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Have Bronchiectasis, recently diagnosed with pseudomonas
MAC & Bronchiectasis | Last Active: Sep 30 4:40pm | Replies (211)Comment receiving replies
Just wanted tot say that the tobramycin isn't dependent on the coughing up mucous to do it's work. It is an antibiotic that needs to stay in the lung to work. Back when I was on it, I'd nebulize albuterol to open up my airways, then, nebulize 7% saline to clear the lungs out. After all coughing up phlegm was done, I'd then do the inhaled tobramycin. That is the correct order to do these nebulized meds.
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Good info Terri. I've had Pseudomonas off and on for 3 years. I like your thinking about how to approach the treatment. I've never been told about doing treatment in steps as you prescribed. Makes sense. Will give that a try. It is frustrating that it never seems to "kick" Pseudo to the curb forever. I made it almost a year this last time before my symptoms occurred again. At the moment my last sputum 2 months ago showed abundant Pseudomonas A. but he does not treat unless I'm symptomatic. He has indicated that if I need inhaled antibiotics (Tobramycin) he does 2 weeks on and 2 weeks off. My previous pulmonary doc did 28 days--one and done. He did not say to do the 7% while on Toby. Also no vest usage when on Toby. Thankfully I'm feeling fine--just staying with airway clearance (7%) twice daily. Things could be a lot worse. Blessings to all.