Actually Narrow band filters work well for hydrogen regions of some face on external galaxies, like M33. One night another club member and I tried a narrow band and H-Beta filters on M33 through a 24" f/4. He was quite surprised at how well it worked. Of course more distant galaxies, ellipticals and edge-on spirals are not even worth the effort.
I've used one on M33. It didn't seem to help much on M31, though.