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My husband takes Glycopyrrolate prescribed by his neurologist at the clinic we attend. He also has taken Guiafenesin (plain Mucinex or Robitussin) for excess mucus as necessary. He uses a VOCSN machine which provides the following functions: ventilation(BiPap), oxygen. Cough assist, Suction, and Nebulizer. This is a great machine, invented by a guy whose father had ALS and needed multiple machines to do different functions. We were lucky to get this early in his disease when it became available I believe in 2019. We have used all of the functions except Oxygen which isn’t typically used for ALS patients. It’s nice having everything you need all in one box. Hope this might help someone.
Gail Albert