction of the airways) and to ensure that CF patients can get a full dose of any inhaled medications they may be using, bronchodilators are often prescribed. These are medications (usually inhaled) that cause the smooth muscle surrounding the airways to dilate or relax, allowing the lungs to fill more easily with air.

What is the mucus of CF?

The mucus that accumulates in CF is rich in polysaccharides and proteins, presenting an ideal culture medium for the growth of different kinds of bacteria. The lungs are particularly vulnerable in patients with CF, making them susceptible to a wide range of acute and chronic bacterial infections. There is a complex arsenal of antibiotics to combat these infections.

Why do people with CF have more gastrointestinal problems than healthy people?

People with CF may have more gastrointestinal problems than healthy people because they are frequently on antibiotic therapy, which kills bad and good bacteria. Particular strains of probiotics may help prevent antibiotic-associated diarrhea and Clostridium difficile -associated diarrhea. Prebiotics are foods that resist digestion and promote the growth of the “good” bacteria in the large intestine.

Does penicillin kill CF?

Penicillin is a bactericidal, that is, it directly kills the bacteria. It is a narrow-spectrum antibiotic that can treat infections caused by Staphylococcus aureus and Pseudomonas aeruginosa, in CF. The antibiotic can be taken as a tablet, intravenously, or intramuscularly. Some CF patients may be allergic to penicillin.

Is there a cure for cystic fibrosis?

There is no cure for cystic fibrosis (CF) yet, but approved medications and other treatment options can help improve patients’ quality of life, ease symptoms, and slow the disease’s progression. Some of these therapies approved for the treatment of CF are summarized below.

Can CF patients take vitamin supplements?

Pancreatic enzyme replacement therapy (PERT) can help CF patients absorb nutrients from food more efficiently. However, even though PERT helps to absorb more of these vitamins, CF patients also are typically advised to take fat-soluble vitamin supplements. It’s important for patients to supplement with the right amount of vitamins, because good nutritional status is associated with improved lung function and survival.

What is the best treatment for cystic fibrosis?

Gene Therapy. Gene therapy attacks the cause of cystic fibrosis rather than just treating the symptoms. An exciting new advancement, Kalydeco (ivacaftor), a drug that targets the underlying genetic mutation that causes cystic fibrosis, shows promise.

What vitamins are needed for cystic fibrosis?

Multivitamins and supplements of vitamins A, D, E, and K are also important. To help digestion, people with cystic fibrosis need to take pancreatic enzymes before every meal and snack and extra enzymes to help digest high-fat foods.

What is the test for cystic fibrosis?

The standard test for cystic fibrosis is the quantitative sweat chloride test, or " sweat test ," which measures the amount of salt in the sweat. Because newborns don't sweat, an immunoreactive trypsinogen test (IRT) may be used instead. This test involves drawing blood and looking for a specific protein called trypsinogen.

What is chest physiotherapy?

Daily chest physiotherapy (CPT), also known as percussion and postural drainage, helps to loosen mucus in the lungs and helps with coughing. During CPT, the person is put into a position that helps drainage, and then all areas of the lungs are "percussed" by clapping on the person's back with a cupped hand.

What is the best medicine for lungs?

Anti-inflammatory drugs help lower inflammation in the lungs. Tezacaftor /ivacaftor (Symdeko) is a medication available in a tablet that can help air move easier through the lungs, allowing you to blow more air out of your lungs. This medicine is available to anyone 6 years and older. Treating Digestive Problems.

Can CF be taken by anyone?

This medicine is available to anyone 6 years and older. Treating Digestive Problems. People with CF need to eat a well-balanced, high-calorie, high- protein diet. Their reduced absorption of nutrients often means that as children, they must get up to 150% of the recommended daily allowances to meet their growth needs.

Can cystic fibrosis be prevented?

Genetic testing of the unborn baby for cystic fibrosis can be done in the uterus but requires taking fluid or tissue samples from the womb ( amniocentesis or chorionic villus sampling ). Once a child is born, there are no treatments available that can prevent cystic fibrosis from developing.

What is the treatment for cystic fibrosis?

Recently developed treatments, called modulators as a class, restore the ability of cells to make the cystic fibrosis protein work to maintain normal levels of fluid in body secretions. This prevents the accumulation of mucus.

Why is cystic fibrosis monitored?

People of any age who have cystic fibrosis are typically monitored close ly to detect early changes in health status. This allows their care team to intervene before significant complications occur.

How long does cystic fibrosis live?

Life expectancy for people with cystic fibrosis in the United States is now reaching 50 years. Great advances in life expectancy have happened because of decades of research and hard work at all levels.

Is cystic fibrosis inherited?

Cystic fibrosis is an inherited genetic condition . For an individual to be affected, two defective, or “mutated,” cystic fibrosis genes have to be inherited, one from each parent. The cystic fibrosis gene provides the instructions for a protein called cystic fibrosis transmembrane conductance regulator (CFTR). The CFTR protein is very important for cells in many organs to control the amount of salt and fluid that covers their surface.

Is there a fixed regimen for respiratory disease?

Treatment options change and need to be tailored based on the degree of disease progression and severity in an individual person. There is no fixed regimen that applies across the board. For some people with more advanced respiratory disease, the treatment regimen will be more intensive than it would be for people with less severe forms of the disease.

What is the best medicine for cystic fibrosis?

