Brinsupri follow-up

Posted by scoop @scoop, Sep 29, 2025

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?

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My Mom has Bronchiectasis and she coughs up lots of sputum on a daily basis. So much so that she has to carry a spit bag around when she leaves home. Has anyone heard of anymore medicine being created to help with the excessive sputum?

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Profile picture for brody89 @brody89

Hi Thanks for your reply.
I have BRONCHIECTASIS and have trouble breathing every day.That is chronic but not a chronic infection.The widening of the airways from this condition creates additional sputim which leads to shortness of breath and sputim production.
Exacerbations meaning is worsing of the condition and my case on a daily basis for periods of coughing,breathlessness, to remove the addittional sputum or mucuss created by the inflammation in the airways.
So in summary there is a greater risk of infection due to the increased sputum but doesnt mean it is a chronic infection as this is an ongoing a cyclical condition.

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@brody89
A bronchiectasis exacerbation is defined by guidelines as a deterioration in three or more key symptoms (cough, sputum volume/consistency, sputum purulence, breathlessness, fatigue, or hemoptysis) lasting at least 48 hours, requiring a change in treatment. Treatment usually involves 14–21 days of antibiotics.
https://bronchiectasis.com.au/bronchiectasis/management/identifying-an-exacerbation

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Profile picture for charisscurry @charisscurry

My Mom has Bronchiectasis and she coughs up lots of sputum on a daily basis. So much so that she has to carry a spit bag around when she leaves home. Has anyone heard of anymore medicine being created to help with the excessive sputum?

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@charisscurry Does she do daily airway clearance with 7% saline in a nebulizer and a palpating vest? For me that reduces the amount of sputum I produce. Both can and should be prescribed by her doctor.

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Profile picture for charisscurry @charisscurry

My Mom has Bronchiectasis and she coughs up lots of sputum on a daily basis. So much so that she has to carry a spit bag around when she leaves home. Has anyone heard of anymore medicine being created to help with the excessive sputum?

Jump to this post

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Profile picture for brody89 @brody89

@crepass Hi thanks for your reply.Could you please till me the cost of this medicine as i believe it is rather expensive.
I have exacerbations every day and to hear that you have only had (3) in 7 months is amazing, i hope i have the same or similar benefit.
Stay well.

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@brody89 The cost is determined by the speciality pharmacy. In my case it started with medicare and was denied. I was finally approved at 5 weeks after original prescription and got a call from the pharmacy with information on cost etc. I was shocked (pleasantly) that I only had to pay a co-pay and that was all for this year. I just received my first bottle on April 1. Good luck on your journey. BTW my pharmacy did have payment plans.

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Profile picture for cwal @cwal

@brody89
A bronchiectasis exacerbation is defined by guidelines as a deterioration in three or more key symptoms (cough, sputum volume/consistency, sputum purulence, breathlessness, fatigue, or hemoptysis) lasting at least 48 hours, requiring a change in treatment. Treatment usually involves 14–21 days of antibiotics.
https://bronchiectasis.com.au/bronchiectasis/management/identifying-an-exacerbation

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@cwal Thanks for your reply.I agree with the summary attached.
However treatment with Antibiotics does two things can assist in preventing more severity of an infection and also in the healing by eleminating harmfull germs.
An infection means active germs causing illness.
But many Lung conditions are actually driven by structural damage and inflammation,not infection itself.
Also being on Antibiotics is also not good and there are also side effects as well.
Iam have been on Anitibiotics long term and doesnt make any difference.
This is where Brinsupri comes in to play targeting a specific Gene that has to do with the inflammation in the airways.
It is not always about infections.
But getting an infection can make symtoms alot worse.

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Profile picture for brody89 @brody89

@cwal Thanks for your reply.I agree with the summary attached.
However treatment with Antibiotics does two things can assist in preventing more severity of an infection and also in the healing by eleminating harmfull germs.
An infection means active germs causing illness.
But many Lung conditions are actually driven by structural damage and inflammation,not infection itself.
Also being on Antibiotics is also not good and there are also side effects as well.
Iam have been on Anitibiotics long term and doesnt make any difference.
This is where Brinsupri comes in to play targeting a specific Gene that has to do with the inflammation in the airways.
It is not always about infections.
But getting an infection can make symtoms alot worse.

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@brody89 Around the 9:00 minute mark this is exactly Dr. Pamela McShane's point!

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Profile picture for brody89 @brody89

@crepass Hi thanks for your reply.Could you please till me the cost of this medicine as i believe it is rather expensive.
I have exacerbations every day and to hear that you have only had (3) in 7 months is amazing, i hope i have the same or similar benefit.
Stay well.

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@brody89. My cost was the deductible of 2xxx.00 don't remember the exact cost.but it was.not the seven thousand I was expecting and they have payment plans. I have added anxiety to my breathing difficulties so you may consider talking to your doctor either PCP or pulmonologist. I also find reading to.be a distraction and calming. I hope this helps you.

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Profile picture for brody89 @brody89

@cwal Thanks for your reply.I agree with the summary attached.
However treatment with Antibiotics does two things can assist in preventing more severity of an infection and also in the healing by eleminating harmfull germs.
An infection means active germs causing illness.
But many Lung conditions are actually driven by structural damage and inflammation,not infection itself.
Also being on Antibiotics is also not good and there are also side effects as well.
Iam have been on Anitibiotics long term and doesnt make any difference.
This is where Brinsupri comes in to play targeting a specific Gene that has to do with the inflammation in the airways.
It is not always about infections.
But getting an infection can make symtoms alot worse.

Jump to this post

@brody89
Correct regarding antibiotics. I was only giving clarification to the definition of an exacerbation according to guidelines for informational purposes because you made the comment that you have exacerbations almost every day.

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Brinsupri does not treat an active infection. If you have one that is causing a true exacerbation, it still requires treatment and you need antibiotics.

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