Is it always necessary to use inhalers for wheezing?

Posted by maryfb23 @maryfb23, Jan 26 7:00pm

Is it always necessary to use inhalers for wheezing? Wheezing is caused from silent gerd and allergies. I have found the inhalers cause additional problems such as severe throat clearing and thrush. I would love another option.

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@pacathy

I’m on an Advair inhaler, a “triple spray” nasal spray Mayo mixes that contains Mometazone and sinus washes with Mometazone that is mixed by local lab. Like you, I’ve had problems with thrush. They probably all contribute, but Mometazone sinus rinse seems to be the tipping point for me and I have stopped it a few times due to the thrush.

What has helped me tolerate the steroids better is brushing my teeth after I do the meds and gargling with warm water or salt water a few times afterwards. Before I clean mouth and throat. I even tip my head back about 5” after the nasal rinse to make sure the mometazone is done and doesn’t continue to trickle down. I also use cheap tooth brushes and change them frequently and open a new one once thrush has cleared.

You are probably doing these things, but just in case…
Good luck!

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My dentist told me the worst thing you could do is brush your teeth after using inhaler. Causes more cavities.

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@maryfb23

My dentist told me the worst thing you could do is brush your teeth after using inhaler. Causes more cavities.

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Mine told me otherwise when I talked to him about problems with thrush.. He said to use water or saline to rinse after steroids instead of mouthwash because listerine kills good as well as bad bacteria.

I just did very quick search and the Asthma and Allergy Foundation of America says: “The good news is you can keep your mouth healthy! After you use your asthma inhaler, rinse your mouth well with water and spit it out or brush your teeth. If you have a child with asthma, they may be more likely to get cavities, so it is important to teach them to rinse and spit after using their asthma inhaler.”

Asthma.net says not to brush for 30 min., but rinse thoroughly. This seems like a reasonable compromise. 😀

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@maryfb23

Albuterol when needed and flovent morning and evening. Flovent seems to be the worst culprit.

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I used Flovent for 3 years, but since it is no longer being manufactured (as of January 2024) I have changed to Trelegy. It has now been 3 weeks and I am beginning to see a slight decrease in wheezing. I will continue to use and update on progress. Good luck!

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