1. < MAC & Bronchiectasis

Allergic reaction to meds

Posted by deb182 @deb182, Jun 1 6:15pm

Wondering if anyone has had hives from one of the Big 3 meds? Diagnosed in april with nodule MAC. After 4 weeks of azithromycin, ethanbutol and rifampin, I developed severe red welp hives from chest to thighs. Pulmonologist advised to stop and go to dermatologist which I did next day. He advised it probably was the azithromycin. I currently have mild shortness of breath symptoms but also have mild cold. I'm currently very active and maintain around a 39min 5k jog, 3 days a week gym and speed walk approximately 15 miles a week.
Plan is to start reintroducing the rthanbutol then rifampin and then substitute azithromycin with alternative. I'm extremely hesitant to begin the meds. Thanks in advance

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kdiago1564 | @kdiago1564 | Jun 11 9:13am

@payette78 I think the logic is that we're exhaling (sometimes coughing unexpectedly) into the mouthpiece, so to avoid the possibility of deeply breathing in bacteria or anything else you've exhaled, it's better to avoid breathing in through the mouthpiece. It's also not doing anything as far as airway clearance goes. As you mentioned, it's the exhale that's important.

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payette78 | @payette78 | Jun 11 12:34pm
In reply to @kdiago1564 "@payette78 I think the logic is that we're exhaling (sometimes coughing unexpectedly) into the mouthpiece, so..." + (show)
@kdiago1564

@payette78 I think the logic is that we're exhaling (sometimes coughing unexpectedly) into the mouthpiece, so to avoid the possibility of deeply breathing in bacteria or anything else you've exhaled, it's better to avoid breathing in through the mouthpiece. It's also not doing anything as far as airway clearance goes. As you mentioned, it's the exhale that's important.

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Good points. Thanks for the insights.

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detsdum | @detsdum | Jun 12 10:13am
In reply to @kdiago1564 "I recently saw a pulmonary therapist at NYU. He gave me guidance on effective Airway Clearance..." + (show)
@kdiago1564

I recently saw a pulmonary therapist at NYU. He gave me guidance on effective Airway Clearance and I have to say it has helped me a lot. I hadn't used postural drainage while using the Aerobika until I saw him. I find these positions and breathing techniques helpful. It takes a bit of time but he told me if I'm short on time, do at least three out of the 6 positions. If you find you have more productive sputum clearance in certain positions, you can repeat or even play around with the order in which you do them. I got his permission to share this information.

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Great stuff. Thanks for posting it

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