A patient complains of oral thrush and hoarseness since she has been using fluticasone by MDI.The physician asks you to make a suggestion to help her without discontinuing the drug.You suggest

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Quizplus · Accepted Answer

The use of a spacer device and gargling after treatment can reduce oropharyngeal deposition of the steroid and the incidence or severity of such infections.A higher inspiratory flow rate,or use of a DPI,would act only to increase oropharyngeal impaction.Pausing between puffs would have no effect on impaction.

A Patient Complains of Oral Thrush and Hoarseness Since She