Table 3

 Daily treatments frequently required by many patients with CF who have significant pulmonary disease

Nebulised tobramycin or colistin (colomycin): twice daily
Inhaled or nebulised bronchodilators: often twice daily
Nebulised Pulmozyme: once daily
Nebulised hypertonic saline: twice daily
Oral antibiotics: intermittent or chronically
Exercise: daily
Airway clearance/physiotherapy: up to twice daily
Pancreatic enzymes: with meals and snacks
Fat soluble vitamins: daily
High energy supplements, night feeds: daily in patients with undernutrition
Salt replacement: depending on climatic conditions
Acid suppression (PPI): if symptomatic gastro-oesophageal reflux, daily treatment
Insulin: if disease complicated by diabetes, usually several times per day