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Fatboy’s Nebulizer Life

Inhaled MedsOwing directly to my eFlow nebulizers (Why you NEED an eFlow a.k.a. Trio and Altera), there is no way I would be able to function with all of my responsibilities without being able to do speedy breathing treatments. They allow me to break down a dose into 90 seconds to 3 minutes, depending on the med and how much is in the vial. Look how darn portable they are, too!

Here is a run-down of what is in the photo, why I take it, when, and etc.

Left side from the back

Advair Diskus 500/50 – a steroidal control bronchodilator med that I take twice a day. It’s a dry powder that gets sucked in when a blister inside pops.

Albuterol – my first dose I take with my Trio in the long chain of meds. It’s, of course, a long-time friend of CFers and asthma patients as a bronchodilator. Twice a day again.

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Advair Relief, at Last

Advair 500/50I’ve been blowing money on my Advair Diskus for years. That was my first thought when I saw how many CFers were on Advair 250/50 from reading their blogs. So I asked when I went to clinic last time. I’ve been on Xopenex puffers, but those darn things are a $50 co-pay!

“Why the heck am I on 150/50 when everyone else is on such a higher dose?”

The doctor left the room and brought me a sample of 500/50 and a puffer of Advair HFA 230/21 with a big grin. “That should do.”

I’ve been wanting to go on a low dose of Prednisone because of how good it makes my lungs feel, but (in his words) “we don’t want you breaking every rib when you cough after a transplant.” This is his steroid compromise for me, so I’ll take it, especially since the increases dosage does seem to be doing the job.

I read the inserts with the Advairs, and it sure seems to improve function tests, though I doubt they were using low-end CFers in the study – most likely just asthmatics – but the numbers were impressive and the co-pay for the diskus was only $35. We also got a $50 rebate from the clinic when we fill them, so every little bit helps when the bills keep coming in until we reach our out-of-pocket maximum for the year on non-Rx items.