Developed bronchitis like cough, nasal congestion: can't stabilize

Posted by cdward1028 @cdward1028, Dec 30, 2025

2 weeks ago I developed a bronchitis cough with nasal congestion. I have a sinus infection which I was started on levoquin for 10 days. I am bringing up copious amounts after nebulizing (Duoneb followed by 3% saline and then chest compression. Has anyone had similar issues. I feel so frustrated as nothing seems to be working to get me stabilized. It seems I continue with infections. Started Brinsupri about a month ago but seeing no improvement? Getting frustrated trying to at least be manageable. Thanks

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Do you feel the sinus infection was due to taking Brinsupri? Or were frequent infections your pattern before it?

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@cdward1028 Are you seeing your pulmonologist?

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Profile picture for irenea8 @irenea8

Do you feel the sinus infection was due to taking Brinsupri? Or were frequent infections your pattern before it?

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@irenea8
No, I don't believe it was related to Brinsupri. Yes, I have had frequent infections prior. One reason that I was placed on Brinsupri.

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Profile picture for Sue, Volunteer Mentor @sueinmn

@cdward1028 Are you seeing your pulmonologist?

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@sueinmn
Yes, just saw her the other day. "You seem to be stable and the cough is just a part of the bronchiectasis". However, I don't think that is the case as this cough is much more like bronchitis than the "normal" bronchiectasis cough which often clears after the nebulizer and chest compression.

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Profile picture for cdward1028 @cdward1028

@sueinmn
Yes, just saw her the other day. "You seem to be stable and the cough is just a part of the bronchiectasis". However, I don't think that is the case as this cough is much more like bronchitis than the "normal" bronchiectasis cough which often clears after the nebulizer and chest compression.

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@cdward1028 There are some reports of upper respiratory infections with Brinsupri - maybe you can talk to the doc about whether this might be the cause.
Otherwise, be your own best advocate - insist on a sputum culture to be sure this isn't something more serious.

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Yes, I will do that on Monday. Thanks

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There’s a terrible virus going around in the Chicago area. Cough, sore throat and sinus congestion. I’m on day 4, my Mayo Clinic pulmonologist told me to increase my ACT and see my PCP if I get worse. Im coughing up so much mucus, taking Mucinex. Preliminary chest x ray was ok. I know it’s frustrating to get the it’s your bronchiectasis when you know you are worse!

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Lots of viruses in the south as well. This winter I have tried to be more regular with my monthly sputum samples. My pulmonologist asks me to go see pcp if sputum is “normal”, no ongoing fever and mucus not overwhelming (and give it a couple of weeks). Not sure if this is helpful, But I have been on 2 courses of antbx. since september,and It is feeling “manageable”. I’m trying to figure out how the uris and exacerbations are different under this new regimen. (brinsupri) It feels “better” and “less coughing and mucus” for sure and quicker bounce backs.
Cindy

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I will start the same drug soon. Dr prescribed 25 mg but I’m thinking I’d rather start with 10mg. You said it hasn’t helped you yet, how long have you been taking it?

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Profile picture for clynnford @clynnford

I will start the same drug soon. Dr prescribed 25 mg but I’m thinking I’d rather start with 10mg. You said it hasn’t helped you yet, how long have you been taking it?

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@clynnford Brinsupri 25 mg Rx

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