oral thrush

[Shiraz07]

I’m on nexthaler and it’s getting me down, particles fly to the black of my throat I have to rinse my mouth and brush my teeth every time I take it but still have got oral thrush. I’ve tried to get an appointment with the asthma nurse, I’ve been told I’m not downtime her until September .. people have no consideration for the likes of us that suffer with asthma. Anyone experiencing the same ?

[fraid]

Ask your gp for tabs for thrush, also maybe check you're using inhaler correctly or even change it, do you use a spacer? I've never had oral thrush though been on inhalers for years, always have a sip of water and I do swallow it coz cba to get up to spit it out. 🤭

[crille]

Hi,

When you are on a corticosteroid inhaler, you should always rinse your mouth very well immediately after taking it to avoid oral thrush. If you then brush your teeth as well afterwards, you should not have any problems with OT. I have done this for ten years now, and never had any problems.

[Shiraz07 in reply to crille]

I’ve only found this out for myself as the doctor said nothing about rinsing or brushing after taking. I’ve had this inhaler for 4 months now 😡

[Tree20862 in reply to Shiraz07]

I had been told to rinse after early on but after a bought of thrush, my pulm recommended rinsing before and then again after. It has not come back since.

I agree, check with your GP.

[Troilus]

Ask the phone person at your GP practice for a prescription of Nystatin. Sometimes they will pass this to the in house pharmacist, sometimes they will email a “task” to your GP. Or maybe they will arrange for the GP to call you back. Rinsing with salt water might help with any soreness you may have. ( If you have sore red spots on your tongue try putting a little salt on it and leave it for as long as you can - old-fashioned -grandma’s cure- but it works)

[GintyFerguson]

I gargle and rinse. I also buy Daktarin gel from pharmacist but rarely get oral thrush. Thrush seems to like sugar but not vinegar . Maybe consider what you are eating and if you are inadvertently feeding the thrush .

[Gareth57]

Hi, I've been on Nexthalers for years and not had a problem, but it could be how you are holding the inhaler if you can feel the particles. If the aim is right they should go straight down virtually un-noticed so maybe try adjusting how you hold the inhaler (but only slightly) and see what happens but also speak to the GP to get the OT under control.

[Mini2020]

Hi. I'm experiencing the same issues as you. Waiting to see my athsma nurse to discuss.Also wake every morning , which I can only describe as a plug of mucus which causes me to cough and clear my throat a lot more

[Scrofulous]

Are you gargling after inhaling. I gargle twice then swallow some water. I also hold my spacer pointing upwards to direct puff straight to airway.

[DannyQ]

Well I have a suggestion for you that could work, it might not but it works for me.I have a couple of spoons of greek yoghurt after using my inhaler and it manages to keep the thrush away.

[Lizziep25]

I really sympathise I’m on Pulmicort turbo haler and have constant thrush in my throat and my voice is hoarse. I’m also fed up with hearing if you rinse properly you won’t get thrush what utter rubbish, it doesn’t make any difference how throughly you rinse your mouth with these dry powder inhalers, particles will adhere to your mucous membranes causing thrush, unfortunately the design of these inhalers make it impossible to use a spacer. It’s easy for medical staff and others with no personal experience of oral thrush to make us feel inadequate by reiterating the rinse your mouth mantra as though it works ha ha.

The NHS is on a crusade to get us all on dry powder inhalers as they are cheaper and better for the ozone layer they seem to dismiss thrush as a minor inconvenience not realising the misery of a sore mouth , throat and being unable to speak or sing normally my throat is so irritated I often choke on food or my own saliva . I take four 50mg capsules of Fluconazole daily to combat it and soak my toothbrush in a solution of bicarbonate of soda to kill it, at night after my inhaler I use corsodyl mouthwash as it’s antifungal.

I have tried other non powder inhalers but I can’t cope with combined inhalers with long acting reliever they seem to fill my lungs with fluid and I spend all my time coughing to clear it. The choice of just steroid inhalers you can use a spacer with is limited to Clenil ( doesn’t work for me) Flixotide (ditto) or Alvesco which worked brilliantly for my asmtha and cleared the thrush but unfortunately gave me chronic joint pain.

I think these dry powder inhalers are the Devils invention. We should have more choice of inhale.

[peege]

Ever since using a powder inhaler and got oral thrush I've been in the habit of rinsing and gargling before as well as after using inhalers. (Thank goodness I've not been prescribed powdered ones for over 10 years). My reckoning was that the powder is less likely to stick to the soft tissues or at least dilute them. At the time of having oral thrush I wax advised to cut out sugar as much as possible (because thrush/fungals thrive on it) and eat live yogurt- this I've eaten daily ever since.

[Poobah]

Just to add to the good advice already posted. I've read that asthmatics are also more susceptible to oral thrush if they suffer from dry mouth because of mouth breathing. So dry powder and dry mouth just increases one's chances of getting oral thrush.

If one suffers from dry mouth, doing nasal breathing exercises daily will help retrain over time. Along with drinking more fluids throughout the day, avoiding caffiene & alcohol (avoid mouthwash with alcohol), using sugarless chewing gum or sweets to stimulate saliva, sip fluids between each bite when eating. If necessary, saliva substitute can be used from the pharmacy.

My asthma nurse stressed that I keep my chin up when taking dry powder inhalers to improve inhalation.