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Can Steroid Inhalers Give You Systemic Thrush?

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Steven D. Litvintchouk

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Jul 6, 2003, 10:02:27 PM7/6/03
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I keep getting recurrent thrush (candida) infections in my mouth and
back of my throat, for which I use Nystatin mouthwash.

But I've also noticed a mild "burning" or "sore" feeling in my upper
trachea these last couple of weeks too. Could that mean that thrush has
colonized my trachea?

If steroid inhalers can easily cause thrush in the mouth and throat, how
come we don't get thrush throughout our lower respiratory tract too? Or
do we?


--
Steven D. Litvintchouk
Email: sdli...@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Dr. Andrew B. Chung, MD/PhD

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Jul 7, 2003, 3:43:26 AM7/7/03
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"Steven D. Litvintchouk" <sdli...@earthlinkNOSPAM.net> wrote in message news:<T%0Oa.84525$Io.75...@newsread2.prod.itd.earthlink.net>...

> I keep getting recurrent thrush (candida) infections in my mouth and
> back of my throat, for which I use Nystatin mouthwash.
>
> But I've also noticed a mild "burning" or "sore" feeling in my upper
> trachea these last couple of weeks too. Could that mean that thrush has
> colonized my trachea?
>
> If steroid inhalers can easily cause thrush in the mouth and throat, how
> come we don't get thrush throughout our lower respiratory tract too? Or
> do we?

Could it be that you are immunocompromised from something other than
inhaled steroids? Otherwise, it would be unusual for someone to have
such problems with candida from just inhaled steroids.

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

Richard Cavell

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Jul 7, 2003, 8:58:22 AM7/7/03
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"Steven D. Litvintchouk" <sdli...@earthlinkNOSPAM.net> wrote in message
news:T%0Oa.84525

> I keep getting recurrent thrush (candida) infections in my mouth and


> back of my throat, for which I use Nystatin mouthwash.

Something has to change there. You can't keep getting thrush.

> But I've also noticed a mild "burning" or "sore" feeling in my upper
> trachea these last couple of weeks too. Could that mean that thrush has
> colonized my trachea?

It could, but it's more likely that the steroids or something else is just
irritating the airways.

> If steroid inhalers can easily cause thrush in the mouth and throat, how
> come we don't get thrush throughout our lower respiratory tract too? Or
> do we?

Well, you can, but it's less likely.

Steven D. Litvintchouk

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Jul 7, 2003, 8:38:37 PM7/7/03
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Richard Cavell wrote:

> "Steven D. Litvintchouk" <sdli...@earthlinkNOSPAM.net> wrote in message
> news:T%0Oa.84525
>
>
>>I keep getting recurrent thrush (candida) infections in my mouth and
>>back of my throat, for which I use Nystatin mouthwash.
>
>
> Something has to change there. You can't keep getting thrush.

I think the strain of candida I have, is increasingly resistant to the
Nystatin.

This last time, the Nystatin didn't cure it, it only controlled it--even
though I was using the Nystatin 4x day.

I cannot take oral azole antifungals like Diflucan because they conflict
with another prescription med I take (Seroquel).

So unless you know of another alternative, I'm stuck.

Steve Harris

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Jul 7, 2003, 10:42:41 PM7/7/03
to

"Dr. Andrew B. Chung, MD/PhD" <and...@heartmdphd.com> wrote
in message
news:a7cd9c35.03070...@posting.google.com...


It's not that uncommon, actually. It helps considerably to
use your multidose steroid inhaler with a spacer chamber, in
which the larger particles which aren't going in your lungs
anyway, get stuck on the chamber walls instead of the back
of your throat.

Wash your mouth out after inhaler use also.

My favorite spacer, and the one that gets best reviews from
expert panels, is the Inspirease. They're fairly cheap.

SBH


Ellis

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Jul 8, 2003, 6:27:47 AM7/8/03
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Re: Seroquel [quetiapine] looking it up at www.rxlist.com
this drug can cause pharyngitis. Maybe that's where the
sore throat comes from? See:
--------------------------------------------
http://www.rxlist.com/cgi/generic2/quetiap_ad.htm
quetiapine Adverse Effects

"SIDE EFFECTS
...........
Respiratory System: Frequent: pharyngitis, rhinitis,
cough increased, dyspnea;
Infrequent: pneumonia, epistaxis, asthma;
Rare: hiccup, hyperventilation. "
-------------------------------------------------
Pharyngitis is inflammation or infection of the throat [pharynx]
usually causing symptoms of a sore throat.

Ellis

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