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Re: pseudomanas, Tobi etc

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Thanks Norma..that helped alot.

My dr has been culturing me pretty much on and off the past couple of months, so far, pseudomonas hasnt cropped up, but my Dr is concerned because he believes, sooner or later it will. I'm saving you mail for future ref.

Sandie

Never Look Down on SomeoneUnless You're Willing to helpThem Up

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Sandie, I called my pulmonary doctor's nurse about one and a half years after being diagnosed with bronchiectasis to report that my sputum had increased. I had a culture done, and she called me to tell me that I needed to be hospitalized due to abundant pseudomonas. The reason that I needed to be hospitalized is because I am on Medicare. They do not let patients have home IVs. I was not sick. I was hospitalized for 12 days and given IV Zosyn after meeting with two infectious disease doctors. I was prescribed 5ml tobramycin twice daily for 10 days. After the 10 days, I had another sputum test done. I was then told that I was colonized with pseudomonas and needed to be on inhaled tobramycin twice daily after my other breathing treatments the last two weeks of each month. They said that the tobramycin would not help control the

pseudomonas. I am now on Tobi. I have not noticed any side effects except for some hoarseness. I still get pneumonia about every two years. I hope this helps. Norma Sunniesback55@... wrote: Hi Everyone.. I just had a follow up appt with my Pulm yesterday. After a slew of blood tests, sputum cultures and follow up CT, he told me my bronchiectasis is mild and he's seen little progression. Surprised ME! Considering how sick I've been with so many flare ups since last August. He explained to me we've got to ' dry out my lungs '..that makes sense. He shared with me his concerns about me being on so many anti's, but at this point, until we

can manage these flareups better, there's no other choices. He has me on a regime of Ceftin for 2 weeks and then Augmentin for another 2 weeks. I'll be in touch with him after that dosing. He shared with me his concern about me developing pseudomonas. He seems to be doing all he can to help me avoid this development of pseudo, but he says, sooner or later it's gonna happen.. Which brings me to my question. He explained to me he wants to not use the bigger, stronger anti's till I really need them. I understand why. In the event I do develop pseudo, and need to be nebbed w/Tobi..can I get some feedback from those of you already on these treatments? How does pseudo make you feel? I know how sick I get now with the arthritic pain, the weakness, the fever, chills, and low stamina..extremely SOB.. How does pseudo affect you? What side effects, if any does Tobi have? Thanks Sandie in MD Never Look Down on SomeoneUnless You're Willing to helpThem Up

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I also ussed to get horse from Tobi, however I didn't last month. I wonder if I just had to adapt to it for the past 6 months of use?

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Thu, 18 Jan 2007 06:09:03 PSTTo: bronchiectasis In-Reply-To: X-Originating-IP: 209.191.86.191X-eGroups-Msg-Info: 1:0:0:0X-Yahoo-Profile: jean27087Sender: bronchiectasis MIME-Version: 1.0Mailing-List: list bronchiectasis ; contact bronchiectasis-owner Delivered-To: mailing list bronchiectasis List-Id: <bronchiectasis.yahoogroups.com>Precedence: bulkList-Unsubscribe: <mailto:bronchiectasis-unsubscribe >Date: Thu, 18 Jan 2007 06:09:03 -0800 (PST)Subject: Re: pseudomanas, Tobi etcX-Yahoo-Newman-Property: groups-email-ffReply-To: bronchiectasis Content-Type: multipart/related; boundary="0-1800119940-1169129343=:67849"X-ContentStamp: 15:7:1061881498X-MAIL-INFO: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-UNTD-Peer-Info: 69.147.64.129|n18c.bullet.sp1.yahoo.com|n18c.bullet.sp1.yahoo.com|sentto-4056817-14699-1169129484-ecbauer954=juno.com@...X-UNTD-UBE:-1

Sandie, I called my pulmonary doctor's nurse about one and a half years after being diagnosed with bronchiectasis to report that my sputum had increased. I had a culture done, and she called me to tell me that I needed to be hospitalized due to abundant pseudomonas. The reason that I needed to be hospitalized is because I am on Medicare. They do not let patients have home IVs. I was not sick. I was hospitalized for 12 days and given IV Zosyn after meeting with two infectious disease doctors. I was prescribed 5ml tobramycin twice daily for 10 days. After the 10 days, I had another sputum test done. I was then told that I was colonized with pseudomonas and needed to be on inhaled tobramycin twice daily after my other breathing treatments the last two weeks of each month. They said that the tobramycin would not help control the

