Here's what I found:
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<a target=_blank class=ftalternatingbarlinklarge href="http://www.gene.com/gene/products/information/opportunistic/pulmozyme/insert.jsp">Pulmozyme insert</a>
<i>DOSAGE AND ADMINISTRATION
The recommended dose for use in most cystic fibrosis patients is one 2.5 mg single-use ampule inhaled once daily using a recommended nebulizer. Some patients may benefit from twice daily administration (see Clinical Experience, Table 1). Clinical trial results and laboratory information are only available to support use of the following nebulizer/compressor systems (see Table 3).
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<b>Table 3
Recommended Nebulizer/Compressor Systems
Jet Nebulizer
Compressor
Hudson T Up-draft II® with
Pulmo-Aide®
Marquest Acorn II® with
Pulmo-Aide®
PARI LC Jet+ with
PARI PRONEB®
*PARI BABYtm with
PARI PRONEB®
Durable Sidestream® with
MOBILAIREtm
Durable Sidestream® with
Porta-Neb®
</b>
* Patients who are unable to inhale or exhale orally throughout the entire nebulization period may use the PARI BABYtm nebulizer.
Patients who use the Sidestream® Nebulizer with the MOBILAIREtm compressor should turn the compressor control knob fully to the right and then turn on the compressor. At this setting, the needle on the pressure gauge should vibrate between 35 and 45 pounds per square inch (highest pressure output).
No data are currently available that support the administration of Pulmozyme with other nebulizer systems. The patient should follow the manufacturer's instructions on the use and maintenance of the equipment.</i>
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My home healthcare company did the same thing to me, and I made them take it back (big ol' loud, cheap looking compressor anyways) and, since they said they didn't sell Pari (after Pari was what I had specifically requested!), I went to another company, and got what I wanted. I did have to show them that there were recommended compressor/neb combinations for Pulmozyme.
They are different, and there can be a difference in air pressure, which affects particle size. Particle size is important for Pulmozyme and Tobi.
About what is best, beats me these days. I would have said Pari, since the first compressor I got from them- about 15 years ago? was great- lasted forever. But the last 2 versions, the Pari Proneb Ultra lasted longer, and the Ultra II, well, it had to be replaced after a couple of months, which I have heard was a problem.
Their customer service with getting the replacements, however, was pretty good.
I'd print this out, show it to them, and make them take it back, IMHO. <img src="i/expressions/face-icon-small-wink.gif" border="0">