Brinsupri follow-up

Posted by scoop @scoop, Sep 29 12:21pm

It seems a bunch of us have started Brinsupri. Let's use this thread for discussion. If you are taking Brinsupri have you noticed anything different, including changes to bronchiectasis or side effects? How long have you been on it?

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

Profile picture for scoop @scoop

@sdugan001 What a bummer you are experiencing these symptoms. Although Brinsupri has not caused any issues in me so far, stomach issues and/or headache can occur when you first start it according to my doctor. That said, moxifloxacin alone can cause stomach discomfort, as can any antibiotic. I agree with @pacathy that a sputum culture is critical. Personally, I would not start another antibiotic until I dropped off a sputum sample for culture. I hope you feel better soon!

FYI – so far my experience with Brinsupri has been positive. I’m entering my 4th week and my previous random hacking cough jags are now rare, with mucus lighter in color and less of it, and clearance time seems quicker than before starting Brinsupri. I've just now come from a dental appointment (a restoration, which was at least 2 hours in a supine position) and did not cough once!

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@scoop
I'm so excited for you and your improved symptoms!

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Profile picture for sdugan001 @sdugan001

@scoop My situation is a little tricky in that my pulmonologist is in Indianapolis, but I am in Chicago for pharmacy school. Therefore, it is not as easy for me to get a sputum culture done but I usually always have “emergency” antibiotics on hand in case of infection and I take azithromycin 3x a week for prevention purposes. I do know that antibiotics can cause an upset stomach, and try to take all the necessary precautions.

I am feeling like giving up and very discouraged as my condition only worsens and I am only 23. I fear what the rest of my life will look like. It is nice to hear about your positive experience and makes me a little more hopeful. Thank you and @pacathy for getting back to me. It is nice to talk to others dealing with this, I have felt so alone.

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@sdugan001 Have you ever been and is it possible for you to go to National Jewish Hospital in Denver, Colorado......or the Center @scoop has mentioned. I know a lot depends upon insurance, finances and time but it might be very beneficial for you if you can. Are you familiar with National Jewish Hospital? If you have time it might help to research it to understand why I am mentioning it and why I, myself, immediately took myself up there when I realized I needed their help vs the local pulmonologist who wasn't fully knowledgeable of all possible problems that come along with Bronchiectasis and what to have me start doing for myself to help myself.
We want for you to keep trying and finding your way to feeling better and getting the best help you can. We understand how you feel....this isn't easy and it is so much work.
Hope you have been having a better day of it today.
Barbara

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Profile picture for blm1007blm1007 @blm1007blm1007

@sdugan001 Have you ever been and is it possible for you to go to National Jewish Hospital in Denver, Colorado......or the Center @scoop has mentioned. I know a lot depends upon insurance, finances and time but it might be very beneficial for you if you can. Are you familiar with National Jewish Hospital? If you have time it might help to research it to understand why I am mentioning it and why I, myself, immediately took myself up there when I realized I needed their help vs the local pulmonologist who wasn't fully knowledgeable of all possible problems that come along with Bronchiectasis and what to have me start doing for myself to help myself.
We want for you to keep trying and finding your way to feeling better and getting the best help you can. We understand how you feel....this isn't easy and it is so much work.
Hope you have been having a better day of it today.
Barbara

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@blm1007blm1007 Hi, this is actually something my pulmonologist has wanted me to do for quite some time. I even had an intro appointment over the phone with NJH a few months ago, but have not moved forward with it due to insurance/financial reasons. Ideally, going to NJH would be the goal. It is also difficult for me to find time to take off to go given my graduate school program. So I am sort of just stuck in this in between stage for now :/ I have a tentative appointment to get a chest CT tomorrow but it depends if it gets authorized in time/if I can even find a way home to make it.

