A 35-year-old man using beclometasone inhaler 200micrograms twice daily reports a hoarse voice and occasional white patches in his mouth. He uses a

Question

A 35-year-old man using beclometasone inhaler 200micrograms twice daily reports a hoarse voice and occasional white patches in his mouth. He uses a salbutamol inhaler occasionally and says his preventer has improved his night symptoms. What would you advise the patient?

Accepted Answer

Rinse the mouth after doses and check inhaler technique

Answer

Use the preventer after meals to replace mouth rinsing

Answer

Double the salbutamol dose before each preventer dose

Answer

Take the preventer through the nose

Answer

Stop the preventer because symptoms have improved

Inhaled corticosteroid adverse effects — GPhC CRA MCQ

A 35-year-old man using beclometasone inhaler 200micrograms twice daily reports a hoarse voice and occasional white patches in his mouth. He uses a salbutamol inhaler occasionally and says his preventer has improved his night symptoms. What would you advise the patient?