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Doctor insights on: Can Copd Patients Use Glutathione In A Nebulizer

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Can COPD patients use glutathione in a nebulizer?

Can COPD patients use glutathione in a nebulizer?

Use as mucomist: Glutathione is end product of n-acetyl cysteine since glutathione gets degraded quickly you need the precursor. So for COPD use mucomist which is nac in liquid form smells like sewage so i prefer the capsule to avoid this. John hopkins univ did a critical care seminar and they are using nac for acute kidney failure too. ...Read more

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Dr. Steven Griggs
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Copd (Definition)

COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more


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Can oxygen therapy be used to prevent cough in bronchiectasis patients?

Can oxygen  therapy be used to prevent cough in bronchiectasis patients?

No: Oxygen therapy is only used in patients with advanced bronchiectasis who have difficulty maintaining normal oxygen saturations. To prevent cough in patients with bronchiectasis, it is important to remove the excess mucus from the airways by use of mucolytic therapies (inhaled hypertonic saline) & physical techniques to mobilize the mucus (chest vest, acapella, flutter etc.). Talk to a lung doc. ...Read more

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Why would a doctor prescribe a nebulizer with abuterol sulfate for home use instead of mdi for acute asthma flare?

Why would a doctor prescribe a nebulizer with abuterol sulfate for home use instead of mdi for acute asthma flare?

Bias: Probably just a treatment bias. If appropriate training is given, the results from using an mdi are just as good as the results from using a nebulizer. There is an old bias that drug delivery was better with a nebulizer, but that has not proven to be true. ...Read more

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Is there a risk in using expired albuterol in a nebulizer for asthma?

Expired meds: There is a risk they won't work, and if you are having an asthma attack, that's a big problem. Most meds will not harm you if expired, except for the fact that they may not be good for what they are intended for. You should check all the medicines in your home monthly to see if expired and/or need refills or replacements. ...Read more

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Initial stage of cough. Can i use nebulizer with saline alone or with salbutamol?

Initial stage of cough. Can i use nebulizer with saline alone or with salbutamol?

Mgt: For an infant nasal saline to keep the passages clear is important. If there is a history of asthma, please use the salbutamol. If you are treating bronchiolitis saline can help relieve symptoms. ...Read more

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With trached child with history of tracheomalacia collapse with albuterol use, how often would it be safe to use albuterol/atrovent combi? How will I know?

With trached child with history of tracheomalacia collapse with albuterol use, how often would it be safe to use albuterol/atrovent combi? How will I know?

Albuterol use: Usually prematurity/prolonged need for ventilator and/or oxygen cause chronic lung disease. So it is not unusual that a bronchodilator would be used. Albuterol/atrovent (ipratropium) work by relaxing muscles in the airway making breathing easier, and to a lesser extent, atrovent (ipratropium) decreases mucus production. Typically, in non-urgent use is 4h. Albuterol is used in emegent situations more frequently guided by md. ...Read more

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I have asthma and copd, I use a nebulizer for treatment along with the albuterol sulfate solution. Is there a better solution to use to help me?

Proper treatment: In my opinion, contrary to others, these conditions should always be treated with inhaled steroid first and then add. This prevents inflammation and twitchy airways. In COPD there is bowing of midsize airways due to tissue destruction. This is helped with anticholinergics (thiotropium or ipratropium) this allows the rescue albuterol to get into the distal airways for rescue, more mainstay in asthm. ...Read more

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I use albuterol sulfate ProAir rescue inhalers for my asthma. Can I use salamol cfc free inhalers in replacement of this? (it's more affordable)

I use albuterol sulfate ProAir rescue inhalers for my asthma. Can I use salamol cfc free inhalers in replacement of this? (it's more affordable)

Yes: Yes, they are essentially the same medications. They fall in the category of SABA, short acting beta agonists. As always, with asthma, try to use these as little as possible to prevent your lungs from becoming 'sensitive'. ...Read more

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Can bipap ventilation be used at home to mantain a normal pco2 after hypercapneic bout in a COPD patient?

Can bipap ventilation be used at home to mantain a normal pco2 after hypercapneic bout in a COPD patient?