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Profile picture for sdugan001 @sdugan001

@blm1007blm1007 Hi, this is actually something my pulmonologist has wanted me to do for quite some time. I even had an intro appointment over the phone with NJH a few months ago, but have not moved forward with it due to insurance/financial reasons. Ideally, going to NJH would be the goal. It is also difficult for me to find time to take off to go given my graduate school program. So I am sort of just stuck in this in between stage for now :/ I have a tentative appointment to get a chest CT tomorrow but it depends if it gets authorized in time/if I can even find a way home to make it.

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@sdugan001 You are young I am 83 and I know how we think when we are young. Your pulmonologist is right and I am glad you do want to go NJH.
Think out of the box to find a way regarding finances, your graduate program and all that is needed to get to NJH. I wonder if NJH has a program that can help you since you are in the position you are in. They have many different types of donors, who knows ......there might be something there to help you. Just an idea.
This is your health and it is something that would be best to do now, as soon as possible per all you have told us. Things we often put off in the early years come back to bite us twice as hard later on. Another thought, I don't know how to do this and I know it is not something totally comfortable to do .....however.....is there any way you can establish a go fund me on the financial end.
Would you be comfortable talking to those in charge and figure out how to handle the time away and how to adjust once you return to finish up the graduate work program.
Feel free to ask as many questions here on Mayo. All of us will will understand and try to help you.
You can start threads with your questions other than this one regarding Brinsupri that you found your way to.
Hope you don't mind all I have said but I, we, want you to do what is best for yourself not only in the short run but also the long run.
Barbara

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Profile picture for sdugan001 @sdugan001

@blm1007blm1007 Hi, this is actually something my pulmonologist has wanted me to do for quite some time. I even had an intro appointment over the phone with NJH a few months ago, but have not moved forward with it due to insurance/financial reasons. Ideally, going to NJH would be the goal. It is also difficult for me to find time to take off to go given my graduate school program. So I am sort of just stuck in this in between stage for now :/ I have a tentative appointment to get a chest CT tomorrow but it depends if it gets authorized in time/if I can even find a way home to make it.

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Check out
https://www.letsbecleartoday.com/ to find an NTM BE center near you. Yes NJH is the gold standard, but perhaps it would be easier for you to go to one of the new approved centers throughout the US.

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Went to NJH for a week at end of August & Just started brinsupri 16 days ago. There is a place to apply for assistance with copay for brinsupri: The Assistance Fund on line or call 833-426-2085. I applied & am getting it for free.
I understand that it is a wait and see when it comes to exacerbations.

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I’m on day 15 of starting Brinsupri. Yesterday I thought I might be improving and today I definitely see an improvement! Not coughing nearly as much and I had my first good nights sleep in a while. I was having quite a few excerbations and at the end of one when I started. Even the mucus from Mac has lessened. Had my regular tooth cleaning and dentist went over how to help prevent gingivitis. So we’ll see what happens from here on. Marilyn K

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Profile picture for marilynk @marilynk

I’m on day 15 of starting Brinsupri. Yesterday I thought I might be improving and today I definitely see an improvement! Not coughing nearly as much and I had my first good nights sleep in a while. I was having quite a few excerbations and at the end of one when I started. Even the mucus from Mac has lessened. Had my regular tooth cleaning and dentist went over how to help prevent gingivitis. So we’ll see what happens from here on. Marilyn K

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@marilynk Great! Curious what your dentist said about how to prevent gingivitis.

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Taking as much care with our gums as we do our teeth. I have a rubber tipped appliance I use at the gum line as often as I can. Also the tiny (small) brush like that go between the teeth to rid any foods, as well as flossing as they all reach or touch the gums. Several different ‘tools’ that you find at the pharmacy. M

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Profile picture for marilynk @marilynk

I’m on day 15 of starting Brinsupri. Yesterday I thought I might be improving and today I definitely see an improvement! Not coughing nearly as much and I had my first good nights sleep in a while. I was having quite a few excerbations and at the end of one when I started. Even the mucus from Mac has lessened. Had my regular tooth cleaning and dentist went over how to help prevent gingivitis. So we’ll see what happens from here on. Marilyn K

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@marilynk what dosage are you on 10mg or 25mg?

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