I would guess that not rinsing between products is just fine, especially because some of these meds are combined at times in a single inhaler. That's a long list of nebs - no wonder you're trying to cut down on the time it takes!

I am not a doc, so can't say about the azithromycin for you, but both my pulmo and ID docs were adamant about not using it singly or for other infections due to the possibility of the MAC becoming resistant to it. The ID doc said he wishes it was treated as a drug of last resort because he said many other "bugs" are also becoming resistant, and they don't really have a safe, proven "next best thing." I think many docs prescribe it for every kind of infection because it is pretty easy to get patient compliance - 3 or 5 days and done, as opposed to many which need to be taken multiple times a day for 14-21 days, and people stop when they "feel better" even though still infected.

If your cough is gone, maybe you could talk about stopping and seeing what happens?

Sue