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Oral thrush from ICS — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsOral thrush from ICSGPhC CRA

A woman using high-dose budesonide inhaler reports white plaques in the mouth and soreness. She admits she rarely rinses after using the inhaler. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Refer for assessment and reinforce mouth rinsing after inhaled corticosteroid use

Oral candidiasis can occur with inhaled corticosteroids, particularly at higher doses or with poor technique. The patient may need antifungal treatment and should be counselled on rinsing and technique. Stopping asthma medicines permanently could worsen control and should not be advised without review.

Reference: BNF