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Inhaled corticosteroid oral candidiasis — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsInhaled corticosteroid oral candidiasisGPhC CRA

A 39-year-old woman using high-dose inhaled fluticasone complains of hoarse voice and white plaques in her mouth. She rarely rinses after use and her asthma is otherwise controlled. 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 inhalation and seek treatment for suspected oral candidiasis

Inhaled corticosteroids can cause dysphonia and oral candidiasis, particularly at higher doses and with poor mouth rinsing. Rinsing and spitting after use, reviewing technique, and treating candidiasis when present are appropriate. Stopping controller therapy without review risks asthma deterioration.

Reference: BNF; NICE CKS