Brinsupri experience after 3+ months
Brinsupri may take 3–6 months to reach full effect.
Please use this thread to share first-hand experiences only if you have been on Brinsupri for 3 months or longer.
To keep this discussion useful and focused, let’s limit comments to actual outcomes, side effects, or changes you’ve observed after at least 3 months of use.
General questions, early impressions (< 3 months), speculation, or unrelated discussions please post in a separate thread.
Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
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@blm1007blm1007
True vertigo is not the same as dizzy. Severe vertigo is very frightening and awful to experience. I am taking plenty of D and even if it was a bit low it could not cause those extreme symptoms. I mostly suspect it was reaction to Brinsupri.
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1 Reaction@scoop, Glad to hear that Brisupri works for you. When youy say that you start seeing quality of life benefits, could you elaborate a bit? I imagine it is due to lessen the mucus production?
I am also close to six months old. I don't know if it works for me because when I started I had shortness of breath and fast heart beats. Shortly after taking Brisdupri, the symptoms were gone, but not long after they came back. After seeing my pulmonologist, he said that I had a flare-up. 5 days of prednisone cleared everything. Now my pulmonologist thinks that my symptoms were related to elevated eosinophil. It is so hard to sort things out, everything murky and blended together.
Hope you are continuing doing well.
Ling
@irenea8, so sorry to hear about your experiences with the drug. Hope you get better soon.
Ling
@wangling Like I say, I'd like more time with Brinsupri before declaring success. In terms of QoL issues, it really gets down to the decreased mucus as of now. That could change as I recently had Covid, recovered well with a course of paxlovid but needed rescue abx (as I was traveling). Much to my surprise I recovered quickly and well. Daily mucus might increase again over time, I just don't know. My hope, of course, is that it stays diminished. Time with tell...
I believe the clinical trial showed that the 25 mg dose reduced the decline of lung function. In Europe they only approved the 25 mg dose and this was one of the reasons why.
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2 Reactions@sweethighland I am not taking Brinsupri at this point. My pulmonologists (I have a team) and I discussed it at length. One specializes in MAC & Bronchiectasis, the other in Asthma & Allergies.
Their criteria for prescribing is to have at least three of these issues:
3 or more exacerbations in a year, unstable or worsening Bronchiectasis as seen on a CT scan, worsening FEV (forced expiratory volume) in a lung function test, evidence of mucus plugs, excessive mucus production, worsening cough, worsening shortness of breath (SOB).
I don't meet the criteria, and I have asthma which must be controlled with Symbicort, containing an inhaled corticosteroid, so they feel the need to be extra careful. I also have allergies, essential tremor, coronary artery disease and rheumatoid arthritis, and they do not feel there is enough information about how Brinsupri might interact with those medications. Both docs are very into research and are watching carefully to see what the future information shows as the drug prescribed in the "real world."
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1 Reaction@phoenixrises I saw your post about thinning hair on a previous Brinsupri thread. You might wish to read through this thread here as I know it's been talked about. There are things you can do for thinning hair. I believe you need to speak with a dermatologist. Hair thinning is not one of the hallmark side effects of Brinsupri but I guess it can happen. Older age can bring it on too along with genetics.
@clynnp I had three flareups in the last 4 months and were treated with two rounds Azithromycin and Augmentin. Then my sputum tested Staphy (MSAA) which is gram positive bacteria. Both my Stanford ID and Sutter Hill suggested me to switch to 10-14 days of Linezolid. It worked magic after just 4 days on it. I also heard MSAA is rare for Linezolid resistant and I can use it again frequently in the future.
I am starting Brensupri 25mg next week for my BE. I was last tested positive MAC not one time out of 7 culture tests.