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Inhaled corticosteroid oral thrush — GPhC CRA MCQ

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EasyRespiratory TherapeuticsInhaled corticosteroid oral thrushGPhC CRA

A 35-year-old woman collecting beclometasone inhaler says she has developed a sore mouth and white patches on her tongue since starting it. Her inhaler technique is otherwise good and she uses it twice daily. What would you advise the patient?

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

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Correct answer: DRinse the mouth after each dose and arrange review for possible oral candidiasis

Inhaled corticosteroids can cause oral candidiasis and dysphonia. Rinsing the mouth after use and using a spacer with a pMDI can reduce local adverse effects. Visible white patches and soreness should prompt assessment for thrush and review of technique.

Reference: BNF; NICE CKS