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Inhaled corticosteroid counselling — GPhC CRA MCQ

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EasyRespiratory TherapeuticsInhaled corticosteroid counsellingGPhC CRA

A patient has started budesonide/formoterol MART for asthma. They ask why the pharmacist keeps mentioning mouth care, as the inhaler is not an antibiotic. What would you advise the patient?

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

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Correct answer: E — Rinse the mouth after maintenance doses to reduce oral candidiasis

Inhaled corticosteroids can cause oral candidiasis and dysphonia due to local steroid deposition. Rinsing the mouth after maintenance doses helps reduce this risk. Extra inhaler doses are not a treatment for oral thrush. The advice should be practical and tailored to the inhaler regimen.

Reference: BNF