When I think of reactive -- I think of our local clinic -- discourage any extra meds, testing... When DS cultured Steno Malt they opted not to treat it, let alone TELL us he had it. They encourage CPT only if the lungs are affected. I know a number of local patients who don't have a vest or do cpt. Even when DS did have a cough, we were told it was normal -- it's what they (CFers do). DS had bronchitis.
Vest/CPT -- minimum 2x a day -- we do at least 3, vitamins -- a CF multivitamin (ADEKS, ABDEKS, SourceCF), extra Vitamin K, A & E...
Trying to maintain a good weight due to the correlation between higher BMI and lung function.
Nebs -- bronciodialators to open up the airway such as albuterol, atrovent; pulmozyme to liquify mucus, hypertonic saline to hydrate the lungs; inhaled antibiotics such as Tobi; Mucomyst...
Oral antibiotics -- zithromax for inflammation, prophylactic... DS is on Keflex and septra as well...
Flu shots, handwashing...
Some people have talked about allergy testing, meds. Allergies can cause inflammation which can also cause issues...