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NTM - abscessus

MAC & Bronchiectasis | Last Active: 2 hours ago | Replies (29)

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I have M Abscessus since last January. I was put on the big 3 for Mac in 2022 and it cleared. The MAC returned last January. My ID Consultant has adopted watchful waiting. I had an appointment with him on Thursday and he says that I will have to be treated for the Abscessus. He wants to put me on IV Amakacin but I have heard that the side effects are awful. I still work as a teacher 3 days a week and do not want to retire just yet. I was full time until I started the treatment for MAC the side effects were awful. I was on daily treatment for 14 months and had 6 months off work. I lost a lot of weight and was fatigued.
I am starting to feel like that again. I am interested to learn more about the 3 day IV Amakacin treatment and it is great to hear that you feel alright. Just curious to know if you are still working. I do daily airway clearance and exercise. No 2 days are the same! Just interested to know if others have done well on IV Amakacin and the other antibiotics for Abscessus. My experience with the big 3 is making me feel anxious about having anymore treatment. My weight is still low at 52kg and that is while I am on no treatment. Would love to hear how others have coped. Thanks

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Replies to "I have M Abscessus since last January. I was put on the big 3 for Mac..."

@namd
Thank you for your response. It's helpful to hear what treatment others are taking.
I will be 79 soon and retired for 13 years. I have NTM abscessus sensitive only to amikacin. Cefoxitin was determined to be 'intermediate,' whatever that means. Everything else is resistant, but I don't think they tested for Imipenem or Tigecycline.
I'm concerned about starting amikacin because my kidneys are borderline anyway.
Right now I'm trying to get my asthma under control. Brextri seems to be helping a lot by going deeper into my lungs than the Trelegy. Last week I walked from the parking lot to the back of a big store and realized I wasn't out of breath. That was encouraging.
Thank you for your response and good luck with your journey.