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Oral candidiasis from inhaler — GPhC CRA MCQ

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EasyInfectionsOral candidiasis from inhalerGPhC CRA

A patient using high-dose inhaled corticosteroid has painful white plaques in the mouth that scrape off. He asks for pharmacy treatment. What is the most appropriate action?

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Correct answer: E — Assess for oral candidiasis and recommend suitable antifungal treatment or referral

The presentation is consistent with oral candidiasis, a known adverse effect of inhaled corticosteroids. Treatment may involve a suitable antifungal plus counselling on rinsing after inhaler use. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS