The other thing you might try is daliresp, although that might not play well with some of you other meds. It's something to consider. It also reduces the mucous production and has been very successful in reducing exacerbations. It's worth checking with your pulmonologist and the rest of your medical team to see whether it might be an alternative for you.

Jean

I use Daliresp and have found it to be very helpful. It is expensive and my ins was not going to cover. My doctor got involved and called my ins co. They ok'd it but it's still over 100. a month. I guess for me to feel this much better it's worth it.

Thank you Jean. I have been on 250mg for over 2yrs now. It has helped a great deal. I have read some of those studies. I was in the hosp. in June for the 1st time since I have been on zithromax, before that it was every month. I did, do have elevated white count now, but the drs are saying its more the fibrosis causing the shortness of breath. I am concerned bout the muscle, tendon side effects. I have fibromayalgia but my muscle seem worst . It seems like the drs look at me as if i have 2 heads anytime i complain bout something.

People who have a major chronic bronchitis component to their COPD and who have experienced multiple exacerbations over the past year. This prophylactic use of this antibiotic has proved to be very effective in reducing exacerbations by allowing people to fully recover from one and enjoy life to a much greater degree. There are literally hundreds of studies that have shown how effective this treatment is.