has anybody taken azithromycin and amikacin

Posted by lili56 @lili56, Apr 6, 2023

I have MAC and bronchiectasis. started on azithromycin 500 mg yesterday and I am starting 3 days a week amikacin infusion tomorrow. Does anybody know what side effects to expect from these two meds and how toreduce at least some of them. My doctor said to let her know if I feel any ringing in my ears. I am still learning about my illness and future does frighten me.

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

So helpful to know someone had surgery. I don’t know if that is in my future or not

REPLY
@lbabbitt

I am now 70 years old. I have been an athletic person my whole life. I am also a big gardener and had a horse ranch in California for 22 years. I have had a cough my whole life. I moved to Florida in 2019 and I was diagnosed with MAC and Bronchiectasis in Dec of 2022. I was started on Clarithromycin, Ethambutol and Rifibutin. I was so sick the first two weeks, I thought I was going to die. Every time I ate, 15mins later I had the worst pain in my stomach and couldn't move. At my doctor's suggestion, I started taking only one drug at a time to see which one was making me sick . We determined it was the Rifibutin that was making me sick, and I was put on the Rifampin instead. The Ethambutol was 3 times a day, the other two twice daily. I had no problems with those three and was on them until June or 2024. I had numerous CT's and sputum tests during that time. I had 2 negative sputum tests, then they all started being positive. I also had cavities in my left lung that were getting bigger. My doctor told me the drugs were resistant to the MAC so we needed to do something else. I got a picc line and did IV Amikacin twice daily and Imipenem Cilastatin 3 times daily. I did these infusions myself and had bloodwork done weekly. I had no issues with these drugs. Through all of this I can honestly say I never felt that bad. I did have some fatigue by the middle of the day, so I would just take a nap. I continued to work part time and walked at least 3miles a day, exercised, rode my horse and played tennis - yes, with a picc line. After 4 months of the IV drugs, I had a negative sputum test! Progress! But, my doctor was worried about the cavities because one had gotten larger through all of this and referred me to thoracic surgeon. He suggested robotic surgery to remove the cavity because he thought it was harboring the bacteria. My pulmonologist agreed. I was very much on the fence about doing the surgery but went ahead with it. 3 days in the hospital, I have never had a major surgery before, and recovery for me was slow - I wanted too much too quickly. I was back walking after a week, but getting back to my normal routine took at least 4 weeks. My pulmonologist told me he wanted to put me on another IV drug, (I forget the name) along with an oral -Linezolid, after the surgery. He said it would be for 12 months - after I had 3 neg sputum tests. All of the pathologies from my surgery came back negative. So that gave me 2 neg tests. I told my doctor I would give him 6mths of the IV drugs, but if my 3rd test was negative, I would do IV drugs for 3 months and the oral for as long as he wanted. I am still waiting on the test results, which I should have in a week. I never started the IV drug, because I found out my copay was $653. 00 for 8 days. I told my doctor there was no way I could afford that, so I wanted to get my picc line taken out. Since my surgery, I have been on just the Linezolid.
The one issue I have now, is I cannot seem to gain any weight. My appetite has not changed, and I am trying to eat more protein. I was at 124-126, now I am at 117-119, which is not enough for a 5"8 person. I have always been thin, but this is too thin. Otherwise, I am feeling good.
This disease is hard to deal with, because the treatment is so long. But you have to be your own advocate. Ask questions and get other opinions from other doctors. My pulmonologist had not dealt with MAC before. He told me he had never worked so hard on a case. Looking back, would I say yes to the surgery? I'm not so sure. Linezolid is not an antibiotic that cures anything but make the bacteria unable to reproduce. So if MAC is still hiding somewhere in my lungs, hopefully it won't get worse. That's my story.

Jump to this post

This is very helpful. Thank you for your detailed experience. I am beginning this journey in the testing phase only. Most likely, I’ll begin meds in January. I really appreciate your resolve and resiliency and self-advocacy. Very helpful.

REPLY
@laborday24

Has anyone been offered surgery

Jump to this post

I had my right middle lobe removed in January 2024 due to advanced bronchiectasis in that area. Now my pulmonary function is better than it's been since I first was diagnosed with NTM 2 years ago and I feel great. I've gained back all the weight I lost and no more fatigue. Unfortunately, the MAC is back after being off meds since June. My ID doc says the bacterial load is almost undetectable so I'm hoping I can overcome it with good airway clearance.

REPLY

Has anyone on this forum taken clofazimine?

REPLY
@coffcoff

Has anyone on this forum taken clofazimine?

Jump to this post

Started Clofazimine in October

REPLY
@reneemc

Started Clofazimine in October

Jump to this post

Any problems with it so far? My doctor wanted me to take it but after reading about the side effects I declined. Now I hear that the FDA is working on approving an inhaled version. I'd consider that if need be.

REPLY
@coffcoff

Any problems with it so far? My doctor wanted me to take it but after reading about the side effects I declined. Now I hear that the FDA is working on approving an inhaled version. I'd consider that if need be.

Jump to this post

No problems so far. I would be interested in an inhaled Clofazimine but I’m already on Arikayce and nebulize saline twice a day

REPLY
@coffcoff

Has anyone on this forum taken clofazimine?

Jump to this post

I have been taking clofazimine for almost a year with no problems whatsoever. The light suntanned appearance is really the only side effect, with the occasional person asking if I've been on vacation recently! My ID doctor has had so much success with people clearing on clofazimine (unfortunately, I have not) that despite her high expert level with MAC, she has had only one or two people per year who have had to add Arikayce. (I have been one of those, and have started to have clean AFB cultures, but this has been an addition to azithromycin, rifampin and clofazimine. I had to stop ethambutol due to ocular neuritis.)

REPLY
@carolj68

I have been taking clofazimine for almost a year with no problems whatsoever. The light suntanned appearance is really the only side effect, with the occasional person asking if I've been on vacation recently! My ID doctor has had so much success with people clearing on clofazimine (unfortunately, I have not) that despite her high expert level with MAC, she has had only one or two people per year who have had to add Arikayce. (I have been one of those, and have started to have clean AFB cultures, but this has been an addition to azithromycin, rifampin and clofazimine. I had to stop ethambutol due to ocular neuritis.)

Jump to this post

Thanks for your response, Carol. This sure is a bugger of an organism. Glad to hear that you're finally getting negative cultures back. A light at the end of a long tunnel!

REPLY
Please sign in or register to post a reply.