<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Ender</b></i>
Ok some of you know I was recently prescribed tobi...but i was wondering...what is it for? Do you inhale it? Is it supposed to make my plegm thinner? Any help would be great, thanks.
Kiel</end quote></div>
TOBI is a nebulized version of Tobramycin. It is an antibiotic.
It's use in Cystic Fibrosis is to kill pseudo. Pseudo is a bacteria that colonizes the lungs of CF patients. Once it's there, it rarely goes away.
So the goal is to keep the levels of the bacteria low. Low enough to not cause much lung damage, to not cause symptoms, and to not make it difficult for you to breath.
Most CF patients have chronic flare-ups of pseudo which, before TOBI, caused hospitalization after hospitalization. Unlike Cipro, Tobramycin is not in pill form. It's only in IV form - until TOBI came out.
TOBI is a great alternative to Tobramycin because it can be done at home.
There are some differences, however. TOBI goes directly to your lungs - so higher concentrations can be reached at the site of the bateria. This can cause a higher bacteriacidal effect. Side effects are less with TOBI was well - since it doesn't go throughout your body (through your blood stream).
Tobramycin is system - it goes in your body through your veins. Your blood reaches your lungs as well, and Tobra exibits its bacteria killing properties that way. Since Tobramycin goes everywhere in your body, and not just your lungs, there can be many side effects. Kidney problems. Heart problems (decrease potassium in your blood stream which can effect your heart, etc.).
If your lungs are clogged with mucus, the TOBI may not reach the site of the infection. The mucus may lay on top of the area of the bacteria, thereby inhibiting the TOBI to reach the bacteria.
Tobramycin, on the other hand, can reach any area of your lungs - whether it's covered in mucus or not.
I hope this helps. I just learned the differences and pluses/minuses myself.
Drill your doc about any new med he puts you on. The better informed we all are, the better choices we can all make in conjunction with our doctors. <img src="i/expressions/face-icon-small-smile.gif" border="0">
FIGHT ON!