Hello!
I’ve had a similar experience on Arikayce with a hoarse voice that comes and goes, and rarely sounds like the real me. I also sometimes have coughing fits while inhaling it, but not always. For me, Albuterol did the opposite of what it was supposed to do, so I quit taking it. I am just working through it the best I can.
I thought I’d mention that I was at the ENT recently for a different reason and mentioned the hoarseness because it was a particularly long and severe episode. He took a look with a scope and did not see anything irregular. One of the things he was looking for was white patches which could indicate fungal activity that may have occurred from the antibiotics killing good bacteria as well as bad, thereby creating an environment where the fungus could grow. I did not have any white patches so I don’t know what next steps would have been.
As a side note, I mentioned the hoarseness to my Arikayce coach. She suggested gargling with warm (not hot) salt water after nebulizing. It seems to be helping, but time will tell.
Best wishes to you on your journey.