Well, since you can't do your antibiotic while you're doing the Vest, it would make quite a difference if you're using it for TOBI, Cayston, Colistin, etc.
This is going to sound dumb, but since when can you not do antibiotics while using the vest? I've never heard that before in my 20 years.
It's ALWAYS been the protocol. You're not supposed to do the Vest while you do your inhaled antibiotic because it's supposed to sit in your lungs, and the Vest is counterproductive to that.
There is a lot of debate as to what order to do your inhaled medications in and which can be done during the Vest, but the one consistent rule is that you cannot do your Vest while you do your TOBI/Cayston/Colistin.
I just spoke to a pharmacist from the CF pharm and she said that a PARI rep spoke to them the other day, saying the eRapid distributes certain meds pretty much "the same" as a jet nebulizer. She also said that for Hypersal she thinks it's totally fine, for Dornase it should be okay, though there's not really a lot of info about if the heat from the neb changes the molecules of the med at all, but for meds like antibiotics, albuterol, or xopenex she is a hesitant since they are dose dependent. I asked her if the meds had to be reformulated, or the dosages changed, and she wasn't sure, suggesting that we should discuss with our Drs (of course). She said the difference between the Altera handset and eRapid handset is the size of the resevoir, and of course the mesh heads have different sized/amounts of holes.
So. Just some info I've gathered for anyone else that has questions about this.
Hi Sarah.
When you say mesh head, is that the same as thing as the aerosol head? If not, what is the mesh head? Thanks
Also, a question for anyone with the eRapid: I just received it today and did my first treatment. Boy, is it amazing. The only thing I don't like is the fact that it leaves 1 ml of the tobi left. Is this OK? With a dosage of tobi being 5 ml, I feel l should not be leaving 20% of the dosage.
Thanks,
Andy