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albuterol and heart palpitations

MAC & Bronchiectasis | Last Active: May 29 10:55am | Replies (11)

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@sueinmn

@lilianna There is another option that will help open airways without tremors or palpitations. Albuterol & levalbuterol are in the class called SABA (short-acting beta-agonist) which open the airways quickly, but are prone to causing these effects. But, as "rescue inhalers" they open airways quickly. The beneficial effect also dissipates quickly.
The other class of drugs are LABA (long-acting beta-agonists) - the airway opening effects lasts twelve hours or longer, and since there is no quick "jolt" these almost never cause racing heart, palpitations or tremors. Formoterol is on such drug. LABA's are often used to treat COPD and similar airway conditions (bronchiectasis anyone?) because they help relax the airways for hours. The "downside" is that they must be used faithfully twice (or 3 times) a day to maintain effectiveness.
You might want to ask your pulmonologist if this is a possibility for you
Sue

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Replies to "@lilianna There is another option that will help open airways without tremors or palpitations. Albuterol &..."

Hello, Sue, this is a question for you. I believe I read on one of your posts that you have reduced the number of days for your airway clearance.
This is what has led to my question for you or anyone that can give me answers about weaning oneself off of daily use of saline nebulizing while using SmartVest.
I had a bad episode of Hemoptysis on May 19, 2024, and after the episode I coughed up blood spattered mucus for about 4 or 5 days. So, I did not nebulize 7% saline nor use the SmartVest.
I did, however, continue my levalbuterol inhaler, followed by 5 minutes of steaming (to prevent blocking up with stuck mucus), and then followed by my low dose Symbicort inhaler.
Then followed another problem, severe back spasms that even today May 27, 2024, continue. I have not been able to even cough without pain and so have discontinued the 7% nebulized saline and SmartVest now for 8 days.
Had I not had the episode of Hemoptysis followed by back spasms, I would not have known that I could manage my BE (at least for this week) without this portion of my daily airway clearance.
Can one diminish the number of days, let us say, per week of not using the saline and vest therapy? Or is this an individual experiment one has to go through with Airway Clearance?