3% Saline vs. 7% for Nebulizing

Posted by zscline @zscline, Aug 13 11:07am

I started out using 3% saline but the company seemed to discontinue that option. I am finding the 7% saline solution so harsh for nebulizing. True. I do cough out a lot of mucus but feel almost exhausted when I finish 20 min. of this. I am wondering if the process is only helping to clear my lungs or if it's irritating my throat and lungs and generating more mucus than need be. Any comments or suggestions? I plan to talk to my pulmonologist about this but don't have an appointment until the end of the month. Thanks!

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@sueinmn

@zscline Please contact your doctor now and let them know you are struggling. When you have a problem, it is not necessary to wait until the time of an appointment.
Also, you can buy "normal" saline vials that are .9% and mix them half and half with the 7% vials, effectively giving you 4% saline for nebbing. Have you tried that? If you neb twice a day, you can carefully save the half vials for use later. I have done that by placing them upright in a clean old prescription bottle and placing them in the refrigerator. My pulmonologist and her respiratory therapist assured me it is safe to do that for use within 24 hours.

Jump to this post

Thank you, that's really helpful. I thought I needed a prescription to buy the saline, but I just ordered it. I sent a message to the respiratory therapist, but he hasn't gotten back to me. He mentioned going to 3% if the 7% had me wheezing, which it does. I don't want to create more damage and I was concerned that if I was wheezing, I was making damage.

REPLY

I recently have bloody sputum ( small amount) so my pulmonologist suggested me to change it to 3%. I also noticed 7% saline made me wheeze at the end of nebulizing. I did not know it is causing damage, I thought it is helping clear out sputum!!

I feel so boring doing nebulizing!

REPLY

I saw my pulmonologist yesterday. I very seldom get up mucus and tried the 3 and 7% on my own last year to see it I could get some out. I couldn’t and stopped it. I had frequent viral infections last winter (young grandchildren). Doc suggested trying 3 or 7 percent saline 1 or 2x a week to try to keep me healthier this winter. I’m going to get a faster compressor and try it.
Thought about starting a new thread with his suggestion, but this popped up today.

REPLY
@helen1000

I recently have bloody sputum ( small amount) so my pulmonologist suggested me to change it to 3%. I also noticed 7% saline made me wheeze at the end of nebulizing. I did not know it is causing damage, I thought it is helping clear out sputum!!

I feel so boring doing nebulizing!

Jump to this post

The 3% is much gentler. Just read or listen to some music. Take it as a time to relax for a few minutes. I resented it at first, but then ended up enjoying that time to just sit for a few minutes and relax. You can try just 10 min. if you don't want to sit for 20 min. I hope this will end up feeling helpful to you.

REPLY
@zscline

The 3% is much gentler. Just read or listen to some music. Take it as a time to relax for a few minutes. I resented it at first, but then ended up enjoying that time to just sit for a few minutes and relax. You can try just 10 min. if you don't want to sit for 20 min. I hope this will end up feeling helpful to you.

Jump to this post

I do 10 minutes two times a day. The saline at first was making me choke. So I use albuteral and not the full vile of saline which has helped. I also do compression vest two times a day. Try any how. Sometimes only once but better than not at all

REPLY

Thanks Ladies, that is very useful tips! Appreciate it! I am taking sick leave hopefully I have more time for airway clearance and do better.

REPLY
@helen1000

Thanks Ladies, that is very useful tips! Appreciate it! I am taking sick leave hopefully I have more time for airway clearance and do better.

Jump to this post

Good for you Helen! I find it very difficult working full time. I prioritize nebulizing Arikayce and 7% Saline, doing airway clearance and cooking healthy meals but too often don't find time to exercise. I will be retiring June 1 and am counting the days!

REPLY
@zscline

I just met with my pulmonologist yesterday and he confirmed exactly what you said about how to dilute the saline solution for a nebulizer. He said that very few of his patients can handle the 7% solution. So odd, because it's the most common one I see and finding the 3% is a challenge.

Anyway, thanks again for your information.

Jump to this post

What did the doc mean when he said very fewofhis patients can handle the 7% solution which my husband uses. What did he mean?

REPLY

I have not been able to use 7% saline, but I have been using the 3%. After using the 3% I find , even after doing huff coughing and other breathing exercises I don’t get much sputum up. Several hours later it seems to kick in and I am able to expel quite a bit. Has anyone else had this delayed reaction?

REPLY
@mirsy

What did the doc mean when he said very fewofhis patients can handle the 7% solution which my husband uses. What did he mean?

Jump to this post

Some people find the 7% too irritating and cannot tolerate it. For me 7% is no problem so it just depends on the person. 7% is definitely more effective if you can tolerate it.

REPLY
Please sign in or register to post a reply.