Finished Antibiotic Treatment - On to Airway Clearance

Posted by msk @msk, Sep 23, 2023

I just wanted to let you know that after a year and half of taking the 3 meds for MAC..yesterday was my last day of taking the meds!!! I pray that my lungs stay clear away from infection. I know i still need to continue with my airway clearance to keep the infection away. Not happy about it but i have to do it. So tired of it. I am looking forward to feeling better without the meds.
Thank you all for your thoughts during these difficult times. You all have been very encouraging. Celebrating this weekend the end of treatment for now. 😘 miriam

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Profile picture for Sue, Volunteer Mentor @sueinmn

There is a fairy newly acknowledged condition called "dry bronchiectasis" where little or no mucus is ever coughed up during airway clearance. So far the recommendation is to continue with airway clearance, especially using saline, to keep whatever mucus that is in the lungs mobile. It is when it accumulates that bacteria get a chance to set up housekeeping.

What does your pulmonologist say about this?
Sue

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I hope that will be the case for me. Just diagnosed with BE. Testing for MAC. 😢

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Profile picture for msk @msk

Hi! Will try to give you my thoughts about this treatment. It was not easy but i made it for 18 months.
For me the stomach issues were the hardest to deal with because i have gerd. I tried different ways to take the pills. I always had to eat something. It turned out that rifampin gave me lupus so it was changed. I guess i was allergic to it. When i went to denver to natl jewish hospital they said rifampin can cause the lupus. I had terrible pains in my legs. After i stopped the rifampin it went away. They replaced it with clofazimine.
I started the airway clearance with the 7% saline. My pulmonologist wanted me to do it twice a day. I am going to be honest i find it very hard to do that. Once a day is hard for me. I try but i am not very good. I have ct scans now once a year and the bronchiectasis and mac are still in my lungs. Doctor says it hasn’t gotten worst. So i do get checked. Haven’t had a sputum test in awhile last year i had 2 they were negative. Probably should have one soon. Would i do the treatment again probably not. If new meds with better results were available i would think about it. I hope you do well with the treatment. It does reduce the symptoms. If you have more questions please ask me. Its nice to hear others who have the same disease and how they are doing. God Bless. Miriam

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Interesting about lupus ( SLE) I was told an ANA lab test determines if a person has lupus. It is an autoimmune disease. But if NJH told you the rifampin caused the lupus, who am I to say differently!!
What mycobacterium were you being treated for, for 18 months?

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Profile picture for notnancy88 @notnancy88

Interesting about lupus ( SLE) I was told an ANA lab test determines if a person has lupus. It is an autoimmune disease. But if NJH told you the rifampin caused the lupus, who am I to say differently!!
What mycobacterium were you being treated for, for 18 months?

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Yes you are right about the ANA my score was very high due to the rifampin causing the lupus. As soon as i stopped the med and then had another ANA test about 3 months later it was back to normal. NJH changed the med too. I had MAC .

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Profile picture for Shelly61 @shelly61

Miriam, I am so happy to hear you have been through the treatment and are
Doing well. I was dx with MAC and so scared but I’m
Thinking of going head and taking the meds in hopes to rid this from my body. I hope and pray I can make it through the treatment. Any advise such as eating etc would be greatly appreciated. I am in NC.

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Shelly i am in SC and getting ready to start. I feel the same way as you. I am so nervous but so want to try to see if I can get this cleared up. Good luck to you!

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Profile picture for msk @msk

Hi! Will try to give you my thoughts about this treatment. It was not easy but i made it for 18 months.
For me the stomach issues were the hardest to deal with because i have gerd. I tried different ways to take the pills. I always had to eat something. It turned out that rifampin gave me lupus so it was changed. I guess i was allergic to it. When i went to denver to natl jewish hospital they said rifampin can cause the lupus. I had terrible pains in my legs. After i stopped the rifampin it went away. They replaced it with clofazimine.
I started the airway clearance with the 7% saline. My pulmonologist wanted me to do it twice a day. I am going to be honest i find it very hard to do that. Once a day is hard for me. I try but i am not very good. I have ct scans now once a year and the bronchiectasis and mac are still in my lungs. Doctor says it hasn’t gotten worst. So i do get checked. Haven’t had a sputum test in awhile last year i had 2 they were negative. Probably should have one soon. Would i do the treatment again probably not. If new meds with better results were available i would think about it. I hope you do well with the treatment. It does reduce the symptoms. If you have more questions please ask me. Its nice to hear others who have the same disease and how they are doing. God Bless. Miriam

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@msk would you say more about why, if you were to do it again, you would probably not treat?

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Hi the reason for me is because the meds made me very sick. I completed the treatment. Symptoms were better afterwards but my ct’s of my lungs still show Mac infection and nodules waxing and waning. The saline keeps my sputum negative but infections is still there. Doctor says it hasnt gotten worst so i pray that it its slow growing. I figure that maybe they will have better meds at some point. I would just think about. My biggest fear is due to the nodules that because of so much infections it becomes cancer. I had stage 4 neck cancer so it’s something for me that i think about. I am tired of treatments and meds. My radiation treatment caused the bronchiectasis which then caused the mac. I pray that it doesn’t get any worse. Its why at this point i would not do the treatment again. Hope this helps.miriam

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