pseudomonas. I am now on Tobi. I have not noticed any side effects except for some hoarseness. I still get pneumonia about every two years. I hope this helps. Norma Sunniesback55aol wrote: Hi Everyone.. I just had a follow up appt with my Pulm yesterday. After a slew of blood tests, sputum cultures and follow up CT, he told me my bronchiectasis is mild and he's seen little progression. Surprised ME! Considering how sick I've been with so many flare ups since last August. He explained to me we've got to ' dry out my lungs '..that makes sense. He shared with me his concerns about me being on so many anti's, but at this point, until we

can manage these flareups better, there's no other choices. He has me on a regime of Ceftin for 2 weeks and then Augmentin for another 2 weeks. I'll be in touch with him after that dosing. He shared with me his concern about me developing pseudomonas. He seems to be doing all he can to help me avoid this development of pseudo, but he says, sooner or later it's gonna happen.. Which brings me to my question. He explained to me he wants to not use the bigger, stronger anti's till I really need them. I understand why. In the event I do develop pseudo, and need to be nebbed w/Tobi..can I get some feedback from those of you already on these treatments? How does pseudo make you feel? I know how sick I get now with the arthritic pain, the weakness, the fever, chills, and low stamina..extremely SOB.. How does pseudo affect you? What side effects, if any does Tobi have? Thanks Sandie in MD Never Look Down on SomeoneUnless You're Willing to helpThem Up

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Hi Sandie, TOBI is a higher concentration of tobramycin (tobra. for short). Its more expensive. Unfortunately, we are not able to get TOBI in Nova Scotia. I suppose that's not entirely true. If someone were able to pay out of pocket or had good insurance they likely could have this med. It would be around $2,500 or more 28 days for me. My ID specialist says that generic tobramycin can work just as well. I do not entirely agree with him, but have no choice, as I cannot afford TOBI. Inhaled tobramcyin is less likely to have the side effects that tobra. by IV carries. Its less likely to effect hearing or kidneys, but still can have such effects, but cases are rare. I believe in hitting Pseudmonas hard with antibiotics such as inhaled TOBI, colymycin, etc, because Pseudomonas. is a bacteria that is more likely to damage the lungs. My ID specialist treated

my Pseudmonas hard from the start and its made a difference. Hugs:0) Liz Pre-Lung Transplant Journey - For updates please visit my carepage and leave a message. Thank you! :o) carepages.com name: maryelizabethholt Please watch: Live Life Then Give Life! - UK http://www.youtube.com/watch?v=Nz33i6prkuQ. "Don't take your organs to Heaven, heaven knows we need them here."

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Yes, TOBI and even generic tobra can irritate the throat and voice, and I forgot to mention that it both can cause bronchospasm (essentially, asthma) to flare up. Some people with CF mix TOBI with ventolin or take their ventolin or other bronchodilator before their TOBI. Their CF doctors have given them permission to mix both the TOBI and bronchodilator. I mix my generic tobra. with salbutamol, bronchodilator (generic form of ventolin). I will also add that despite TOBI being preservative free its interesting how many experience brochospasm. I also use a preservative free version of generic tobra. Hugs:0) Liz Pre-Lung Transplant Journey - For updates please visit my carepage and leave a message. Thank

you! :o) carepages.com name: maryelizabethholt Please watch: Live Life Then Give Life! - UK http://www.youtube.com/watch?v=Nz33i6prkuQ. "Don't take your organs to Heaven, heaven knows we need them here."

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Dear ,

I didn't know that there was a generic of Tobi called tobra. Is that available in the US as I'm not sure where you live? Thank you,

