@kasper1 I had the issue with inhaled Tobramycin some years ago. My crusty, old pulmonologist wasn't very helpful, but his nurse was a gem. Her advice to me - "Don't wait until your throat is sore, or you lose your voice. From Day 1, gargle with salt water after your neb, and use soothing lozenges every day." This got me through 2 rounds with some hoarseness, but I didn't lose my voice.