1. < MAC & Bronchiectasis

Common antibiotics for BE exacerbation.

Posted by spider109 @spider109, Aug 6 4:26am

I have Bronchiectasis which has been termed “pretty significant” by a Mayo Jax Pulmonologist. I just had an exacerbation, and was prescribed the antibiotic Doxycycline 100mg x2 daily x7 days. It worked really well. I know it’s up to the Doctor but can anyone tell me other antibiotics they have been prescribed that have worked well. We all know antibiotics build up resistance over time and over use, and that we’re all different, but there must be some sort of protocol or order the Dr’s try different things. I’ve been told by my Pharmacist that some Dr.’s will rotate between different antibiotics so there’s less of a chance to buildup resistance to a certain one. Sounds like a good idea. Thank-you for any information. I have never been diagnosed with MAC.

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cwal | @cwal | Aug 7 4:38pm
In reply to @sueinmn "Not me, if the culture is negative, I chalk it up to a virus. There are..." + (show)
@sueinmn

Not me, if the culture is negative, I chalk it up to a virus. There are thousands circulating, because our damaged lungs are susceptible to bugs that never bother others. For example, I know that "just a cold" inevitably leads to bronchitis, before 7% saline that inevitably led to pneumonia.

In that case, my pulmonologist has me double my nebs for 7 days, and if it is still not gone we resort to a wide-spectrum antibiotic (and possibly another sputum culture.) The ID doc (in the same practice with her) likes this approach. Both are in the camp of "fewer antibiotics. fewer times, helps avoid more drug resistant bacteria."

Does anyone else have a doc who does conservative treatment first in an exacerbation?

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Yes, Sue you are right.
As I understand it, not only the numerous bugs and viruses always hanging around but for some just the environmental things such as pollen, excessive pollutants in the air, etc. can cause a BE exacerbation episode.

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Sue, Volunteer Mentor | @sueinmn | Aug 7 8:09pm
In reply to @cwal "Yes, Sue you are right. As I understand it, not only the numerous bugs and viruses..." + (show)
@cwal

Yes, Sue you are right.
As I understand it, not only the numerous bugs and viruses always hanging around but for some just the environmental things such as pollen, excessive pollutants in the air, etc. can cause a BE exacerbation episode.

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Also true I often get an exacerbation in September, ragweed season, especially if it is dry and smoky or wet and lots of mold spores.. And being overtired, overstressed and overscheduled is a sure way to a meltdown for me. I am looking forward to Saturday, when I will have my house to myself for almost 24 hours, so I can rest a bit before my next round of houseguests and entertaining. Sheesh, you would think I lived on the lake or beach, instead of just in a suburban rambler.

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