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@sueinmn

I do have a couple of suggestions. First, the respiratory therapist told me levalbuterol first, to open the airways. Wait 10 minutes, exercising lightly. Then neb with saline, coughing as possible. No matter how congested I am, I never do airway clearance for more than 30 minutes at a time - Again per RT.
Two other thinning agents are montelukast (Singulair 10 mg at bedtime) and NAC (N-acetyl-cysteine) 600 mg by NOW or Jarrow.
I will offer my layperson opinion that you may well be trying TOO hard, irritating your lungs and making coughing worse. I find less neb, and more water, and exercise brings up more mucus.
Can you get an appointment with a respiratory therapist to go through your routine with you and evaluate each step?
Sue

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Replies to "I do have a couple of suggestions. First, the respiratory therapist told me levalbuterol first, to..."

I had wondering if I was irritating lungs. I will order the N .... and try your routine .
I have not been waiting 10 min sor exercising in between the Levalalbutral.
I have been doing 1 saline 1st to get some of the mucus out of the upper airway so as to her the Lev in
I have monyalucast I'm had and had stopped taking it a few months ago because otbobg seemed to be helping

Yes I can see a respiratory therapist but since your routine is working , I am going to try that first thank you

Thanks for yet another tip, Sue. I start my day with a bit of movement and stretching, then Albuterol and nebulizing with 7% saline, Aerobika during or after. I'll be reversing the albuterol and movement! Good to know that 30 minute max, too. I'm also finding that after my walk later in the morning, some mucous starts to move, and a few minutes with the Autogenic Drainage app is helpful to encourage a bit more clearing.