Brinsupri follow-up
It seems a bunch of us have started Brinsupri. Let's use this thread for discussion. If you are taking Brinsupri have you noticed anything different, including changes to bronchiectasis or side effects? How long have you been on it?
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Sorry but I left that out. I am also colonized with pseudomonis. For that my ID doc has an every other month routine. During the month I am medicating I nebulize 1ml of colistamethate every other day. And on the days I'm not nebulizing I take cipro 250 mg. And I do seem to be coughing up less lung crap at this time.
@mpowers501
What do you mean by during the month I am medicating? Are you referring to Brinsupri?
@scoop, What recommended rinse do you use? Dr. Winthrop who was involved in the Brisupri trial told me that during the trial people did not develop dental problems, only dogs did. But for us, it is good to take precautions.
Ling
No.. For the pseudomonis I medicate every other month. During tht month I nebulize colistamethate every other day and on the off days take cipro 250mg.
@mpowers501
I am happy to hear those on Brinsupri have less coughing. It may be a placebo effect because, apparently results are not seen for a year.
All the best
Marie
@melinda561
My lungs are colonized with pseudomonas & aspergillus. Been on brinsupri since 10-1-25. Mucus much clearer, thinner, almost transparent & not as copious or thick & yellow like it used to be. I posted about my recent illness regarding total different reaction being on brinsupri vs before taking it. Time will tell.
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1 Reaction@robot I finished 2 week course of IV cefepime 10/16. November sputum showed rare pseudomonas. ID said to hold off on BRINSUPRI as she may treat pseudomonas again. I have an appointment 2/2/26. Brinsupri was approved for me and I’ve been hesitant because of pseudomonas flare up. Thanks for your response.
@melinda561 I am colonized with pseudomonas. My BE specialist tells me that after 2 years it’s next to impossible to get rid of it. If I have flares or other symptoms he will treat it but right now I’m doing great with the combination of Brinsupri , nebs with albuterol and saline and airway clearance protocols. It’s hard to know what is making it better because it all pretty much started close together.
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1 Reaction@melinda561 My question to ID would be - why hold off on Brinsupri?? Pseudomonas infection could still be treated normally - mine always is treated with Levaquin during flares. If I have another flare, I would still be treated with Levaquin. There is nothing precluding both treatments. The fact that Brinsupri inhibits Dpp1 enzyme from causing increased mucus buildup in lungs is a plus because its in essence diminishing a growing field for the pseudomonas.
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2 ReactionsThank you, appreciate the feedback.