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Hello Sue - I have just started the plan of 2 puffs of Albuterol, followed 15 minutes later with 1 vial of 7% saline in the nebulizer. I know many of you do this twice a day, but I see that you do it twice a week. Can anyone out there speak to the issue of every day, versus twice a week? Or once a day versus twice a day. I imagine this all comes down to trial and error but I would be interested to know if doing the saline and albuterol less than twice a day, every day, has paid off for people. Pam in Sudbury
Replies to "Hello Sue - I have just started the plan of 2 puffs of Albuterol, followed 15..."
@sueinmn is fortunate in her need to do less than daily airway clearance! I used to be able to do once a day but as I and my lungs have gotten older, I feel best with twice a day. The p.m. session is challenging and I'd rather be sleeping but it helps reduce nightly coughing. Plus I've had bronchiectasis for a while, which is mild but in more than 1 lobe, (no other pathogens at the moment 🙏) and working hard to keep those at bay.
So, @pamelasc1 I guess it really depends on how your lungs feel and sound. If they sound gunky and you cough a lot, 2x day clearance might benefit you. If you can go days between coughing and can sleep through the night (!) then maybe twice a day not necessary. The common denominator among us is that we have some degree of damaged lungs, and any other comparisons diverge from there.
What does your pulmonologist say?
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When I am healthy inhaler (Symbicort) daily and saline twice a week plus daily airway clearance work fine. If I get a cold or other illness I do saline daily, and sometimes have to add a Levalbuterol neb.
BUT, I do not have any evidence of MAC or pseudomonas at this time. My last exacerbation was Covid in September, the one before it was January 2023, so this is effective for me.