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Medications that can be used with the I-neb in cystic fibrosis

You should always follow the instruction leaflet provided with the I-neb. You will be taught how to use the I-neb by the physiotherapy team when it is issued.

Promixin

This is an antibiotic and is a form of Colistin. When using the I-neb you must use the grey chamber. Make up the Promixin as indicated depending on the age of your child.

Age Up to 10 years old 10 years and over
0.9 percent saline to be added to
1 MU (million unit) vial
2ml 1ml

If for any reason your I-neb is not available and you are using a different nebuliser you must change the amount of saline you add to the Promixin to make sure you get the correct dose.

For up to 10 years old, add 3ml of 0.9 percent saline to 1 vial of Promixin. Nebulise 3ml of the solution.

For over 10 years old, use 2 vials of Promixin. Add 1.5ml of 0.9 percent saline to each vial and nebulise the full amount.

DNase

For DNase you must use the green chamber.

Bramitob or Tobi

For Bramitob or Tobi, you must use a lilac chamber and you need to do 2 times (1 after the other) to get the full dose.

Mucoclear or Hypertonic saline

For Mucoclear or Hypertonic saline, you must use a lilac chamber and you need to do 2 times (1 after the other) to get the full dose.

Maintenance

You must bring your I-neb along to your annual review appointments. You can also bring it along to clinic visits.

The company who provide the I-neb will send out replacement medication chambers at least once a year. If your address or contact details change please let either the cystic fibrosis physiotherapy team know or you can contact the I-neb company directly on 0800 130 0857.

Contact us

If you have any questions of concerns please call 0114 271 7273 or 0114 271 7375.

You must always discuss the individual treatment of your child with the appropriate member of staff. Do not rely on this resource alone for information about your child’s treatment.

I-neb company: 0800 130 0857

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Disclaimer

Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.

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Western Bank
Sheffield
S10 2TH

United Kingdom

Switchboard: 0114 271 7000

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