20th February 2025

A 72 year old is referred to the respiratory clinic due to a 2-year history of dry cough and shortness of breath, which is now impacting him in his daily activities.

A 72 year old is referred to the respiratory clinic due to a 2-year history of dry cough and shortness of breath, which is now impacting him in his daily activities.  He is usually fit and well and not on any regular medication.

His CXR shows bibasal reticular shadowing. His FEV1 is 70% of predicted and FVC is 60% of predicted. HRCT shows honeycombing with some traction bronchiectasis at both bases. 

A diagnosis of idiopathic pulmonary fibrosis is made. Which of the following medications has been shown to reduce the decline in FVC in patients with IPF?

Select the SINGLE most appropriate option from the list below. Select ONE option only.