We do the pulmozyme last before bed.
We do cpt with albuterol and atrovent at 6 a.m., 5:30 p.m. and 10 p.m.
If DS is on tobi that month, we do that after the cpt at 6 and 5:30
Then pulmozyme is done once a day after the 10 p.m. nebs and CPT.
It's not that hard to say on such a schedule right now because DS isn't in any activities after school -- pretty much it's before breakfast, before supper and before bedtime. Because we try to stay on schedule as closely as possible, it's become a routine and we KNOW and our son knows what to expect. If we have to be some place early in the evening, we do his middle treatment a little earlier. Sometimes if we're travelling, we do CPT and do the tobi in the car. Liza aka ratatosk, mom of an almost 3 year old.