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Airway clearance with inhalers & 7% saline.

MAC & Bronchiectasis | Last Active: 13 hours ago | Replies (4)

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Profile picture for Sue, Volunteer Mentor @sueinmn

I too use an LABA (formoterol), and use it immediately on rising every day. Airway clearance is done 15 minutes to an hour later later. With the LABA on-board, I have no need for levalbuterol since both medications serve the same purpose. In fact, my pulmonologist actively discourages me from using levalbuterol. (Sometimes I do need it during a bad allergy season, or if I have a respiratory bug that causes my asthma to flare.) I too find my inhaler sometimes isn't "enough" used twice a day - I have permission to use two puffs up to 4 times a day, and my prescription is filled accordingly. I would say I use it 3 times a day about 2-3 times a week.

You might ask your pulmonologist two questions -
Is the levalbuterol necessary every day? Maybe they would be open to a trial of using the Bevespi, waiting 15 minutes, then nebbing saline & doing airway clearance.
Is it possible to use Bevespi 3 times a day if needed?

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Replies to "I too use an LABA (formoterol), and use it immediately on rising every day. Airway clearance..."

@sueinmn thank you Sue, very helpful & interesting advice. I do have my next Pulmonologist appointment in two days and will definitely inquire about different options of airway clearance medication and techniques. I know I am likely many of us, willing to do the work it takes, just so hard to find that right combination that’s best. Thank you all.