Beclomethasone (inhaled)

Oral health effects

• Oral candidiasis

  Same thrush risk as other inhaled corticosteroids.

  Clinical management: Rinse/gargle and spit after use; spacer; antifungal if needed.

• Hoarseness (dysphonia)

  Dysphonia is a common local effect of inhaled corticosteroids, reported in 5-58% of patients across studies, and is attributed to steroid deposition in the laryngopharynx.

  Clinical management: Encourage spacer use, plus rinsing, gargling and spitting after each dose. Report persistent hoarseness to the prescriber; hoarseness lasting more than a few weeks needs a laryngeal exam.