Timing of nebulizing - before or after meals

Posted by Melissa Nelson @melissa08, Nov 28, 2022

Hi all,
My husband, who has Bronchiectasis, is currently testing negative for MAC following 11 months of killer antibiotics, which have been suspended after they came way too close to ending him over this past summer.
He nebulizes with albuterol followed by 7% saline twice a day. Some of the comments within discussions that I have seen in this group suggest that there be a 2-3 hour time lag before or after a meal, before nebulizing. The same was suggested on timing of sputum collection for culture purposes.
His ID/Pulmonology team at Johns Hopkins have never provided any advice on the subject. Since we have gotten most of our knowledge and survival tips from this group, what are the best practice options you have found to be most workable? Any thoughts or input are welcome.
You have been an invaluable source of information, guidance and support which has been very much appreciated.
Thank you.
Melissa

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@melissa08 Hi – I was letting this post wait for an answer from another community member, because I follow the philosophy of "whatever fits in my schedule" for nebs, except when doing it for a culture. Then I do it first thing in the morning, before eating and drinking (except water or herbal tea), per my pulmonologist's directions.

Otherwise, I move around a while, do some stretching and neb – before or after breakfast – depending on my day. My second neb, if I need it, is before dinner while watching the news, or about 2 hours after dinner but well before bed. I started that because if I do it too close to bed, I am still coughing stuff up.

What do others do?
Sue

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@sueinmn

@melissa08 Hi – I was letting this post wait for an answer from another community member, because I follow the philosophy of "whatever fits in my schedule" for nebs, except when doing it for a culture. Then I do it first thing in the morning, before eating and drinking (except water or herbal tea), per my pulmonologist's directions.

Otherwise, I move around a while, do some stretching and neb – before or after breakfast – depending on my day. My second neb, if I need it, is before dinner while watching the news, or about 2 hours after dinner but well before bed. I started that because if I do it too close to bed, I am still coughing stuff up.

What do others do?
Sue

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I work in the morning so am only nebulizing 2 hours after lunch. That is when i get the sputum sample. (After huff coughing and deep breathing in a yoga bridge pose)… also called postural drainage.
This week I had a little more chest tightness so added hot tea and an extra nebulizing tx at night (2 hours before bedtime). Cindy

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I nebulise when it fits in. I avoid too near after eating as it makes me want to cough up what I've just eaten!

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