Pulmo and HS

[AnD]

I use nebulized Xopenex (which is refined albuterol- not as many of the side effects) and I like it well enough that I pay the bigger "non prefered" copay for it. It also comes in an inhaler, but I haven't tried it yet, but I may now that I have added the HS, for days when I don't have forever to do my nebs <img src=""> . I started out doing:

Xopenex
vest and Pulmozyme
wait 15 minutes between end of Pulmozyme (usually halfway through the vest) and then do HS, but I coughed more all day.

So now in the mornings, I am trying to do:

Xopenex,
HS with the vest,
then wait and do the Pulmozyme a couple of hours later after I get back in the morning from the pool (2 days a week).
If I have time (yeah, uh huh), I will do the pulmozyme 15 mins or so after the HS on those days, and I do it that way the other mornings, too.

In the evenings, I have been doing:

Xopenex,
pulmozyme,
wait 15 mins, then vest and HS.

My doctor recommended the Xopenex, then pulmozyme, then 15 min. later, HS, so that's why I do it in that order at night,( plus I want to make sure I have as much of the HS coughed up before I do my Advair and lay down for the night). My Advair comes next, everytime, and my antibiotic is always last. Don't know if any of that helps or not! <img src="">

 

[AnD]

I use nebulized Xopenex (which is refined albuterol- not as many of the side effects) and I like it well enough that I pay the bigger "non prefered" copay for it. It also comes in an inhaler, but I haven't tried it yet, but I may now that I have added the HS, for days when I don't have forever to do my nebs <img src=""> . I started out doing:

Xopenex
vest and Pulmozyme
wait 15 minutes between end of Pulmozyme (usually halfway through the vest) and then do HS, but I coughed more all day.

So now in the mornings, I am trying to do:

Xopenex,
HS with the vest,
then wait and do the Pulmozyme a couple of hours later after I get back in the morning from the pool (2 days a week).
If I have time (yeah, uh huh), I will do the pulmozyme 15 mins or so after the HS on those days, and I do it that way the other mornings, too.

In the evenings, I have been doing:

Xopenex,
pulmozyme,
wait 15 mins, then vest and HS.

My doctor recommended the Xopenex, then pulmozyme, then 15 min. later, HS, so that's why I do it in that order at night,( plus I want to make sure I have as much of the HS coughed up before I do my Advair and lay down for the night). My Advair comes next, everytime, and my antibiotic is always last. Don't know if any of that helps or not! <img src="">

 

[MCGrad2006]

This is a great response! Thank you to all for your input, I really appreciate it. I think the problem the first two days on HS was that my albuterol inhaler was expired. I was still feeling some of the effects, so I knew there was something in there, but it just wasnt as effective, so I think I will try to get a new prescription for that. Aside from that, Ive been trying to spread out the meds more, but this is also a weekend and that may be easier now.

Its sucks cuz I want to be able to do the HS before I work in the AM's and stuff, but so far it has been making me cough really bad. I know it would be better to do it in the morning b/c once I get the stuff up and out of my lungs, I dont cough as much...so I guess I wil have to wait and see what works. Maybe once I get used to the HS it will be less coughing.

Thanks for all the great input tho!!!

 

[MCGrad2006]

This is a great response! Thank you to all for your input, I really appreciate it. I think the problem the first two days on HS was that my albuterol inhaler was expired. I was still feeling some of the effects, so I knew there was something in there, but it just wasnt as effective, so I think I will try to get a new prescription for that. Aside from that, Ive been trying to spread out the meds more, but this is also a weekend and that may be easier now.

Its sucks cuz I want to be able to do the HS before I work in the AM's and stuff, but so far it has been making me cough really bad. I know it would be better to do it in the morning b/c once I get the stuff up and out of my lungs, I dont cough as much...so I guess I wil have to wait and see what works. Maybe once I get used to the HS it will be less coughing.

Thanks for all the great input tho!!!

 

[MCGrad2006]

This is a great response! Thank you to all for your input, I really appreciate it. I think the problem the first two days on HS was that my albuterol inhaler was expired. I was still feeling some of the effects, so I knew there was something in there, but it just wasnt as effective, so I think I will try to get a new prescription for that. Aside from that, Ive been trying to spread out the meds more, but this is also a weekend and that may be easier now.

Its sucks cuz I want to be able to do the HS before I work in the AM's and stuff, but so far it has been making me cough really bad. I know it would be better to do it in the morning b/c once I get the stuff up and out of my lungs, I dont cough as much...so I guess I wil have to wait and see what works. Maybe once I get used to the HS it will be less coughing.

Thanks for all the great input tho!!!

 

[sue35]

I totally understand the problem with wanting to do the HS in the morning. I would love to but I cough so much and get so tired that I just can't. So when I get home from work, around 3 I do both my pulmo and my HS. I like to do my pulmo and then wait about 20 minutes to do the HS. It isn't the best way but it works for me<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[sue35]

I totally understand the problem with wanting to do the HS in the morning. I would love to but I cough so much and get so tired that I just can't. So when I get home from work, around 3 I do both my pulmo and my HS. I like to do my pulmo and then wait about 20 minutes to do the HS. It isn't the best way but it works for me<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[sue35]

I totally understand the problem with wanting to do the HS in the morning. I would love to but I cough so much and get so tired that I just can't. So when I get home from work, around 3 I do both my pulmo and my HS. I like to do my pulmo and then wait about 20 minutes to do the HS. It isn't the best way but it works for me<img src="i/expressions/face-icon-small-smile.gif" border="0">