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← Return to NEBULIZING WITH 7%
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Hi, Sue. This is interesting for me to read as I had an appointment last week with a Bronchiectasis specialist at Mass General who felt my asthma might be a bigger contributor than I had realized.
I had been nebulizing with levalbutirol followed by 7% saline and then ACT and symbicort. She said that outside of cystic fibrosis, there is no research to date that shows 7% to be more beneficial than 3% in those with non-CF Bronchiectasis and that 7% can be a concern for those with asthma due to the risk of bronchospasms. She suggested I go back to 3% saline, which was news to me.
Has anyone else been told this approach?
Replies to "Hi, Sue. This is interesting for me to read as I had an appointment last week..."
My pulmonologist says the same about the 7%, but she lets me use it since it doesn't seem to cause bronchospasms. If it did, I would go to 3%, but I never want to do the antibiotica again if I can help it!
That is an interesting combination - my Pulmo told me that unless I am in an active exacerbation, the levalbuterol neb is not necessary - I simply use the Symbicort 15-30 minutes before airway clearance. I love it - one less thing to deal with. Fingers crossed, but only one exacerbation in over 18 months on this regimen & I managed it with 14 days of prednisone and no antibiotics - and my MAC does not appear to have flared back up from the prednisone.
Sue
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At first, my pulmonologist would not give me 7% and insisted that I try 3%. They thought that 7% would be too harsh. 3% was not much better than .09% for me. I am also thought to have asthma. Finally, they agreed to 7% and I have not looked back. Within the first few minutes of nebulizing, I do cough, maybe it’s a bronchi spasm, but it helps get the gunk out. It would be a setback for me if I had to go back to 3%.