Pseudos exacerbation :(

R

RayRDT

New member
Hi,

I am confused ... After an exacerbation with Pseudos and 14 days of Levaquin and Cayston, I am still spitting green mid-day ... Should it be white ? Will it get white after some time just on Cayston/Colymycin ? I feel generally better, less sputum altogether, but it is still green mid-day. I'm wondering if this will be enough for the PA to become dormant or should I call my lung specialist and ask for IVs ... Any advice ???
 
O

Oboe

New member
I'd say at least finish the month for the Cayston first. I don't typically see the results of it until about the third-fourth week, but that's just me. Of course, when in doubt call the doctor. Also if you're running fevers, call the doctor.
 
J

jaimers

Super Moderator
I've been culturing pseudo for years and never, ever have white/clear sputum even after rounds of oral abx or IVs. It gets lighter and maybe more yellowish but the color never goes away completely to be "healthy" mucus. like Oboe said i would definitely finish your month of cayston. I can't take cayston but have similar experiences with Tobi--I don't usually feel better on it until I'm almost finished out the month. It can't hurt to contact your doctor if it's worrying you though!
 
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occupyjapan

New member
I had an exacerbation recently, too. I have PA and MRSA, so the doctor put me on Levaquin for the PA and Rifampicin for the MRSA. Cleared my mucous right up! Right now (tonight is my last dose of both) I'm spitting up clear mucous with white bits floating in it. When I first wake up in the morning, it's slightly yellow - probably from sitting in there all night. I'm also on Cayston currently, Azithromycin 3x a week and my doc had me start my Cayston overlapping my last week of Tobi. Between that nuclear bombardment of antibiotics and very diligent exercise, vest, etc. we definitely kicked this thing to the curb! Still feeling a little lacking of energy and stuff, but the infection is definitely cleared up.

Mucous color doesn't really mean much. Green just means your immune system is attacking pathogens. It doesn't necessarily mean a raging, out of control infection. Most of us spit up green or yellow stuff even when we're healthy aka between exacerbations. Definitely go more on how you feel, how your PFT numbers look, temperature, etc. rather than mucous color. It really is indicative of nothing.
 
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