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Medical Forum / Diseases and Disorders / Asthma / July 2004

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Tea in nebulizer?

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FACE - 14 Jul 2004 22:48 GMT
Does anyone have any experience with tea (unsweet) diluted about 1:10 with
plain water in the nebulizer chamber of a pulminator?

I have tried it once and it seemed to do OK.  I also tried a single drop of
lemon juice in water and that seemed OK too.

Is there anything wrong with doing this?

Thanks,

FACE
Telal Khogali - 15 Jul 2004 13:27 GMT
Tea has a component which is called Theophyline, you can find this substance
in some drugs for Asthma like Zaditen. Nebulized water in itself  can be
used as an expectorant, moisturizing and helping to cough out the plugged
mucous.

> Does anyone have any experience with tea (unsweet) diluted about 1:10 with
> plain water in the nebulizer chamber of a pulminator?
[quoted text clipped - 7 lines]
>
> FACE
FACE - 15 Jul 2004 15:10 GMT
>Tea has a component which is called Theophyline, you can find this substance
>in some drugs for Asthma like Zaditen. Nebulized water in itself  can be
>used as an expectorant, moisturizing and helping to cough out the plugged
>mucous.

Thank you.  I rather expected the first response to be an "oh, horror' type
but thankfully it was not.  I am considering that this tea nebulization is
straight into the lungs and am being as antiseptic as possible with the
ingredients and usage.

FACE

>> Does anyone have any experience with tea (unsweet) diluted about 1:10 with
>> plain water in the nebulizer chamber of a pulminator?
[quoted text clipped - 8 lines]
>>
>> FACE
jackmallory@webtv.net - 16 Jul 2004 05:22 GMT
Tea freshly brewed (and allowed to cool) should be sterile.  And if
covered and put in the refrigerator it should remain reasonably pure for
a day or two at least.
FACE - 16 Jul 2004 12:34 GMT
>Tea freshly brewed (and allowed to cool) should be sterile.  And if
>covered and put in the refrigerator it should remain reasonably pure for
>a day or two at least.

Thanks, Jack.  That is something to keep in mind.  -- FACE
nonerequired - 16 Jul 2004 15:25 GMT
OK, so far it seems harmless but WHY tea? And why a drop of lemon? Neither would
seem to have any real benefit via nebulizer except for possibly the humidity.

At the level of dilution you are using I'd think you would get more benefit and
less irritation from normal saline. Or does it make you cough and you are after
that?

Fritz Merkel; Respiratory Care Practitioner
Asthma and Allergy Foundation of America-WA Branch
PENMART01 - 16 Jul 2004 15:44 GMT
>fmerk writes:
>
[quoted text clipped - 5 lines]
>and
>less irritation from normal saline.

There is nothing sterile about ordinary brewed tea, and tea being no different
a medium from pond water it will easily support the breeding of organisms...
such a solution, especially absent the saline component, will in most
likelyhood cause a life threatening infectious condition.  Even nebulizing
plain tap water is taboo, even if boiled (boiling does not kill all organisms -
temperature is too low - to properly sterilze water must be boiled under
pressure - autoclaved - and then protected from the atmosphere).

