Have MAC with pseudemonas
Hello - this is Pam in Sudbury, MA. I have not been on the site for some time now, but was when I first came down with MAC in 2015. Recently I have been getting many pseudemonas infections and my lung doctor wants to try the inhaled drug "Cayston". I have several questions: 1. Has anyone also had numerous cases of pseudemonas and how did you deal with it? 2. Has anyone used Cayston, how long did you use it, and did you have any side affects? The doctor feels that even though I can get rid of the pseudemonas taking the drug Levofloaxin (which I have been taking on average every 2 to 3 months), it now comes back because it is either getting resistant to the Levo or that it really never goes away and just sits there until something urges it to rear its ugly head. Has anyone used other therapies to keep the pseudemonas at bay, such as taking in the nebulizer albuterol once a day, and the saline solution once a day?
Any advice will be greatly appreciated. Thanks, Pam
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I read your other post also.
Thinking about what our parents suffered with and complicated their lives will always be something that tears at us.
Take care of yourself.... now..... and enjoy each of the meaningful, however simple, things we do and have to do each day to avoid that 'double edge sword' called a hospital.
Barbara
@pamelasc1 , just saw your post. If you have pseudomonas in your sinuses, one thing that works well is the steroid rinse: for one month, you rinse your sinuses with saline + small dose of steroid powder twice a day, then for the rest of the year you rinse with saline + small dose of steroid powder once a day. You should ask your ENT about it.For my lungs, I am intolerant to Levo, so I just nebulize with 3% saline twice a day, has been working so far.
Best wishes of great health!
*saline and Advair twice a day.
@gigiv Thanks for your post. An interesting idea.
Sue, how many times a day within a one week period do you nebulize 7% saline?
Following. Recently started with pseudomonas. Can't take cipro so only option is IV antibiotic-trying to avoid. Interested in responses.
I have stable bronchiectasis, so unless I have an exacerbation I neb saline twice a week. I use an inhaler and do airway clearance every day.
Even though I was sensitive to most antibiotics, Cipro did not get rid of my Pseudomonas. I took Levaquin for years each time I got a chest infection, most likely building up some resistance to it.
My PCP says the Pseudomonas colonizes in the lungs.
My pulmonologist at National Jewish laid out a plan for me to just keep the Pseudomonas knocked back. This plan is.....
morning and evening: 2 puffs Levalbuterol inhaler; followed by 7% nebulized saline; followed by Symbicort steroid inhaler (low dose 85 mcg/4.5 mcg) 2 puffs morning and 2 puffs evening.
I used a SmartVest for 4 months, sustained spinal compression fractures, now switching to a wrap, not vest, by Electromed with settings very low to begin with. Am going to try the Volara which nebulizes saline and oscillates in the same treatment.
I do pharmacologic airway clearance morning and evening (in the plan mentioned above).
Mid-day I do postural drainage airway clearance with supine exercises, deep breathing, huff coughing, manual percussion, Aerobika.
So far so good.....no exacerbations for 1 year now.
I have started wearing a mask every time I go out, and especially when I walk my dog, just to keep the dust and particles out of my lungs. I wear an N95 insert anytime I am around people, as at a grocery store or visits to the doctor.
Why was the Symbicort prescribed? Was that specific to Pseudo?? When you do try the Volara, would love to hear what you think. Thanks!
Sue-
When you say you have stable bronchiectasis, can you explain. I think I know what you mean but not sure I am right.
My Oct. CScan showed two areas of improvement but one new area showing plugging in the lower left lobe. Working harder to get better CScan results next time, which means, apparently, I won't fully know until a year if I improved due to the once a year CScan.
Barbara