@america Hi Rita. I am sorry that you are not tolerating the toby. You can ask your dr about switching to a different inhalable. There is Amerikayce (sp), Colisten, and possible a few others. I have seen @heathert post in the past about throat lozenges that helped her. Because of your Sjogrens, your dr should be able to guide you on this. I have used Levaquin in the past. It is a strong antibiotic. Is your dr suggesting you go on that instead?