Cryptogenic Organizing Pneumonia (COP): Any success in treating?

Posted by spudmato @spudmato, Jul 26, 2019

Has anyone out there had success with treating COP (cryptogenic organized pneumonia)?

Interested in more discussions like this? Go to the Lung Health Support Group.

Hello! I also have COP. I just got back from Mayo in Florida where they ran a bunch of tests. They confirmed that I do have it and are testing for an autoimmune issue.also as usually the two go hand in hand. I was disappointed to learn that I will have to be on a low dose of Prednisone probably for the next 3 months and then tapering off. They also put ne on Bactrim three days a week which I will take for the rest of my life..

REPLY

Does anyone have severe COP? My dad has COP and it has progressed quickly. I was wondering what treatments were used on the more severe cases and what doctors specialize in COP? Thank you

REPLY
@ethanmcconkey

Hi @spudmato, I would like to share this article on cryptogenic organized pneumonia: https://www.mayoclinic.org/diseases-conditions/interstitial-lung-disease/expert-answers/cryptogenic-organizing-pneumonia-cop/faq-20057840

How have you been treated with this so far?

Jump to this post

Ethan,
Thanks for the article. COP is not fully understood, and generally uncurable.
Manageable is the best hope. that I have at the moment.
The nodes on my lungs improve and become worse as time passes.
I'm now on 10 mgs of Prednisone.
It, as you likely know, has long tern negative effects, including immune suppression. Take your pick😁

REPLY
@bridgetamaro

Does anyone have severe COP? My dad has COP and it has progressed quickly. I was wondering what treatments were used on the more severe cases and what doctors specialize in COP? Thank you

Jump to this post

Hi Bridget, sorry to hear that your dad has severe and quickly progressing COP. At Mayo Clinic, several specialties work together to care for patients with COP, including Cardiovascular Surgery, Critical Care, Extracorporeal Membrane Oxygenation (ECMO) Program, Infectious Diseases and Pulmonary Medicine.

@spudmato may have more information and experience to share.

Bridget, has you dad seen a pulmonologist or infectious diseases specialist?

REPLY

Bridget, Not much to add; still COP is just one of the "incurable lung issues (I have two including currently and for a number of years, COP).
It, as you probably know is in the tuberculosis family.
There is apparently two treatments ta may control this disease, prednisone is the treatment I have been having for a number of years. I can't stop it, or it flairs up (it is still a moving target, but generally under control). My immune system is compromised due to the treatment, but I have no choice.
A pulmonologist is the key player in this situation. There is plenty of background for this disease, and there should be help forthcoming for you father (and you). I don't see it as an infectious disease area, nor cardiology, and hopefully not critical care.
Blood tests: C- reactive protein high sensitivity, CBC and differential are two common tests related to this situation.
Inflammation ,ad the build up of the nodules covering the lungs are the determinants.
Best'John

REPLY
@albuqneece

Hi! Just got back from Mayo Clinic. There might be a correlation between GERD and COP.....I also have a Hiatal Hernia that needs to be fixed as small amounts of my stomach acid most likely get into my lungs. Also I was taken off of Prednisone (THANK HEAVENS) and will be on a l dose of Bactrim for the rest of my life ( I'm 56). The main Pathologist is reviewing my slides from my lung biopsies (3 of them)...so now we wait again....but I truly feel like someone will finally figure out the "cause and effect".....((Prayers))

Jump to this post

I was told my COP was caused from me aspirating stomach acid into my lungs on a nightly basis. I have had to have an esophagealectomy because the acid was so severe I got Barrettes Esophagus too. I also have Nodules in my lungs and went into respiratory failure during a lung biopsy that put me in ICU on a ventilator for 2 weeks in a coma.

REPLY
@lisapullen

I was told my COP was caused from me aspirating stomach acid into my lungs on a nightly basis. I have had to have an esophagealectomy because the acid was so severe I got Barrettes Esophagus too. I also have Nodules in my lungs and went into respiratory failure during a lung biopsy that put me in ICU on a ventilator for 2 weeks in a coma.

Jump to this post

Hi. I was exactly the same. I was literally waking in the night choking on this acid. I knew it had gotten in my lungs as I had to get up and walk around coughing it up. I could literally hear it rattle in my chest! Thinking it was just indigestion I started eating my last daily meal at 4 pm. I'd take an antacid before bed but it was usually ineffective. Then in August I was rushed to hospital and put in ICU for 5 days with "pneumonia" although in the day and hours proceeding this i was doing my usual housework, errands, and had energy. I just suddenly lost all air and i dropped. 2 weeks after being sent home i collapsed again, this time with suspected sepsis and needed intubation/life support. I'd never heard of COP until I saw this post! I've had ct scans, a bronchoscopy which showed nothing significant but ground glass opacities. I told the doctors about the GERD and choking on this horrid acid at nights but no one is saying oh maybe that's worth a check! They just gave me GERD meds and are saying severe pneumonia. Yet I had no pneumonia symptoms and a normal white cell count. No cough, no mucus, no fever, no chills, no trouble breathing until I literally collapsed. The 2nd time was different due to lower 02, dry cough then the rest that accompanies sepsis. That was 3 months ago. I'm on no 02 and no meds. But building strength back up after body deconditioned. Can you still work? What are your symptoms now? Hugs to you and thank you!

REPLY

I was recently diagnosed with COP by my (non-Mayo) pulmonologist in AZ.. I spent 34 days in an AZ hospital in 2022. Eventually had a lung biopsy at Mayo in Rochester in Oct 2022, but no diagnosis was made at that time. Was being prepared for a lung transplant with a Fundoplication surgery to prevent GERD, which was a suspected cause. I’ve been on prednisone for over 2 years. Currently on 20 mg of prednisone daily, but inflation is still an issue, along with coughing and phlegm production. I am also taking 1000 mg of mycophenolate twice daily. Although I have improved by, and I am thankful, my life has been significantly impacted. I am still require supplemental Oxygen. I am working to get back to Mayo for their confirmation of the Diagnosis.

REPLY
@larryma

I was recently diagnosed with COP by my (non-Mayo) pulmonologist in AZ.. I spent 34 days in an AZ hospital in 2022. Eventually had a lung biopsy at Mayo in Rochester in Oct 2022, but no diagnosis was made at that time. Was being prepared for a lung transplant with a Fundoplication surgery to prevent GERD, which was a suspected cause. I’ve been on prednisone for over 2 years. Currently on 20 mg of prednisone daily, but inflation is still an issue, along with coughing and phlegm production. I am also taking 1000 mg of mycophenolate twice daily. Although I have improved by, and I am thankful, my life has been significantly impacted. I am still require supplemental Oxygen. I am working to get back to Mayo for their confirmation of the Diagnosis.

Jump to this post

@larryma oh, I’m so sorry.
Over the last few years I have been on and off prednisone. That stuff tears up the stomach and causes terrible GERD. As soon as I started taking high doses of prednisone they immediately put me on Pantoprazole for my stomach. It helped for a while.
Even after stopping the prednisone , I still take the Pantoprazole because I have GERD. Last year I started coughing terribly like never before. It was especially bad when I would lie down. I was coughing copious amounts of thick stringy mucus.
I went to my ENT who said the cough is a result of the GERD! I thought he was crazy…he told me to drink Mylanta liquid right before going to bed. It helps. I do it every night and hardly cough at all now.

I hope you are able to get some relief. I’m also in Arizona. 🌵

REPLY
Please sign in or register to post a reply.