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Inhaled Gentamicin

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I wrote a week or so ago about our experience with inhaled

gentamicin. For those who missed it, Rina (dF508/W1282X) has been on

inhaled gent. for about a year. She was on inhaled colymicin

following aggressive treatment for first growth Pseudomonas

aeruginosa in the summer of 1999. As soon as the latest research

on " stop " mutations was reported following trials in Israel, we asked

the cf team to switch to gent.

We give her inhaled gent. twice per day, following morning and

evening physio. We mix one ml. of Garamycin (brand name for IV

gent.) with three ml. normal saline. The concentration is 40 mg. per

ml. so she gets a total of 80 mg. per day. We use a Pari Pro Turbo

with a Sidestream nebulizer - it takes about ten minutes to deliver.

We have had no problems and Rina's lungs have been in great shape.

She usually cultures normal flora, occassionaly light growth of

Staph. aureus. The theory is that by suppressing the " nonsense " stop

codon, gentamicin promotes the production of some functional CFTR.

Is it working? I don't know. Would Rina be culturing something

without the inhaled gent.? I am not sure and I have no intention of

finding out, LOL.

Max, father of four, one wcf

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