1. < MAC & Bronchiectasis

7% Saline Solution

Posted by thumperguy @thumperguy, Jan 7, 2020

Got a supply of 7% vials and got a real jolt in my throat when I began inhaling it. However I quickly adapted to it and was able to finish the vial. Within a few minutes I was coughing and bringing stuff up - a first. I never had a timely response to 0.9. Bottom line: I guess the 7% solution is...well the real solution. Not to be confused with the Sherlock and Sigmund thing. Forgive my corny effort at mirth. Don

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macinfo2020 | @macinfo2020 | Jun 27, 2020
In reply to @sueinmn "@macinfo2020 Hi, I think you will get as many opinions as there are people in the..." + (show)
@sueinmn

@macinfo2020 Hi, I think you will get as many opinions as there are people in the group! My favorite for at home is the plug-in Pari Vios, the current one is branded by Walgreens. It does a decent trouble-free job, in a moderate amount of time on saline and levalbuterol. It also worked on Tobramycin when I was using that. Downsides, a little loud and quite bulky. I have had several travel ones, battery operated or can plug in at home or in the car. They have not been very durable for me, and sort of slow to dispense meds, so I don't personally recommend any of them. My daughter uses a very nice impeller (vs compressor) type, rechargeable and fast, but my insurance doesn't cover and it costs over $300.
Sue

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Ty Sue. very nice of you to tell about your experience.

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Flib | @flib | Jun 28, 2020
In reply to @thumperguy "Some people don’t tolerate 7% well, to wit: riits on this board." + (show)
@thumperguy

Some people don’t tolerate 7% well, to wit: riits on this board.

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When you say "don't tolerate 7% well" what do you mean. Is it discomfort or perhaps damage to the throat or....? Thank you, Flib

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1 reply
thumperguy | @thumperguy | Jul 4, 2020
In reply to @flib "When you say "don't tolerate 7% well" what do you mean. Is it discomfort or perhaps..." + (show)
@flib

When you say "don't tolerate 7% well" what do you mean. Is it discomfort or perhaps damage to the throat or....? Thank you, Flib

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In praise of 7% saline strength; I‘ve made it 9 months without a febrile exacerbation. Don

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kathyhg | @kathyhg | Jul 5, 2020

That’s fabulous. Stay well.

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heathert | @heathert | Jul 5, 2020
In reply to @sueinmn "@macinfo2020 Hi, I think you will get as many opinions as there are people in the..." + (show)
@sueinmn

@macinfo2020 Hi, I think you will get as many opinions as there are people in the group! My favorite for at home is the plug-in Pari Vios, the current one is branded by Walgreens. It does a decent trouble-free job, in a moderate amount of time on saline and levalbuterol. It also worked on Tobramycin when I was using that. Downsides, a little loud and quite bulky. I have had several travel ones, battery operated or can plug in at home or in the car. They have not been very durable for me, and sort of slow to dispense meds, so I don't personally recommend any of them. My daughter uses a very nice impeller (vs compressor) type, rechargeable and fast, but my insurance doesn't cover and it costs over $300.
Sue

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@sueinmn I agree Pari are fantastic machines, and up with the technology.

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Mentor
Terri Martin, Volunteer Mentor | @windwalker | Jul 8, 2020
In reply to @lorifilipek "@macinfo2020 @windwalker Hi! I think Terri put the wrong article up just now for the saline...." + (show)
@lorifilipek

@macinfo2020 @windwalker Hi! I think Terri put the wrong article up just now for the saline. (The article she posted was meant for a different discussion.) Here are two articles that Terri has posted here about 7 % saline: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850692/pdf/13104_2016_Article_2054.pdf and https://www.resmedjournal.com/action/showPdf?pii=S0954-6111%2811%2900254-X . I think the charts she was refering to are Tables 2 and 3 in the first (ncbi) article.

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Thank you Lori for fixing that.

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thumperguy | @thumperguy | Aug 1, 2020
In reply to @sueinmn "@kathyhg I too experience coughing using the 7% saline. Some days I can't quite finish the..." + (show)
@sueinmn

@kathyhg I too experience coughing using the 7% saline. Some days I can't quite finish the neb, but unlike medication where it is necessary in order to get the full dose, I figure that's fine. The purpose of the saline is to irritate the lungs to bring up the mucus, so if I'm doing it, the job is done. I do try to get as much as possible because I know the saline also helps suppress the MAC, but hey, you do what you can. By the way, I also noticed I can actually taste the saltiness of the mucus several hours after the treatment, so I must be getting plenty. Also, initially I was using 5ml vials, but the last Rx was for 4ml - the pharmacist says he can even get 3ml. His take was that at 5 feet and 100 pounds, the smaller dose was probably plenty for my body. How large are the vials you are using? Sue

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Sue, not pertaining to this post but is it no longer possible to send private messages to forum posters?

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2 replies
Mentor
Sue, Volunteer Mentor | @sueinmn | Aug 2, 2020
In reply to @thumperguy "Sue, not pertaining to this post but is it no longer possible to send private messages..." + (show)
@thumperguy

Sue, not pertaining to this post but is it no longer possible to send private messages to forum posters?

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@thumperguy It can still be done. At the top of the screen, right below the Connect banner, is a tiny envelop icon. Click on it and it takes you to the private message application. Let me know if it doesn't work.
Sue

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thumperguy | @thumperguy | Aug 6, 2020
In reply to @windwalker "@thumperguy 7% saline is the strength necessary to irradicate avium mycobacterium (mac)." + (show)
@windwalker

@thumperguy 7% saline is the strength necessary to irradicate avium mycobacterium (mac).

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Teri, I take a measure of satisfaction knowing that 7% saline is dangerous to the life expectancy of MAC. I’m going to mention it to my Pulmo when I see him. And I won’t be surprised if he’ll be hearing it first from me!

I’m entering the 11th “flare-up” free month, a record; the independent variable is pretty clearly 7% saline solution in the nebulizer introduced at the beginning of the period. Don

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3 replies
thumperguy | @thumperguy | Aug 6, 2020
In reply to @thumperguy "Teri, I take a measure of satisfaction knowing that 7% saline is dangerous to the life..." + (show)
@thumperguy

Teri, I take a measure of satisfaction knowing that 7% saline is dangerous to the life expectancy of MAC. I’m going to mention it to my Pulmo when I see him. And I won’t be surprised if he’ll be hearing it first from me!

I’m entering the 11th “flare-up” free month, a record; the independent variable is pretty clearly 7% saline solution in the nebulizer introduced at the beginning of the period. Don

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And I learned of 7% on this forum.

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