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Oral steroid course in asthma — GPhC CRA MCQ

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HardRespiratory TherapeuticsOral steroid course in asthmaGPhC CRA

A patient using high-dose inhaled beclometasone develops hoarseness and oral discomfort. Examination shows removable white plaques. Which intervention best reduces recurrence without compromising asthma control?

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Correct answer: E — Spacer use, technique review and mouth rinsing

Oropharyngeal candidiasis and dysphonia are local inhaled-corticosteroid effects. Confirm and treat candidiasis, check adherence and technique, use a spacer when compatible with the device, and rinse then spit after dosing. The preventer should not simply be withdrawn because loss of asthma control is a greater risk.

Reference: https://bnf.nice.org.uk/treatment-summaries/asthma-chronic/