NEBULIZING WITH 7%

Posted by kgggg @kgggg, Mar 20 3:09pm

Interested to know that for those who are relatively stable - how many times per day are you nebulizing?

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@wsbme74

I would love not to use the levalbutirol - feels like a lot combined with the symbicort! But my local pulmonologist as well as the Bronchiectasis specialist in Boston said the levalbutirol should be used first to prevent bronchospasms and to smooth the lung/airways and then to do the symbicort after the saline as it's more effective then. A case of talking to a different doctor, you'll often get a different answer!

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@wsbme74 I am also on symbicort and neb levalbuterol before 7% saline. I tried using symbicort instead of levalbuterol but it did not work as well for me as the levalbuterol. My airways did not feel as clear. It makes sense to apply the inhaled steroid in symbicort to the lungs after clearing so I agree with your doctor in Boston!

My question about symbicort is can we the generic? It's quite a bit less expensive than the name brand.

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@harrynsc

Within a few minutes of nebulizing with 7%, I start coughing.
So I stop and suck on a CVS cough drop. After 30-60 seconds,
I can continue. Sometimes I will cough again after two or three
minutes, so I do the cough drop again. Sometimes it takes me
45 minutes to do 30 minutes of 7%, but I think it's worth it.
Harry

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Interesting to read a different perspective. I also start coughing soon after the nebulizing begins, but I don't discourage it because I find it brings up a good bit of sputum. I simply pause...cough...spit, then continue. I usually empty the cup in 20-25 minutes and follow with Aerobika.
Each of us must do what we find works best. I am grateful for the sharing here where we learn of other options to try.
Thank you,
Anna

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@scoop

@wsbme74 I am also on symbicort and neb levalbuterol before 7% saline. I tried using symbicort instead of levalbuterol but it did not work as well for me as the levalbuterol. My airways did not feel as clear. It makes sense to apply the inhaled steroid in symbicort to the lungs after clearing so I agree with your doctor in Boston!

My question about symbicort is can we the generic? It's quite a bit less expensive than the name brand.

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I use the generic (Breyna) without any noticeable difference (except price $225 copay for Symbicort, $15 for generic on my policy.) I'm not fond of the operation of the generic inhaler with my spacer tube, but for the difference in price, I'll deal with it.
If you have access to medications from Mexico, Vannair by Astra Zeneca is the same and costs $55-60 per inhaler.
Sue

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I have anew grandson with breathing issues. The doctor wants him to have a nebulizer but I'm looking to find out what the better rated child nebulizers are. Anybody have any idea? When I search on line all I get are sales ads.

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@ruslin58

I have anew grandson with breathing issues. The doctor wants him to have a nebulizer but I'm looking to find out what the better rated child nebulizers are. Anybody have any idea? When I search on line all I get are sales ads.

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The nebulizer of choice for infants is a compressor based one with a mask. Some of the quieter ones are the smaller "travel" ones, placed as far from the child as tubing allows. We use Innova Traveler in our family. The trick is making it acceptable to child and caregiver - we use distraction - videos, screen time, reading aloud...with older infants, toddlers we use rewards for tolerating - stickers, treats...
Also, sometimes we do "blow-by" treatment or divide treatment time to make it work. Babies and kids are all different. The adult needs to be flexible, but stay in charge and make sure kids get the meds they need.
Sue

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