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@meghan13

I was also recently diagnosed with psuedomonas and feel incredibly fatigued for several months. I'm allergic to cipro and have been nebulizing with Tobramycin for almost a week. I still feel awful. Does anyone know how long it takes to start feeling better with nebulized Tobramycin? Or else alternatives to Cipro? I'm so ready to feel normal again and not feel like I need to sleep all day.

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Replies to "I was also recently diagnosed with psuedomonas and feel incredibly fatigued for several months. I'm allergic..."

Hi Meghan, When I had pseudomonas, it took over a month for me to begin to feel any effect of the meds, and over 2 months to clear. Remember, this had been building in your body for a long time, and has hidden itself way deep in your lungs.
Are you doing any airway clearance to help get things moving, and cough out the mucus where the pseudo breeds?
Sue

Unfortunately the only oral antibiotics for Pseudomonas are Cipro or Levofloxacin. And the only nebulized is Toby or sometimes you hear of people using Colistin. There is also Cayston but unless you have CF it is unlikely medicare will approve it and it is super expensive. Otherwise the only options are a number of IV antibiotics according to sputum sensitivity testing. As far as I know you have to start the IV option in the hospital and then if you do ok continue at home. Pseudomonas is hard to get rid of. Mine is the chronic form now. I may have had it for a long time or I may have developed it after a 4 week use of Augmentin. I often hear of people being diagnosed with it after long use of an antibiotic.

Hi meghan13. I can totally sympathize with what you're going through. I've been diagnosed off and on with pseudomonas for 4 1/2 years. I believe it is in a chronic stage now. I also have MAC and Bronchiectasis. I have also inhaled Tobramycin off and on during that period. Early this year I was really struggling with heavy coughing, fatigue and inability to gain any weight. I contacted my doctor by portal message but he was out on paternity leave. The doctor covering for him actually called me and said to stop the Toby and called in a 10 day Rx for Cipro 750 mg 3 times a day. The next day I had red circular place come up on my left calf and red spots on my right shin bone. My dermatologist saw me that same day and said it is an allergic reaction to the Cipro. I contacted the pulmonary doctor and she said she would back the dosage to 500 mg but could not go lower as I would not be getting any benefit. I got the 500 mg and finished the 10 days that way. I did not have any further reaction. Within 5-6 days my cough was much better and I felt well enough to start exercising. After that things got better and better. Coughing subsided and a cough became a rare thing. I don't know what reaction you had with Cipro but just wanted you to know my experience. I, being the skeptic I am, felt the pseudo would come back. It has been six months and I continue to feel fine. I do regular nebulizing the Sodium Chloride twice a day but that is just me making sure things don't go in the wrong direction due to me being "lazy." I don't ever want that awful feeling to return. Best to you. Faye