Remember: Usually once at the acute insult has been addressed in COPD patients - in this case, whatever cased the hypercapneic bout - noninvasive positive pressure ventilation continued at home isn't usually necessary. Home BiPap is often used in sleep apnea patients for whom CPAP isn't optimal or in someone with CO2 retention and sleep apnea or in people with neuromuscular disease who need help breathing. ...Read more

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Pt. With severe COPD and is non - responsive to inhaled steroids. Has tried "most" of the inhaled albuterols, combivents, (albuterol and ipratropium) and anti-cholinergis. ?

Pt. With severe COPD and is non - responsive to inhaled steroids.  Has tried "most" of the inhaled albuterols,  combivents, (albuterol and ipratropium) and anti-cholinergis. ?

See below: I would recommend discussing this with your pulmonologist or if you need a second opinion, find someone on here that has a UT license and discuss it with them. It's possible you aren't on the right medication or maybe have a different diagnosis. ...Read more

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Can i continue to use my ventolin inhaler, while I'm on peridosine and liquid albuterol in a nebulizer?

Can i continue  to use my ventolin inhaler, while I'm on peridosine  and liquid albuterol in a nebulizer?

Meds: Use either your ventolin or your nebulized albuteral. They are similar drugs. The Prednisone can be continued. All the best. ...Read more

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Budesonide inhalation suspension 0.5 mg or albuterol sulfate 2.5mg. I have chronic bronchitis and I have both of these for my "at home" breathing treatments. Which would help most?

Budesonide inhalation suspension 0.5 mg or albuterol sulfate 2.5mg. I have chronic bronchitis and I have both of these for my "at home" breathing treatments. Which would help most?

Depends: The two meds you list are very different and intended for different purposes. Budesonide (pulmicort) is a steroid to reduce inflammation where as albuterol is a smooth muscle relaxer designed to reduce bronchospasm of the smaller airways surrounded by smooth muscle fibers. Albuterol's effect is very brief and temporary. Budesonide use provides sustained beneficial effects to prevent flare up. ...Read more

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Can patients with vocal chord dysfunction get some relief from asthma inhalers, particularly blue rescue inhalers?

Can patients with vocal chord dysfunction get some relief from asthma inhalers, particularly blue rescue inhalers?

Not really: Sitting down and taking time to use an inhaler may break the pattern, but not much.Working with a speech pathologist on breathing exercises, and recognizing the triggers will help the most over time. ...Read more

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Could pulmozyme (dornase alfa) use result in increased respiratory rate in non-cf patient with a tracheostomy?

Could pulmozyme (dornase alfa) use result in increased respiratory rate in non-cf patient with a tracheostomy?

Maybe: Side effects with Pulmozyme (dornase alfa) are various and can include irritation of the throat, nose and voice changes. It can also cause hoarseness. I use a fair amount in my patients and have not seen it increase respiratory rate. I guess if it was irritating the airway you could breath faster due to pain/discomfort. I don't think that increased resp rate is very common on this drug. ...Read more

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Are steroids and antibiotics always needed for a copd. exacerbation? Some people always take them, where as nebulizer helps me.

Are steroids and antibiotics always needed for a copd. exacerbation? Some people always take them, where as nebulizer helps me.

Not always. : Steroids usually are sufficient. Sometimes the COPD attack will resolve on its own and other times it will need meds to go away. Antibiotics are used when there is significant worsening of COPD as well increasing purulence of the mucous. ...Read more

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Which step in asthma management would a home nebuliser be used?

Which step in asthma management would a home nebuliser be used?

Rarely: Nebulizers allow you to take albuterol aerosolized rather than through an inhaler device. For adults, there is really no benefit to this except maybe cost. There are some other nebulized meds, but they typically have to be used more often than the meds available via other inhaler devices. They are best for children or sick elderly who can't use a more-complicated inhaler. ...Read more

Nebulizer (Definition)

A nebulizer is a machine that turns a liquid into a mist. It is usually used for medications for asthma, cystic fibrosis, and copd, so that the medications can be ...Read more


Dr. Sue Ferranti
968 doctors shared insights

Chronic Obstructive Pulmonary Disease (Copd) (Definition)

Also known as COPD, may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. ...Read more