Medications used to treat cystic fibrosis. The CF Foundation recommends the following order of inhaled medications: Bronchodilator. Hypertonic saline. Dornase alfa. Aerosolized antibiotic. These drugs are used in combination with airway clearance techniques in a specific order designed to move mucus out of the lungs.

What medications do people with CF take?

Other medications that people with CF often take include oral and IV antibiotics, CFTR modulators, and ibuprofen, in addition to nutritional supplements such as pancreatic enzymes and vitamins.

What is CFTR modulator?

CFTR modulators. A class of drugs for CF called CFTR modulators target specific defects in the CFTR protein so that the protein can work properly. CFTR modulators do not fully restore chloride flow, but they do improve the flow enough to relieve CF symptoms.

How do bronchodilators help with CF?

The person with CF breathes through a device that delivers air-borne medicine directly into their airways. Albuterol and levabuterol are common drugs delivered through a nebulizer or inhaler.

What is IV antibiotic?

Intravenous (IV) antibiotics are used during exacerbations. Controlling the organisms that cause lung infections helps improve lung function, making it easier to breathe, and helps reduce the chances of an exacerbation.

What organs does CF affect?

Cystic fibrosis (CF) affects the lungs the most, but also impacts the digestive system, including the pancreas, liver, intestines, and kidneys. CF may also impact the ears, nose and sinuses, sex organs, and the bones and joints. Because CF attacks so many organs in the body and causes persistent lung infections, ...

Can you take mucus thinners with CF?

Most people with CF inhale their mucus thinners, but the drugs also come in tablet form for people without CF. Commonly prescribed mucus thinners for CF include hypertonic saline, and dornase alfa (Pulmozyme). 1,2.

How to diagnose cystic fibrosis?

Diagnosis. To diagnose cystic fibrosis, doctors typically do a physical exam, review your symptoms and conduct several tests.

What tests are done for cystic fibrosis?

Doctors may also recommend genetic tests for specific defects on the gene responsible for cystic fibrosis. Genetic tests may be used in addition to checking the IRT levels to confirm the diagnosis.

What is CTFR modulator?

For those with cystic fibrosis who have certain gene mutations, doctors may recommend cystic fibrosis transmembrane conductance regulator (CTFR) modulators. These newer medications help improve the function of the faulty CFTR protein. They may improve lung function and weight, and reduce the amount of salt in sweat.

How to clear mucus in the airways?

These techniques loosen the thick mucus in the lungs, making it easier to cough up. Airway clearing techniques are usually done several times a day.

Why is CF malnourishment bad?

Cystic fibrosis can cause malnourishment because the enzymes needed for digestion can't reach your small intestine, preventing food from being absorbed. People with CF may need a much higher number of calories daily than do people without the condition.

Is there a cure for cystic fibrosis?

There is no cure for cystic fibrosis, but treatment can ease symptoms, reduce complications and improve quality of life. Close monitoring and early, aggressive intervention is recommended to slow the progression of CF, which can lead to a longer life.

Is second hand smoke bad for cystic fibrosis?

Don't smoke, and don't allow other people to smoke around you or your child. Secondhand smoke is harmful for everyone, but especially for people with cystic fibrosis, as is air pollution.

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Diagnosis

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Coping and Support

Preparing For Your Appointment

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Cystic fibrosis cannot be cured. Several treatment options are available to help manage symptoms and reduce complications. Though incurable, medications can help in managing symptoms.
Medication

Antibiotics: Given in the form of inhaled therapy to improve lung function by impeding growth of bacteria.

Tobramycin . Colistin . Aztreonam


Anti-inflammatory drugs: To prevent inflammation in the airway passage.

Ibuprofen


Mucus thinners: To help patients cough up mucus and improve lung function.

Acetylcysteine


Brochiodialators: To open up and relax muscles around the brochia (lungs).

Albuterol . Salmeterol

Procedures

Bronchoscopy and lavage: Mucus is suctioned from obstructed airways.

Bowel surgery: Blockage in the bowel requires surgery for removal.

Lung transplantation: Diseased lungs are replaced with a healthy lung from a donor.

Therapy

Breathing exercises:Techniques to help loosen mucus and improve breathing.

Chest physical therapy:To help loosen mucus. A common technique is clapping with cupped hands on the front and back of the chest.

Enzyme replacement therapy:Oral pancreatic enzymes such as lipase, protease, amylase to help in the absorption of nutrients in the digestive tract.

Oxygen therapy:If the blood oxygen level declines, doctor recommends breathing in pure oxygen to prevent high blood pressure in the lungs.

Nutrition

Foods to eat:

  • Protein: High Protein food like chicken, beef, eggs, fish and soy to prevent muscle loss
  • Zinc containing food like kidney beans, beef, spinach, liver, eggs and seafood for staving off infections
  • Salt: People with CF have saltier sweat. Salty snacks, pickles, and sports drinks can help replace the lost salt
  • Calcium: CF patients are at risk of osteoporosis and Calcium rich foods like dairy products must be taken
  • Iron: Iron rich foods like liver, tuna, lamb, seafood, eggs, beef, and turkey
  • Antioxidants: Fruits and vegetables
  • Fiber: High-Fiber foods such as breakfast cereal to help reduce the risk of intestinal blockages

Foods to eat avoid:

  • NA

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.
Gastroenterologist
Specializes in the digestive system and its disorders.
Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues

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