Discussions
Discussions
Predisone
I am taking prednisone and a sntibiotic since I was wheezing alot snd had lots of mucus I have been on for 8 days do far and I feel the best I have felt in a long time. I breath and have energy and feel almost normal I was wondering do any of you take prednisone on a continuous basis or an antibiotic
Replies
Magg,
it is great to read that you feel the best that you have been in a long time- I sure hope this lasts. Prednisone is not a drug that is used long term for BNTM patients since it an immune suppressant & it can stir up dormant bugs in our lungs. Long term Prednisone also has some serious negative side effects. However, prednisone is great for short term use since it lowers inflammation in our respiratory tract.
What antibiotic are you taking? Some antibiotics, such as Azithromycin also have anti inflammatory properties but are not recommended to take long term for NTM patients. Azithromycin is a major tool in the NTM toolbox.
Azithromycin belongs to a class of antibiotics called macrolides. It is also one of the most important medications in treating certain NTM infections.
Taking azithromycin alone when active NTM infection is present or suspected can allow the bacteria to develop macrolide resistance.
Once NTM becomes macrolide-resistant, treatment can become significantly more difficult, with fewer effective options and potentially poorer outcomes.
Taking this drug long term may lessen its effectiveness when one really needs it for a NTM infection.
A side note- it is wise to get evaluated for asthma, ABPA, or other conditions that might require targeted anti-inflammatory treatment. Inhaled corticosteroids maybe considered when there is a separate indication, such as asthma. I hope this helps.
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