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Airway clearance with inhalers & 7% saline.
Hi everyone, my morning & evening airway clearance routine is as follows: neb 1 vial Levalbuteral, wait 10 -15 mins, then neb 7% saline intermittently using Autogenic drainage & Areobika. All this takes around an hour. My Mayo Dr. & UVM Dr. have me then taking a LABA which is Bevespi. My question is how long after I do my a.c. should I wait to do the Bevespi? It’s supposed to last 12 hrs but it seems to last at best 6-7. Is anyone else taking 2 different inhalers, or doing airway clearance filled by a LABA? I’ve asked both doctors but again don’t seem to get a good answer. Thank you all.
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Should be followed
I too use an LABA (formoterol), and use it immediately on rising every day. Airway clearance is done 15 minutes to an hour later later. With the LABA on-board, I have no need for levalbuterol since both medications serve the same purpose. In fact, my pulmonologist actively discourages me from using levalbuterol. (Sometimes I do need it during a bad allergy season, or if I have a respiratory bug that causes my asthma to flare.) I too find my inhaler sometimes isn't "enough" used twice a day - I have permission to use two puffs up to 4 times a day, and my prescription is filled accordingly. I would say I use it 3 times a day about 2-3 times a week.
You might ask your pulmonologist two questions -
Is the levalbuterol necessary every day? Maybe they would be open to a trial of using the Bevespi, waiting 15 minutes, then nebbing saline & doing airway clearance.
Is it possible to use Bevespi 3 times a day if needed?