rits.... I don't know if this will be helpful but I've had pseudomonas consistently for a few years. Could not tolerate the toby and there seemed to be nothing else. A pulmonologist in Tulsa put me on azithromicin 3 times weekly and surprisingly, the phlegm production (which was always heavy and green) has decreased at least 90%. I've been on this for about six months. Mayo pulmonologist would rather I not take it because it may be needed for MAC at some point. But I just keep hanging on. It's absolutely wonderful to not be coughing and producing green stuff all day long. I do saline, albuterol, buesomide (sp) performist, and yupalri through the nebulizer daily. Takes at least 90 minutes to do that and like you -- I hate it..... but this program (for the time being) has virtually stopped the coughing and production and it's the best I've felt in years. Just saying........ (of course it can change at any time).