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mch (Marycarol) avatar

Any success with saline only and no meds?

MAC & Bronchiectasis | Last Active: Aug 17, 2025 | Replies (37)

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I was on the Big 3 for 6 months before I developed side effects, stopped the drugs, started seeing an NTM specialist and started doing airway clearance twice a day. That was 6 years ago.

I’ve been doing airway clearance twice a day with 7% saline, using the aerobika, huff coughing, postural drainage, etc for 6 years. I still have Mac in my sputum but my bacterial count is low (and fluctuates) and my CT also changes on yearly scans but overall no worse than it was when I was on the Big 3. I’m still patiently hoping for no Mac in my sputum and clear CT scans but who knows how long this will continue. I feel well and function normally (except precautions related to minimizing exposure to Mac and adhering to air quality warnings).

Based on what I’ve learned over the last 6+ years, it seems that my first respirologist started the Big 3 too early and I still don’t have the symptoms that would indicate starting the drugs again.

BTW, I’m not opposed to taking drugs for Mac or any other diseases and I agree with the comments about extreme views on this disease or others!

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Replies to "I was on the Big 3 for 6 months before I developed side effects, stopped the..."

Glad to hear your story.
My journey, first showings of something had changed in my system, began approximately in 2017 and finally diagnosed in 2022 with BE. Diagnosed with MAI in 2023. I did not start the antibiotics as suggested in 2024 and have not had, so far, an exacerbation and feel well. I do the 7% saline two to three times a day, the postural drainage, air way clearance techniques and huff coughing. I do have a good deal of mucus that I clear with using the saline and then it comes up to the throat all day long, especially after eating and I clear nearly all the time with the feeling of mucus in my throat.
My question to you is, do you have the same, much mucus when doing the saline and then the feeling of mucus in the throat and the need to clear all during the day?
Barbara