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See http://antispam.yahoo.com/domainkeysDomainKey-Signature: a=rsa-sha1; q=dns; c=nofws; s=lima; d=yahoogroups.com;b=QU+SVra5jqY1bu4G4H3OCTYxGgy5NfZj3lgXamgsBCjMcRmouK/kvVR4uKQclc9kKJSAl5pCbqLFrkfrjnK0H3umxm2rNz+9xxIU/D7897pY8009uG/cxLP3zKsloagT;Received: from [216.252.122.216] by n4.bullet.sp1.yahoo.com with NNFMP; 18 Jan 2007 17:09:57 -0000Received: from [209.73.164.86] by t1.bullet.sp1.yahoo.com with NNFMP; 18 Jan 2007 17:09:57 -0000Received: from [66.218.67.88] by t8.bullet.scd.yahoo.com with NNFMP; 18 Jan 2007 17:09:57 -0000X-Yahoo-Newman-Id: 4056817-m14710X-Sender: maryholt12@...X-Apparently-To: bronchiectasis Received: (qmail 58490 invoked from network); 18 Jan 2007 17:09:55 -0000Received: from unknown (66.218.66.166) by m38a.grp.scd.yahoo.com with QMQP; 18 Jan 2007 17:09:55 -0000Received: from unknown (HELO web57002.mail.re3.yahoo.com) (66.196.97.106) by mta5.grp.scd.yahoo.com with SMTP; 18 Jan 2007 17:09:55 -0000Received: (qmail 45460 invoked by uid 60001); 18 Jan 2007 17:07:45 -0000X-YMail-OSG: _CZ9sdsVM1kNau.QWw2ntkuPaIyR.W9qytkxVUemMp78oVlEWV23NsKRuDmcCrxPlKqpdm90rlgG1RqCl0Y85Rzpx.V7M4EuK5UzgkCSC1JRcY3hOaOsTGc4jIRy6bCL7z547RxOKQEuL34-Received: from [142.177.155.75] by web57002.mail.re3.yahoo.com via HTTP; Thu, 18 Jan 2007 12:07:44 ESTTo: bronchiectasis In-Reply-To: Message-ID: X-Originating-IP: 66.196.97.106X-eGroups-Msg-Info: 1:0:0:0X-Yahoo-Profile: maryholt12Sender: bronchiectasis MIME-Version: 1.0Mailing-List: list bronchiectasis ; contact bronchiectasis-owner Delivered-To: mailing list bronchiectasis List-Id: <bronchiectasis.yahoogroups.com>Precedence: bulkList-Unsubscribe: <mailto:bronchiectasis-unsubscribe >Date: Thu, 18 Jan 2007 12:07:44 -0500 (EST)Subject: Re: pseudomanas, Tobi etcX-Yahoo-Newman-Property: groups-email-ffReply-To: bronchiectasis Content-Type: multipart/related; boundary="0-1944497373-1169140064=:45329"X-ContentStamp: 15:7:200527510X-MAIL-INFO: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-UNTD-Peer-Info: 69.147.64.184|n4c.bullet.sp1.yahoo.com|n4c.bullet.sp1.yahoo.com|sentto-4056817-14710-1169140196-ecbauer954=juno.com@...X-UNTD-UBE:-1

Yes, TOBI and even generic tobra can irritate the throat and voice, and I forgot to mention that it both can cause bronchospasm (essentially, asthma) to flare up. Some people with CF mix TOBI with ventolin or take their ventolin or other bronchodilator before their TOBI. Their CF doctors have given them permission to mix both the TOBI and bronchodilator. I mix my generic tobra. with salbutamol, bronchodilator (generic form of ventolin). I will also add that despite TOBI being preservative free its interesting how many experience brochospasm. I also use a preservative free version of generic tobra. Hugs:0) Liz Pre-Lung Transplant Journey - For updates please visit my carepage and leave a message. Thank

you! :o) carepages.com name: maryelizabethholt Please watch: Live Life Then Give Life! - UK http://www.youtube.com/watch?v=Nz33i6prkuQ. "Don't take your organs to Heaven, heaven knows we need them here."

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Dear Eileen, It is tobramycin, but I call it tobra for short. I live in Nova Scotia, Canada. The tobramycin I inhale is manufactored by Sandoz Canada Inc, a Quebec based company. Its preservative free and I take 7.5 ML twice a day for 2 weeks and 2 weeks off. Currently, I'm off tobramycin. Hugs:0) Liz Pre-Lung Transplant Journey - For updates please visit my carepage and leave a message. Thank you! :o) carepages.com name: maryelizabethholt Please watch: Live Life Then Give Life! - UK http://www.youtube.com/watch?v=Nz33i6prkuQ. "Don't take your organs to Heaven, heaven knows we need them here."

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Hi ,

Can you please tell me where to get the generic Tobra as I can't find any info on it when I Google it. Thank you,

