Order of Therapies for Cystic Fibrosis
You or your child may have been prescribed several kinds of medicine. We will suggest ways for
you to keep your airway clear as part of your care for Cystic Fibrosis. Some of your medicine
may have been prescribed to open the airways, others loosen or thin secretions, and others help
fight bacteria that are in the lungs. Using an exact order of treatment makes them most effective.
Take all of your medicine and airway clearance treatments in the following order. If you have
not been prescribed a certain medicine you can skip that step. Please follow any specific orders
you have been given from your doctor.
1. Bronchodilator (Albuterol)
2. Hypertonic Saline (Hyper-Sal™)
3. DNase (Pulmozyme®)
4. Airway clearance (Vest, Acapella, Flutter, Manual Chest Physiotherapy)
5. Asthma Controller Medications (Flovent®, Advair, Symbicort)
6. Aerosolized antibiotic (Cayston®, TOBI®, Colistin)
If you have any questions about the specific treatment plan for you or your child, please call the
Pediatric Pulmonary Clinic: 608-263-6420
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright ©9/2015. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7322.