Guest guest Posted November 1, 2003 Report Share Posted November 1, 2003 Please can you tell me which antibiotics can fight the pseudomonas bug? Thanks. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2003 Report Share Posted November 1, 2003 Hi Liz, I have had pseudo for years. I take Ciproxin 750mg b.d. and inhaled Tobramycin 160mg at night as maintenance medication. When I have a flare-up and these drugs are no longer effective I need to go into hospital for IV antibiotics (usually Meropenem and Ceftazidime which work really well). I don't have any side-effects from the above medications, although I am suspicious that the Ciproxin may be contributing to my joint aches and pains. With the inhaled Tobramycin, you can use a mouthpiece or mask with the nebuliser. I use a mask for convenience. I was also told that with Tobramycin you need to keep it out of your eyes, so it's a good opportunity to just close the eyes and relax for 15 minutes (lol)! I hope this helps some. Love Bunny -----Original Message-----From: Gordon and Liz Oram Sent: Sunday, 2 November 2003 1:32 AMTo: bronchiectasis Subject: Pseudomonas/Antibiotics Please can you tell me which antibiotics can fight the pseudomonas bug? Thanks. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2003 Report Share Posted November 2, 2003 Bunny, I just got a mask to use with the Tobramycin that I inhale twice daily the last two weeks of each month. I use 7.5 ml (one and 1/2 teaspoons) that takes me about 45 minutes to inhale. I get tired holding the Pari nebulizer so got the mask. Now I can set the alarm clock for about 40 minutes and just relax. I was watching television while I do my treatments, but am concerned that the Tobramycin will not be good for the television so have covered it with plastic. I could get a filter for the Pari nebulizer so it will not leave a film on the furniture and television but that costs $18.00 each month here in the US. Take care, Norma in Austin, Texas (US) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2003 Report Share Posted November 2, 2003 Liz, My laboratory tests that were done when I had my bronchoscopy October 2000 indicated that pseudomonas was most sensitive to these antibiotics in descending order: Ciprofloxacin <1; Levofloxacin <2; Trim/Sulfa <2; Imipenem <4; Gentamicin <4; Cefuroxime <4; Ceftazidime <8; Ceftriaxone <8; Cefazolin <8; Amp/Sublact <8; Amox/Clav <8; Ampicillin <8; Piperacillin <16 and Pip/Taxobact <16. Some of these antibiotics are abbreviated such as Ciprofloxacin is called Cipro. This list may have changed since October 2000 when this report was done. I had an allergic reaction (welts and rash all over my body) from Cipro, so I cannot take that oral antibiotic or Levofloxacin since they are both Quinolines are in the same antibiotic family. I hope this helps some, Norma in Austin, Texas (US) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2003 Report Share Posted November 4, 2003 Hi Bunny, What type of nebulizer are you using? I am using the Pari nebulizer and sit by an open window (weather permitting) with a fan directed toward me and the open window so that the mist goes outdoors. I wear glasses and may get some safety glasses that protect the eyes. I am not sure what type of nebulizer you are using. For my breathing treatment before I use the Tobramycin I use one with a tubing that directs the mist away from my face. I do not know what the compounding pharmacy mixes with the Tobramycin but will ask them next week when I pick up the medication for the last two weeks of this month. My big problem now is that I saw the ear, nose and throat doctor last Wednesday since I still have colored mucus draining from my sinuses. I had been on Tobramycin/Clindamycin spray for six weeks, and he did a culture and CT scan of my sinuses last week. His nurse called yesterday and said that I was growing pseudomonas in my sinuses and that I should refill the nasal spray prescription. She said he also wanted to put me on an oral antibiotic. She asked me if I could take Levoquin (not sure that this is spelled correctly). I told her that Levoquin was one of the fluoroquinolones and that I had a reaction to Cipro in 1996. Cipro and Levoquin are in the same family of antibiotics, so he prescribed Bactrim DS (double strength). I started it last night and will take it for 21 days. This pseudomonas bacteria is something we have to be continually fighting. I also got another