I had a whole conversation about this with my doctor and he said that tobi and pulmozyme were not studied using the eflow and thererfore one does not know if one is getting the right dosage when putting it in the eflow.Plus you can not put TOBI in eflow and would have to get another version called Nebcin or have it reformulated. ALso, my doc explained that how the eflow works is the medications are put into the eflow and it is electrically charged and formed into a mist and then SUPER fast delivery. Well nobody knows if this electric charge CHANGES the molecules and makeup of the med and therefore who knows if it changes it, damages it, enhances it. I did not want to take a chance of using the Eflow with meds like Tobi and Pulmozyme if it is not approved with the Eflow. He did say you should be all right with ALbuterol cause it is a big molecule and probably does not change much.
Another story I heard first hand was from a lawyer who has CF and said NEVER EVER use the Eflow. IT has not been studied and you should never use it with meds that were not studied using the Eflow compressor device. There is a study out now with I believe Azetronon ( Spelling?) that uses Eflow so when that comes out one could use the eflow with it. The lawyer told me she knows someone who used the Eflow with Colistan which is not studied or approved with the Eflow and she died 16 days later.
Bottom line, both my doctor and the lawyer said using a compressor with meds that were not studied is taking a chance.
I personally am not willing to take a chance. However, their are people on this forum that use Eflow and love it. But who wouldn't, you get your meds done in record time! Super, Super fast, like less than 15 minutes to do Tobi and some it only takes 5 minutes.
I personally after doing my due dilligence have decided to not use the eflow and stick with my Pari LC and regular compressor.
Good Luck! This is just my opinion based on my research.
Jennifer 36 Years old with CF and CFRD