Ah, gotcha! My pulmonologist didn't tell me to wait more than five minutes between albuterol and nebulizing saline/Aerobika/vest (I do the Aerobika inline with the saline and wear the vest at the same time, all for 20 minutes).

But yes, I think in that situation, that's the best you can do. I didn't use a bronchodilator before the vest and Arikayce, and my pulmonologist and I have discussed me discontinuing it after I finish my medications in 10 days. (yay!) I will probably use it maybe 3 times a week with the vest, just to see if it makes much difference, though, and report back to him at my next visit.

Best of luck!
Laurel