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Tobi and the sidestream neb

E

entropy

Guest
I nebulize my pulmozyme with the Respironics Sidestream nebulizer. Can I also use this to nebulize Tobi?
 
E

entropy

Guest
I nebulize my pulmozyme with the Respironics Sidestream nebulizer. Can I also use this to nebulize Tobi?
 
E

entropy

Guest
I nebulize my pulmozyme with the Respironics Sidestream nebulizer. Can I also use this to nebulize Tobi?
 
H

hmw

New member
Sidestream is approved for Pulmozyme and ok for something like Albuteral, but not good for the inhaled abx... too much is wasted.
 
H

hmw

New member
Sidestream is approved for Pulmozyme and ok for something like Albuteral, but not good for the inhaled abx... too much is wasted.
 
H

hmw

New member
Sidestream is approved for Pulmozyme and ok for something like Albuteral, but not good for the inhaled abx... too much is wasted.
 
E

ej0820

New member
too much is wasted? really?

I've used the sidestream nebs for everything. I used a pari neb in the hospital a long time ago, but it made me feel like I couldn't get enough air in or out, so I stopped using it and use the sidestream nebs. I hadn't realized there was that big of a difference between nebs...
 
E

ej0820

New member
too much is wasted? really?

I've used the sidestream nebs for everything. I used a pari neb in the hospital a long time ago, but it made me feel like I couldn't get enough air in or out, so I stopped using it and use the sidestream nebs. I hadn't realized there was that big of a difference between nebs...
 
E

ej0820

New member
too much is wasted? really?
<br />
<br />I've used the sidestream nebs for everything. I used a pari neb in the hospital a long time ago, but it made me feel like I couldn't get enough air in or out, so I stopped using it and use the sidestream nebs. I hadn't realized there was that big of a difference between nebs...
 
H

hmw

New member
From <a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/LungHealth/WhichNebulizer/WhichNebulizerForWhichDrug.pdf">Which Nebulizer for Which Med</a> :

<div class="FTQUOTE"><begin quote>The Sidestream® nebulizer is approved for use with Pulmozyme® (dornase alpha) (Figure 2). When used with the MobilAire® compressor, the Sidestream® makes very small aerosol droplets, which go deep into the lung. Treatment time is shorter with this system. For these reasons, some use this system for all their inhaled drugs. They should not. The Sidestream® wastes drug because it draws extra air into the nebulizer all the time. This means you may get more drug when you inhale but waste more drug when you exhale. With drugs like Pulmozyme® and albuterol (salbutamol), that is okay, but with antibiotics like TOBI® (tobramycin solution for inhalation), the Sidestream® nebulizer is not a good choice.</end quote></div>

and

<div class="FTQUOTE"><begin quote>The antibiotic TOBI® works best when a large dose gets into the sputum to kill Pseudomonas. People using the Sidestream® get a third less drug in the sputum than people using the PARI LC PLUS® nebulizer and PulmoAide® compressor. Using a Sidestream® with TOBI® may decrease the effect of the drug.</end quote></div>

and

<div class="FTQUOTE"><begin quote>The PARI LC PLUS®/PulmoAide® system is the only system approved for use with TOBI®. Different nebulizers should not be used. But compressors similar to PulmoAides® can be used. If you already use a MobilAiretm or other 50 psi compressor, it can be used with a PARI LC PLUS® for TOBI® by changing the pressure to 25 psi.</end quote></div>
 
H

hmw

New member
From <a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/LungHealth/WhichNebulizer/WhichNebulizerForWhichDrug.pdf">Which Nebulizer for Which Med</a> :

<div class="FTQUOTE"><begin quote>The Sidestream® nebulizer is approved for use with Pulmozyme® (dornase alpha) (Figure 2). When used with the MobilAire® compressor, the Sidestream® makes very small aerosol droplets, which go deep into the lung. Treatment time is shorter with this system. For these reasons, some use this system for all their inhaled drugs. They should not. The Sidestream® wastes drug because it draws extra air into the nebulizer all the time. This means you may get more drug when you inhale but waste more drug when you exhale. With drugs like Pulmozyme® and albuterol (salbutamol), that is okay, but with antibiotics like TOBI® (tobramycin solution for inhalation), the Sidestream® nebulizer is not a good choice.</end quote>

and

<div class="FTQUOTE"><begin quote>The antibiotic TOBI® works best when a large dose gets into the sputum to kill Pseudomonas. People using the Sidestream® get a third less drug in the sputum than people using the PARI LC PLUS® nebulizer and PulmoAide® compressor. Using a Sidestream® with TOBI® may decrease the effect of the drug.</end quote>

and

<div class="FTQUOTE"><begin quote>The PARI LC PLUS®/PulmoAide® system is the only system approved for use with TOBI®. Different nebulizers should not be used. But compressors similar to PulmoAides® can be used. If you already use a MobilAiretm or other 50 psi compressor, it can be used with a PARI LC PLUS® for TOBI® by changing the pressure to 25 psi.</end quote>
 
