Finished my 1st month of Cayston about 14 days ago. Not as bad from a time consumption stand point that I thought it would be.
As far as the old Altera Nebulizer, I am using it with Tobi.
I am using 1/2 of the vial of Tobi per neb. rx because of the efficiency of the Altera head. I am going by the article, Guidance on the Use of the eFlow Nebulizers (Altera and Trio Dated April 6, 2010).
This takes about5-6 min.to neb. I time each dose of Tobi, it has run about the same time for each dose. I believe the secret is to clean and wash it imed. and steam sterlize it as least once a day to keep the tiny holes open.
By using the Tobi with the Altera, it could save me a lot of time around 137 hrs. per yr. if it continues as is.
As far as the Cayston, my jury is still out but it seems to me I am not as winded since I started the Cayston. Prior to Cayston, my sats droped to 86-87 (post Cayston consistently at 90)when on the treadmill, 15.5min. mile grade of 4.5 for 2 miles (no O2), I always check sat at the end. Also heart rate while on the treadmill is about 125, prior to Cayston it would run up to 135-140. My Fev1 is 28-29.
Good luck to all with the new drug Cayston, hope it helps us!!