@rits....don’t worry about Arikayce......I’ve been taking it daily since November 12 along with the big 3 and no adverse side effects....a slight sore throat at first but this delivery system is so much better for us than other forms of amikacin.....I had been receiving amikacin through an IV before I started Arikayce and that did make me dizzy....and weak. I thank God I don’t need to have that drug in my bloodstream anymore.