H

hmw

New member
From <a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/LungHealth/WhichNebulizer/WhichNebulizerForWhichDrug.pdf">Which Nebulizer for Which Med</a> :
<br />
<br /><div class="FTQUOTE"><begin quote>The Sidestream® nebulizer is approved for use with Pulmozyme® (dornase alpha) (Figure 2). When used with the MobilAire® compressor, the Sidestream® makes very small aerosol droplets, which go deep into the lung. Treatment time is shorter with this system. For these reasons, some use this system for all their inhaled drugs. They should not. The Sidestream® wastes drug because it draws extra air into the nebulizer all the time. This means you may get more drug when you inhale but waste more drug when you exhale. With drugs like Pulmozyme® and albuterol (salbutamol), that is okay, but with antibiotics like TOBI® (tobramycin solution for inhalation), the Sidestream® nebulizer is not a good choice.</end quote>
<br />
<br />and
<br />
<br /><div class="FTQUOTE"><begin quote>The antibiotic TOBI® works best when a large dose gets into the sputum to kill Pseudomonas. People using the Sidestream® get a third less drug in the sputum than people using the PARI LC PLUS® nebulizer and PulmoAide® compressor. Using a Sidestream® with TOBI® may decrease the effect of the drug.</end quote>
<br />
<br />and
<br />
<br /><div class="FTQUOTE"><begin quote>The PARI LC PLUS®/PulmoAide® system is the only system approved for use with TOBI®. Different nebulizers should not be used. But compressors similar to PulmoAides® can be used. If you already use a MobilAiretm or other 50 psi compressor, it can be used with a PARI LC PLUS® for TOBI® by changing the pressure to 25 psi.</end quote>
 
B

BaylorCrew07

New member
My Dr. told me the same thing Harriett posted...I currently use the Pari LC Sprint --I think that's what it's called?-- for Xopenex, sidestream for Pulmozyme (they said only use it for pulmozyme, but I guess Albuterol/Xopenex would be ok in it too?), and I use Pari LC Plus for TOBI...er, I DID...I'm on Cayston instead of TOBI now <img src="i/expressions/face-icon-small-smile.gif" border="0">

Long and short, they said no TOBI in the sidestream
 
B

BaylorCrew07

New member
My Dr. told me the same thing Harriett posted...I currently use the Pari LC Sprint --I think that's what it's called?-- for Xopenex, sidestream for Pulmozyme (they said only use it for pulmozyme, but I guess Albuterol/Xopenex would be ok in it too?), and I use Pari LC Plus for TOBI...er, I DID...I'm on Cayston instead of TOBI now <img src="i/expressions/face-icon-small-smile.gif" border="0">

Long and short, they said no TOBI in the sidestream
 
B

BaylorCrew07

New member
My Dr. told me the same thing Harriett posted...I currently use the Pari LC Sprint --I think that's what it's called?-- for Xopenex, sidestream for Pulmozyme (they said only use it for pulmozyme, but I guess Albuterol/Xopenex would be ok in it too?), and I use Pari LC Plus for TOBI...er, I DID...I'm on Cayston instead of TOBI now <img src="i/expressions/face-icon-small-smile.gif" border="0">
<br />
<br />Long and short, they said no TOBI in the sidestream
 
R

robert321

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>ej0820</b></i>
I used a pari neb in the hospital a long time ago, but it made me feel like I couldn't get enough air in or out, so I stopped using it and use the sidestream nebs. I hadn't realized there was that big of a difference between nebs...</end quote></div>

cheat and take the blue flap thing off the mouthpiece on the pari cup, you don't get the benifits of pulling all the air through the med, but it would be better than using the sidestream, those blue things spray neb in your eye and up your nose anyway. Obviously it would be best to use it as is, but that would allow more air to pass through it. No, this is not recommended by anyone really, only a suggestion. I've heard of people taking the disk valve thing off the top of it to achieve the same thing, but I think that would waste more and probably up the particle size.
 
R

robert321

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>ej0820</b></i>
I used a pari neb in the hospital a long time ago, but it made me feel like I couldn't get enough air in or out, so I stopped using it and use the sidestream nebs. I hadn't realized there was that big of a difference between nebs...</end quote>

cheat and take the blue flap thing off the mouthpiece on the pari cup, you don't get the benifits of pulling all the air through the med, but it would be better than using the sidestream, those blue things spray neb in your eye and up your nose anyway. Obviously it would be best to use it as is, but that would allow more air to pass through it. No, this is not recommended by anyone really, only a suggestion. I've heard of people taking the disk valve thing off the top of it to achieve the same thing, but I think that would waste more and probably up the particle size.
 
R

robert321

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>ej0820</b></i>
<br />I used a pari neb in the hospital a long time ago, but it made me feel like I couldn't get enough air in or out, so I stopped using it and use the sidestream nebs. I hadn't realized there was that big of a difference between nebs...</end quote>
<br />
<br />cheat and take the blue flap thing off the mouthpiece on the pari cup, you don't get the benifits of pulling all the air through the med, but it would be better than using the sidestream, those blue things spray neb in your eye and up your nose anyway. Obviously it would be best to use it as is, but that would allow more air to pass through it. No, this is not recommended by anyone really, only a suggestion. I've heard of people taking the disk valve thing off the top of it to achieve the same thing, but I think that would waste more and probably up the particle size.
 
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