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MAC: Just how well do nebs work, anyway?

MAC & Bronchiectasis | Last Active: Feb 7 5:44pm | Replies (88)

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@pamelasc1

Hello - this is Pam who has been writing on and off recently about my pseudemonas and how best to deal with it. Since early September I have had pseudemonas, again, after having it twice before and treated successfully with Levaquin. This time I will not take Levaquin as it has caused neuropathy in my feet and toes. My lung doctor has given me two choices. This is what he wrote to me this morning:
"I think that an attempt at suppressing the pseudomonas germ is the next step, with an antibiotic regimen taken one month on and one month off.
Two options that we can try for:
1) Aztreonam (Cayston) nebulized 3 times daily; or
2) Tobramycin not in nebulizer but by podhaler, 4 capsules twice daily." Has anyone out there done either one of these? Do you have any first hand experience with using either approach that might help me decide which way to go? Many thanks, Pam in Sudbury, MA

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Replies to "Hello - this is Pam who has been writing on and off recently about my pseudemonas..."

I used Tobramycin in a nebulizer, it was supplied in ampules like my saline and levalbuterol. After 2 cycles, my pseudo was gone and has not come back in 3 years. Has the doctor explained why he is recommending the "podhaler" instead of the liquid?
Sue