---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =---
         ---= Move UNITED NATIONS To Paris =---
                                *********
"Life would be devoid of all meaning were it without tribulation."
Sheldon          
````````````  
CBI - 17 Jul 2004 16:27 GMT
>> fmerk writes:
>>
>> OK, so far it seems harmless but WHY tea? And why a drop
of lemon?
>> Neither would
>> seem to have any real benefit via nebulizer except for
possibly the
>> humidity.
>>
>> At the level of dilution you are using I'd think you
would get more
>> benefit and
>> less irritation from normal saline.
>
> There is nothing sterile about ordinary brewed tea, and tea being no
> different a medium from pond water it will easily support
the
> breeding of organisms... such a solution, especially
absent the
> saline component, will in most likelyhood cause a life
threatening
> infectious condition.  Even nebulizing plain tap water is
taboo, even
> if boiled (boiling does not kill all organisms -
temperature is too
> low - to properly sterilze water must be boiled under
pressure -
> autoclaved - and then protected from the atmosphere).

I actually agree with Sheldon - mostly.

Boiling is not a good way to sterilize things to medical
standards. However, the normal neb treatments aren't sterile
either. The solution that comes in the closed container is
but the holding chamber and tubing is not. So I really don't
know what to say on the sterility issue.

I would be more concerned with the lack of knowledge about
the effects of nebulizing it and inhaling it. There is no
data that I know of regarding topical applicarion of
methylxanthines (like theophylline and caffeine) although I
would be shocked and amazed to learn no drug company had
ever tried it. This alone would make me think it is not
likely to do good. I would most worry about increasing
inflammation and other irritant effects from inhaling such a
mixed bag of chemicals.

Signature

CBI, MD

JT - 17 Jul 2004 17:21 GMT
Can I get your response to my "started on spiriva" post?
CBI - 18 Jul 2004 03:11 GMT
> Can I get your response to my "started on spiriva" post?

If I recall correctly, you asked for people's experiences
with the drug. I do not yet have any direct experience with
it.

Signature

CBI, MD

JT - 17 Jul 2004 17:19 GMT
can I get your response to my "started on spiriva" post please?
FACE - 16 Jul 2004 16:46 GMT
>OK, so far it seems harmless but WHY tea? And why a drop of lemon? Neither would
>seem to have any real benefit via nebulizer except for possibly the humidity.

Both have seemed beneficial.  Possibly psychological?   But in any event
beneficial.

However, the fact is I am searching for an alternative to albuterol sulfate.
Why?  Because my wife seems to be experiencing side effects from albuterol.
Why?  Because she seems to be becoming too dependent on albuterol in a
detrimental way.

For myself, I am no stranger to 'suffocating in place'.  I have found that
in some instances it needs to be 'better living through chemistry'.
AND.....i have found that in some cases i can get through, without more than
a temporary discomfort, many episodes of breathlessness.  I have been though
prednisone regimens, biaxin, advair, various others.  When it comes to
steroids (and i understand albuterol is not a steroid) I want to stay away
as long as *reasonably* possible -- which means until the benefits outweigh
the side effects.

Now that is a long answer to a short question. <G>

FACE

>At the level of dilution you are using I'd think you would get more benefit and
>less irritation from normal saline. Or does it make you cough and you are after
>that?
>
>Fritz Merkel; Respiratory Care Practitioner
>Asthma and Allergy Foundation of America-WA Branch
CBI - 17 Jul 2004 16:30 GMT
>  When it comes to steroids (and i understand
> albuterol is not a steroid) I want to stay away as long as
> *reasonably* possible -- which means until the benefits
outweigh the
> side effects.

I would say that at conventional doses the benefits of
inhaled steroids are well established to outweigh the side
effects - especially for someone who is "becomming
dependant" on albuterol. However, given the total lack of
knowledge about inhaling tea I don't see how you could be
pretending to be engaging any, even a crude, approximation
at a risk to benefit analysis.

Signature

CBI, MD

nonerequired - 17 Jul 2004 16:43 GMT
> Both have seemed beneficial.  Possibly psychological?   But in any event
> beneficial.

Possibly-most likely just the "ritual" of the nebulizer and the slow deep
breathing to relax. The moisture may be of some benefit. I doubt there is any
beneficial "stuff" in tea.

(BTW-Sheldon if pretty much full of it. Air is not sterile. Maybe he should give
up breathing)

> However, the fact is I am searching for an alternative to albuterol sulfate.
> Why?  Because my wife seems to be experiencing side effects from albuterol.
> Why?  Because she seems to be becoming too dependent on albuterol in a
> detrimental way.

So, you are both asthmatics, or COPD? If she is "becoming too dependent" on
albuterol that generally means to clean up the triggers and utilize a proper
dose of steroids if asthmatic, or too bad if she has COPD. Medication has some
support for COPD but the condition, unlike asthma, is not reversible.

> For myself, I am no stranger to 'suffocating in place'.  I have found that
> in some instances it needs to be 'better living through chemistry'.
[quoted text clipped - 4 lines]
> as long as *reasonably* possible -- which means until the benefits outweigh
> the side effects.

A common mistake is to avoid inhaled steroids in a vain attempt to not utilize
steroids at all, get sick, and end up on an oral dose. Almost no one refuses the
oral steroids when they think they are going to suffocate. One short course of
oral steroids puts more in your body than MONTHS of inhaled steroids. Properly
used with a spacer, oral rinse-and-spit, and dosed correctly there is minimal
side effects associated with inhaled steroids. This, again, is for asthma. There
is less value for COPD.

Fritz Merkel; Respiratory Care Practitioner
Asthma and Allergy Foundation of America-WA Branch
JT - 17 Jul 2004 17:23 GMT
Can I get your response to my "started on spiriva" post?
FACE - 17 Jul 2004 18:17 GMT
>> Both have seemed beneficial.  Possibly psychological?   But in any event
>> beneficial.
[quoted text clipped - 35 lines]
>Fritz Merkel; Respiratory Care Practitioner
>Asthma and Allergy Foundation of America-WA Branch

We both have breathing problems.  Hers are worse than mine.  She has always
been asthmatic but it has become acute in the last 2 years.  COPD figures in
too, so this is not a short term thing.

I appreciate your response.

FACE
CBI - 17 Jul 2004 22:25 GMT
> (BTW-Sheldon if pretty much full of it. Air is not sterile. Maybe he should give
> up breathing)

Sort of - you don't see a lot airborn bacteria and viruses
except in the aerosils produced by coughing people.

I agree with the rest of the post.

Signature

CBI, MD

> > However, the fact is I am searching for an alternative to albuterol sulfate.
> > Why?  Because my wife seems to be experiencing side effects from albuterol.
[quoted text clipped - 25 lines]
> Fritz Merkel; Respiratory Care Practitioner
> Asthma and Allergy Foundation of America-WA Branch
SimonDS - 20 Jul 2004 21:02 GMT
considering the stains in my teapot i would think inhaling tea onto delicate
lung tissues would be a VERY bad idea

> > (BTW-Sheldon if pretty much full of it. Air is not
> sterile. Maybe he should give
[quoted text clipped - 54 lines]
> > Fritz Merkel; Respiratory Care Practitioner
> > Asthma and Allergy Foundation of America-WA Branch
 
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