Eileen-FLPlease note: message attachedReturn-Path: <sentto-4056817-14710-1169140196-ecbauer954=juno.com@...>Received: from mx31.lax.untd.com (mx31.lax.untd.com [10.130.24.91])by maildeliver09.nyc.untd.com with SMTP id AABC49S26AZC7QKSfor (sender <sentto-4056817-14710-1169140196-ecbauer954=juno.com@...>);Thu, 18 Jan 2007 10:57:32 -0800 (PST)Received: from outbound20-2.nyc.untd.com (localhost [127.0.0.1])by mx31.lax.untd.com with SMTP id AABC49S26AJJ37BJfor (sender <sentto-4056817-14710-1169140196-ecbauer954=juno.com@...>);Thu, 18 Jan 2007 10:57:32 -0800 (PST)Received: from n4c.bullet.sp1.yahoo.com (n4c.bullet.sp1.yahoo.com [69.147.64.184])by mx31.lax.untd.com with SMTP id AABC49LRFAN7LFK2for (sender <sentto-4056817-14710-1169140196-ecbauer954=juno.com@...>);Thu, 18 Jan 2007 09:09:57 -0800 (PST)Comment: DomainKeys? See http://antispam.yahoo.com/domainkeysDomainKey-Signature: a=rsa-sha1; q=dns; c=nofws; s=lima; d=yahoogroups.com;b=QU+SVra5jqY1bu4G4H3OCTYxGgy5NfZj3lgXamgsBCjMcRmouK/kvVR4uKQclc9kKJSAl5pCbqLFrkfrjnK0H3umxm2rNz+9xxIU/D7897pY8009uG/cxLP3zKsloagT;Received: from [216.252.122.216] by n4.bullet.sp1.yahoo.com with NNFMP; 18 Jan 2007 17:09:57 -0000Received: from [209.73.164.86] by t1.bullet.sp1.yahoo.com with NNFMP; 18 Jan 2007 17:09:57 -0000Received: from [66.218.67.88] by t8.bullet.scd.yahoo.com with NNFMP; 18 Jan 2007 17:09:57 -0000X-Yahoo-Newman-Id: 4056817-m14710X-Sender: maryholt12@...X-Apparently-To: bronchiectasis Received: (qmail 58490 invoked from network); 18 Jan 2007 17:09:55 -0000Received: from unknown (66.218.66.166) by m38a.grp.scd.yahoo.com with QMQP; 18 Jan 2007 17:09:55 -0000Received: from unknown (HELO web57002.mail.re3.yahoo.com) (66.196.97.106) by mta5.grp.scd.yahoo.com with SMTP; 18 Jan 2007 17:09:55 -0000Received: (qmail 45460 invoked by uid 60001); 18 Jan 2007 17:07:45 -0000X-YMail-OSG: _CZ9sdsVM1kNau.QWw2ntkuPaIyR.W9qytkxVUemMp78oVlEWV23NsKRuDmcCrxPlKqpdm90rlgG1RqCl0Y85Rzpx.V7M4EuK5UzgkCSC1JRcY3hOaOsTGc4jIRy6bCL7z547RxOKQEuL34-Received: from [142.177.155.75] by web57002.mail.re3.yahoo.com via HTTP; Thu, 18 Jan 2007 12:07:44 ESTTo: bronchiectasis In-Reply-To: Message-ID: X-Originating-IP: 66.196.97.106X-eGroups-Msg-Info: 1:0:0:0X-Yahoo-Profile: maryholt12Sender: bronchiectasis MIME-Version: 1.0Mailing-List: list bronchiectasis ; contact bronchiectasis-owner Delivered-To: mailing list bronchiectasis List-Id: <bronchiectasis.yahoogroups.com>Precedence: bulkList-Unsubscribe: <mailto:bronchiectasis-unsubscribe >Date: Thu, 18 Jan 2007 12:07:44 -0500 (EST)Subject: Re: pseudomanas, Tobi etcX-Yahoo-Newman-Property: groups-email-ffReply-To: bronchiectasis Content-Type: multipart/related; boundary="0-1944497373-1169140064=:45329"X-ContentStamp: 15:7:200527510X-MAIL-INFO: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-UNTD-Peer-Info: 69.147.64.184|n4c.bullet.sp1.yahoo.com|n4c.bullet.sp1.yahoo.com|sentto-4056817-14710-1169140196-ecbauer954=juno.com@...X-UNTD-UBE:-1

Yes, TOBI and even generic tobra can irritate the throat and voice, and I forgot to mention that it both can cause bronchospasm (essentially, asthma) to flare up. Some people with CF mix TOBI with ventolin or take their ventolin or other bronchodilator before their TOBI. Their CF doctors have given them permission to mix both the TOBI and bronchodilator. I mix my generic tobra. with salbutamol, bronchodilator (generic form of ventolin). I will also add that despite TOBI being preservative free its interesting how many experience brochospasm. I also use a preservative free version of generic tobra. Hugs:0) Liz Pre-Lung Transplant Journey - For updates please visit my carepage and leave a message. Thank

you! :o) carepages.com name: maryelizabethholt Please watch: Live Life Then Give Life! - UK http://www.youtube.com/watch?v=Nz33i6prkuQ. "Don't take your organs to Heaven, heaven knows we need them here."

Ask a question on any topic and get answers from real people. Go to Yahoo! Answers.

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