Saline nebulized inhalation

Posted by thumperguy @thumperguy, Dec 21, 2019

Rx’d. 0.9%,3 mL. If three is good might five be even “gooder?” I can get it in 5 mL doses. Any reason not to go for it?

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@rits

7% is best but some of us can't handle it so we use 3%. .9% is normal body saline and will not help you cough up gunk. I don't think it comes in other %. You need a prescription for 3 or 7%. Ntm's don't like salt so it is a really great airway clearance tool.

Jump to this post

rits, you said "7% is best but some of us can't handle it so we use 3%." What does not being able to handle it involve.?

REPLY
@rits

Oops. You were asking how much .9% and I read it as .9% or 3%. Did your doctor prescribe .9% along with another drug for nebulizer? If so, I would assume the prescription would say what size the vials are. The .9 dilutes the med and more of it would make it take much longer to neb. My 3% and 7% vials are 4 ml.

Jump to this post

Rits, the only time another drug is Rx'd. is during "flare-ups" which I've always characterized as febrile acute bronchitis episodes. I've used this language with the doc and he's never offered any alternative way to talk about it. My first pulmo left his practice. Neither he nor the current doc has ever had anything to say about the concentration or the 3 mL volume of the Rx. I've only recently, through the good offices of you and other contributors on this discussion forum, begun to learn and perhaps to be a bit more proactive in what's being done when I see the pulmo. For example it never occurred to me to me that there might be other concentrations than 0.9 or other volumes than 3 mL.

REPLY
@nannette

@thumperguy, The study that I read (which was shared here on this forum a long time ago) showed that at 7% was when MAC pulled back. It hung around up until the 7% solution was introduced. I've been using 7% for probably two years and have been testing negative for MAC. And my little neb is 3ml. Nan

Jump to this post

Thanks Nan. Time for me to talk to the Pulmo about the 7% solution. Humm, sounds like the title to a mystery novel.

REPLY
@thumperguy

rits, you said "7% is best but some of us can't handle it so we use 3%." What does not being able to handle it involve.?

Jump to this post

Coughing with the first inhale and terrible shortness of breath making it impossible to do the treatment. I have similar problems with 3% and Arikayce but not as intense. While many patients have no problem, my decrepit lungs do not like having this stuff in them!

REPLY
@rits

7% is best but some of us can't handle it so we use 3%. .9% is normal body saline and will not help you cough up gunk. I don't think it comes in other %. You need a prescription for 3 or 7%. Ntm's don't like salt so it is a really great airway clearance tool.

Jump to this post

@thumperguy 7% saline kills avium bacterium. I will look for the saline chart located in the 'DiscussionBoard' list.

REPLY
@windwalker

@thumperguy 7% saline kills avium bacterium. I will look for the saline chart located in the 'DiscussionBoard' list.

Jump to this post

@windwalker Hi Terri. I already posted the link to the original article on saline strengths for Don @thumperguy which includes the chart but Im not sure if he saw it. (Above) I went back and found my original post of the full article as i thought it might be worthwhile to repost it in its entirety. The chart is the second chart within the article. Kate.
Have a great holiday, Terri!

REPLY

First I’ve heard of this. Source, please! Thanks!

REPLY
@windwalker

@thumperguy 7% saline kills avium bacterium. I will look for the saline chart located in the 'DiscussionBoard' list.

Jump to this post

Source, please! Thx!

REPLY
@rits

Coughing with the first inhale and terrible shortness of breath making it impossible to do the treatment. I have similar problems with 3% and Arikayce but not as intense. While many patients have no problem, my decrepit lungs do not like having this stuff in them!

Jump to this post

@ rits I was not able to continue on the 7% saline as my doctor correctly predicted. I can't do Arkayce either. I'm on the 3% saline which I sometimes turn off in order to cough or get my breath. It lets me feel more in control. I've also just been approve for a flutter vest which I hope to get soon. I faithfully neb twice a day, no matter the difficulty. If I don't, I feel pretty bad. Don't give up

REPLY
@esssbeee

First I’ve heard of this. Source, please! Thanks!

Jump to this post

@esssbeee ...Not sure if you are responding to the article link that I posted but if so...I am not sure. I found it when researching papers on saline for MAC. It sure caught my attention especially the chart #2 which has been posted a few times since. In case anyone missed it ...here is the entire article again. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/
Chart #2 is a good summation instead of reading the entire report. It seems to be an independent study that was published online by National Center for Biotechnology Information and cited by the National Library of Medicine and National Institute of Health. It is amazing what can be found online!! Kate

REPLY
Please sign in or register to post a reply.