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Penn Medicine/Rifampin

MAC & Bronchiectasis | Last Active: May 21 7:46pm | Replies (44)

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@nancywf

I was diagnosed with BE and MAC early last year. I have the same dosage of pills, 3 days/week. I've been fully on the meds since October 1. I staggered intro of drugs over 3 weeks, as suggested elsewhere in the thread. I also need to coordinate with my thyroid med (min 4 hours between levothyroxine and rifampin). I am lucky and grateful that I've experienced very minimal side effects.
I take thyroid pill when I first get up, then wait for an hour or so before breakfast (usually a bowl of oatmeal to coat stomach). I take the azithromycin and ethambutol (4 pills) with a large glass of water (swallowing one pill at a time). I need 4 hours between my thyroid pill and rifampin - so I wait about 3 hours before I take the rifampin with another glass of water. I then wait for an hour and eat my next meal. It takes some planning but I've made it work. I try to remember to drink water throughout the day, to flush kidneys.
I've been lucky in that I have very minimal side effects (e.g. very occasionally some GI issues, and I have experienced the rash). I eat yogurt and drink Kefir daily, and occasionally take probiotics.
Hope this helps.

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Replies to "I was diagnosed with BE and MAC early last year. I have the same dosage of..."

Thank you.
How long do you wait to take pills after you have oatmeal?
I saw Pulmonologist today.
He said the azithromycin has the least side effects.
Maybe I could take that after breakfast and the other two in evening after dinner.
Right now I'm waiting because have UTI so another antibiotic for that. Started that tonight.
Nitrofurantoin Mono-MCR.
Sitting here reading prescription information and a rare side effect is very serious lung problems. I guess I'll be calling nurse in the morning.
This stuff can wear on your mind. At least did a lot of walking. Two different appointments lots of distance between them.