Pulmozyme V Bronchitol

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Before I started the magicbluepill I often read blogs by people on Kalydeco and I was interested in reading about what treatments they needed. I read about people who stopped needing treatments, and wondered if this could happen to me?

Realistically I was not expecting to need no treatment, and as I work as a physiotherapist I would not feel safe doing this. I have noticed that the effect of doing no nebs/physio is not that great now, previously I could become sick and my pfts could drop if I missed treatments. Interestingly right now if I do not do any treatment I barely cough, but with treatment I cough slightly. The treatment helps me to clear very thin, yellow sputum.

Since I started Bronchitol I have stopped Hypertonic Saline. I found the Hypertonic Saline was aggravating my throat (dry irritated cough), and basically wasn’t needed along with both Bronchitol and Pulmozyme. This has meant I have not done PEP recently as I always did PEP connected to the nebuliser with Hypertonic Saline. My lung function has been stable even though I have not been doing any chest physiotherapy for almost 3 months. Just in case my physio is reading this and gasping in disbelief- I will start physio as soon as I notice any changes!

I have now been taking Bronchitol and Pulmozyme for over a month since I got back from China, and the combination seems to be working really well. Bronchitol and Pulmozyme keep my lung function at about 70%, without these I am around 65-67%. I am now getting in to a better routine, this took a bit of adjusting as I have been much busier with uni this year. Both Pulmozyme and Bronchitol help me clear sputum each day, and I’ve started to notice that Bronchitol is possibly helping me to clear more. I have always been a big fan of Pulmozyme as it has worked well for me, so I am surprised that perhaps Bronchitol is now helping more…

So right now my medications consist of Kalydeco, Creon Forte, Azithromycin, Abdeck (vitamin), Ranitidine (reflux, this is much better and I now do not need surgery for this), Pulmozyme and Bronchitol (once a day instead of twice a day- as I am on Kalydeco the second dose doesn’t seem to make much difference). Since I have been on Kalydeco I also have not needed any inhaled or intravenous antibiotics, which is a 15 year record for me!

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2 thoughts on “Pulmozyme V Bronchitol

    Johnny said:
    March 22, 2013 at 6:07 pm

    Hi, very interesting, also know a person on Kalydeco with G551D + DF508 with FEV1 50% >> 70+% improvement… he stops all medication related to lungs problems… still taking Creon… can I ask you, how seriously is your digestive system affected? He is taking about 16x (25000 units) Creon per day… I am on Kalydeco too, but need more then twice higher Creon doses …about 35x (25000 units) Creon. I do not see such a big improvement, I think its related to malabsorbtion and my digestive affected… will focus on fat snacks with Kalydeco extremely now.
    Cross fingers, and good luck
    Johnny

      magicbluepill responded:
      March 24, 2013 at 1:24 pm

      Hi Johnny, My digestive system is not too bad now. I had many problems as a kid with poor digestion and malnourishment, but this improved and my lungs became worse instead! Recently my weight has been stable with a BMI above 20. If I miss enzymes I often do not have any consequences. I take 10-15 creon forte (25,000) per day.

      I think my reasonable digestive system has helped me absorb kalydeco and helped my fev1 etc. I hope you can see some positive changes by adding more fat 🙂

      Also- I had a very large improvement as I had recently dropped significantly (I’ve added graphs to the 4 month post), and I started at a very low point. If you have been stable for a while and start at a high point the fev1 improvement may not be as dramatic.

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