3% sodium chloride solution and Albuterol vs 7% saline

Posted by dianesk @dianesk, May 1, 2023

In January, I was diagnosed with a mild case of Bronchiectasis. My pulmonologist prescribed Albuterol and a 3% sodium chloride solution. From reading the posts, I rarely see anyone using Albuterol or a 3% solution. I was wondering if anyone was using Albuterol and or a 3% solution? Is Albuterol safe a long term solution? Does the 7% solution come into play as Bronchiectasis progresses? I've learned so much from these online discussions and am so appreciative of this special community.

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@dianesk

Thanks for your comments. I am meeting with my pulmonologist tomorrow so I can ask about her thoughts about whether a 7% might keep MAC away. Preventative actions are always good.

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After getting a Bronchiectasis diagnosis, using a nebulizer was suggested by my pulmonologist. He suggested a 3% solution. I really liked it. It was soothing, for one thing. Then, it seemed that I could no longer find a 3% solution and could only get the 7%, so have been using that, but I find it very, very harsh. It cause a lot of coughing and I feel pretty worn out after 20 min. of that. I'm not sure if it helps clear the lungs or irritates them more. I've recently stopped using the nebulizer and plan to check with my doctor later this month. I have found one supplier who supposedly still has the 3% formula, so might try that again. Still, IF the doctor says that all the coughing from the 7% is worth continuing (some people really advocate it), then I guess I will try suffering through that process, but I sure do not enjoy it at all. Good luck with your treatment plan.

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I also have issues tolerating 7 percent saline. If I can't find 3%, I might ask one of my lung docs if it's okay to dilute the 7% with .9 percent, which can be purchased without a prescription. Best of luck to you.

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I do albuterol for 15 minutes, wait 15 minutes and then 3% saline for 20 minutes. I was doing 7% saline
for a year and I had to stop every three or four minutes because it irritated my throat. About a month
ago, I started spitting up blood for two hours one day and then a little blood every day for six days.
I stopped nebulizing totally for a week and asked the doctor for a 3% prescription. That was a month
ago. Much better.
Harry

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@maggiehart

I agree with what’s been said. The 7% saline helps me clear more easily than the 3% and the albuterol I rarely use anymore as it wasn’t really helping. I’ve had Bronchiectasis with no MAC for 30 years.

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If you get a pulmonary lung function test (LFT), it will measure how effective albuterol is.
It increases my lung capacity by 13%. So the saline can get into more places.
Harry

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@zscline

After getting a Bronchiectasis diagnosis, using a nebulizer was suggested by my pulmonologist. He suggested a 3% solution. I really liked it. It was soothing, for one thing. Then, it seemed that I could no longer find a 3% solution and could only get the 7%, so have been using that, but I find it very, very harsh. It cause a lot of coughing and I feel pretty worn out after 20 min. of that. I'm not sure if it helps clear the lungs or irritates them more. I've recently stopped using the nebulizer and plan to check with my doctor later this month. I have found one supplier who supposedly still has the 3% formula, so might try that again. Still, IF the doctor says that all the coughing from the 7% is worth continuing (some people really advocate it), then I guess I will try suffering through that process, but I sure do not enjoy it at all. Good luck with your treatment plan.

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There are several suppliers of 3% on Amazon.
About $25.
Harry

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@harrynsc

There are several suppliers of 3% on Amazon.
About $25.
Harry

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Thank you. Yes. Now I have found Base Laboratories that seems to have 3%, which I will eventually order; however, I was on a plan where they would send 2 boxes a month. I've stopped it now, but have something like 100 viles of 7% solution that I either need to use or ???

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@harrynsc

If you get a pulmonary lung function test (LFT), it will measure how effective albuterol is.
It increases my lung capacity by 13%. So the saline can get into more places.
Harry

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I had that pulmonary lung function test approx. 3 yrs. ago. They did spray in something that was potentially supposed to help with lung functioning. My understand was that at that time they didn't see a big difference. I'm not sure if it was Albuterol. I should see if my Pulmonologist can review those results with me. I'd hate to have to take another of those tests. I found it pretty exhausting, since they kept pushing me to try harder, try harder, but maybe it would be worth it.

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@zscline

I had that pulmonary lung function test approx. 3 yrs. ago. They did spray in something that was potentially supposed to help with lung functioning. My understand was that at that time they didn't see a big difference. I'm not sure if it was Albuterol. I should see if my Pulmonologist can review those results with me. I'd hate to have to take another of those tests. I found it pretty exhausting, since they kept pushing me to try harder, try harder, but maybe it would be worth it.

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they use Albuterol in those tests to see if it makes a difference or not

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@harrynsc

If you get a pulmonary lung function test (LFT), it will measure how effective albuterol is.
It increases my lung capacity by 13%. So the saline can get into more places.
Harry

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Actually, I nebulize 7% saline first, and once I've brought up phlegm, and my airways are somewhat clearer, I nebulize the meds.

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