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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Asthma Controller That Does Not Have Side Effects

My daughter has been taking the asthma controller asmanex for a few weeks. She has developed painful mouth ulcers from it. Is there a controller that does not have this side effect? And what is a remedy? I read Nyastatin is. Can that prescription be taken long term?
Wed, 28 Jan 2015
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Internal Medicine Specialist 's  Response
Hello,
Welcome to HCM and thanks for your query.
I understand your concern.
The use of corticosteroid inhalers may lead to monilial infection of the mouth and pharynx.
Proper technique of inhalation and gargling the throat after inhalation will prevent the infection.
Nystatin and other antifungal medications may not be required. However if required Nystatin can be taken with minimal side effects.
Take care,
Dr Noble Zachariah
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Suggest Asthma Controller That Does Not Have Side Effects

Hello, Welcome to HCM and thanks for your query. I understand your concern. The use of corticosteroid inhalers may lead to monilial infection of the mouth and pharynx. Proper technique of inhalation and gargling the throat after inhalation will prevent the infection. Nystatin and other antifungal medications may not be required. However if required Nystatin can be taken with minimal side effects. Take care, Dr Noble Zachariah