supplement as the compounding pharmacist said that by using so many antibiotics for so many years that I may also have a fungus. I hope you have an enjoyable and relaxing trip. Until later, Love, Norma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2003 Report Share Posted November 4, 2003 Hi Norma, I used to watch television or work on the computer while nebulising, until I was told by a pharmacist to keep the mist out of my eyes. Some people use the mouthpiece with a tubing outlet to redirect the excess. I use Tobramycin every night, 160mg in 4 ml, which takes about 20 minutes to inhale. The Tobramycin is not diluted or mixed with saline. Do you have anything mixed with your Tobramycin? Sorry if you have already posted this info!! We take off tomorrow and I will be away for nearly 3 weeks (I'm really excited). I'll look forward to catching up again on my return. Until then .. Take care and keep well. Love Bunny -----Original Message-----From: nor236@... Sent: Monday, 3 November 2003 4:18 AMTo: bronchiectasis Subject: Re: Pseudomonas/Antibiotics Bunny,I just got a mask to use with the Tobramycin that I inhale twice daily the last two weeks of each month. I use 7.5 ml (one and 1/2 teaspoons) that takes me about 45 minutes to inhale. I get tired holding the Pari nebulizer so got the mask. Now I can set the alarm clock for about 40 minutes and just relax. I was watching television while I do my treatments, but am concerned that the Tobramycin will not be good for the television so have covered it with plastic. I could get a filter for the Pari nebulizer so it will not leave a film on the furniture and television but that costs $18.00 each month here in the US.Take care,Norma in Austin, Texas (US) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2003 Report Share Posted November 4, 2003 Bunny, happy and safe travels. ~~~~~~~~~~~~~~~~~~~~~~Bob & Bunny wrote: Hi Norma, I used to watch television or work on the computer while nebulising, until I was told by a pharmacist to keep the mist out of my eyes. Some people use the mouthpiece with a tubing outlet to redirect the excess. I use Tobramycin every night, 160mg in 4 ml, which takes about 20 minutes to inhale. The Tobramycin is not diluted or mixed with saline. Do you have anything mixed with your Tobramycin? Sorry if you have already posted this info!! We take off tomorrow and I will be away for nearly 3 weeks (I'm really excited). I'll look forward to catching up again on my return. Until then .. Take care and keep well. Love Bunny -----Original Message-----From: nor236@... Sent: Monday, 3 November 2003 4:18 AMTo: bronchiectasis Subject: Re: Pseudomonas/Antibiotics Bunny,I just got a mask to use with the Tobramycin that I inhale twice daily the last two weeks of each month. I use 7.5 ml (one and 1/2 teaspoons) that takes me about 45 minutes to inhale. I get tired holding the Pari nebulizer so got the mask. Now I can set the alarm clock for about 40 minutes and just relax. I was watching television while I do my treatments, but am concerned that the Tobramycin will not be good for the television so have covered it with plastic. I could get a filter for the Pari nebulizer so it will not leave a film on the furniture and television but that costs $18.00 each month here in the US.Take care,Norma in Austin, Texas (US) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2003 Report Share Posted November 4, 2003 Liz, The supplement is Vinco's Bowel Detox. It is a sustained release formula promoting healthy bowel terrain according to the information on the label. He said that I should take it in the morning and in the evening with dinner. I am going in to see the pharmacist/clinical nutritionist for a consultation as soon as they finish completion of their new pharmacy that is only about eight miles from my home. When I do, I will let you know more about these supplements. Take care, Love, Norma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2003 Report Share Posted November 4, 2003 Norma: with regard to your message to Bunny dated Tues Nov 4, you say in your last line of your last big paragraph "I also got another supplement as the compounding pharmacist said that by using so many antibiotics for so many years that I may also have a fungus" ... what supplement do you buy to offset the fungus? Thanks, love Liz Quote Link to comment Share on other sites More sharing options...
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