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Is anyone having problems with Pari nebulizers and Tobramycin?
While Pari compressor and Pari LC plus cups are recommended for Tobraycin use (aliments like cystic fibrosis or colonized pseudomonas), I find frequent problems with getting the full dose. Two mL and often more of the medication is left after 30-40 or even 50 minutes of treatment; residue is ofter foamy. I follow the manufacturer's guidelines on cleaning the cups, have a new compressor and tubing and filter.
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Welcome, @monteze. There are several discussions about Pari nebulizers in the MAC & Bronchiectasis Support Group. You might wish to review these related discussions:
- Problems with newest Pari Sprint Nebulizer cup https://connect.mayoclinic.org/discussion/problems-with-newest-pari-sprint-nebulizer-cup/
- Nebulizer for Tobramycin inhalation solution https://connect.mayoclinic.org/discussion/nebulizer-for-tobramycin-inhalation-solution/
See all https://connect.mayoclinic.org/group/mac-bronchiectasis/?search=Pari&index=discussions
@fdixon63 @foonfoon65 @deeannd @pegs @leilam may be able to offer helpful tips for you.
@monteze, is this a new prescription for you?
I remember calling the company because I was having similar issues with the Pari Sprint and saline solution. This is going back many years in my memory banks...but if my memory serves me, I think they suggested a soak in vinegar. They also said the Sprint was more prone to clogging rather than the LC Plus. Try the soak, then if it doesn't work, call the company. When I nebulized Tobramycin, I believe that I spent about 15 minutes with the Pari LC plus.
Kate
I was on inhaled Tobi in January. I used a new Pari LC cup and new wing tip tubing. I had no problems with inhaling the entire dose and no problems with foaming. I am using a Ombra compressor.