New York State Medical Treatment Guidelines for Medications in workers compensation patients

Pharmacological Treatment of Work-Related Asthma: Guidelines and Considerations

1. Consistency with Non-Work-Related Asthma:

  • Uniform Treatment Approach:
    • The pharmacological treatment of work-related asthma aligns with the established treatment protocols for non-work-related asthma.

2. Adherence to Standards:

  • Recommended Adherence:
    • Treatment should adhere to widely accepted standards established for the management of non-work-related asthma.

3. Anti-Asthma Medications Alone:

  • Limited Recommendation:
    • Anti-asthma medications alone are not recommended as a standalone alternative to environmental interventions, such as exposure reduction or medical removal. However, they may be considered in conjunction with these interventions.

4. Immunotherapy for Sensitizer-Induced Asthma:

  • Recommended Consideration:
    • Immunotherapy is recommended for consideration in settings where occupational asthma results from a specific high molecular weight allergen. This is particularly applicable when a clinical link to one or a few allergens is established, a standardized commercial allergen extract is available, control with pharmacotherapy proves challenging, and complete avoidance of the causative agent is economically, professionally, or practically unfeasible.

5. Immunotherapy for Irritant-Induced Asthma:

  • Not Recommended:
    • Immunotherapy is not recommended for the management of irritant-induced asthma.

6. Biologicals – Monoclonal Antibodies, Anti-IgE, Anti-Eosinophils, and Anti-Mediator Medications:

  • Specialized Use:
    • Biologicals, including monoclonal antibodies, anti-IgE, anti-eosinophils, and anti-mediator medications, are recommended for specialized use. This applies in specific situations characterized by elevated levels of IgE or eosinophils. Such medications should be administered by specialists experienced in their use.
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