Nebulised Bramitob in cystic fibrosis

Nebulisers are used to convert liquid medicines into fine droplets which can be breathed directly into the lungs. Your child has been prescribed Bramitob.

Bramitob is an antibiotic (Tobramycin) and by nebulising it the medicine gets directly into the lungs to target where bacteria are growing.

When should it be taken?

Bramitob needs to be taken 2 times a day, ideally after your child has finished their airway clearance or physiotherapy as this helps to get the antibiotic further into the airways of the lungs.

You should try and make sure there is at least 6 hours between the 2 doses.

How should it be stored?

Bramitob must be stored in the fridge.

Instructions for taking Bramitob

You will be given a nebuliser unit and shown how to use this and how to clean it.

It is important that you wash your hands before setting up the nebuliser.

The nebuliser must be cleaned after each use and you will be shown how to do this.

The nebuliser provided must be serviced every year so please make sure you contact the team if you notice your nebuliser is due for service.

We recommend that you use a filter when nebulising Bramitob as it is a very sticky solution and can stick to furniture. This also helps prevent other people inhaling the antibiotic.

You must change the filter pad each time. Filter pads can be sent out to you, if you need more please let us know. You should also wipe any furniture nearby where you have used the nebuliser and if your child uses a face mask you should wipe their face after use.

Side effects

When starting Bramitob the dose will be given at the hospital so that we can check there are no problems. Sometimes we may suggest you take a Salbutamol inhaler to help stop it irritating their lungs. Please read the information leaflet given with the Bramitob and if there are any side effects stop taking the medication and contact the hospital.

Your treatment plan for taking Bramitob

The type of nebuliser you have been given is: