I am 56 year old woman who was diagnoised with COPD 10 years ago. I am not taking any oral steroids at this time. I use Duo Neb Inhalation 2 times per day and oxygen on 2 L continously. The Pulmonary Doctor keeps having me try to use Advair but I get thrush in my mouth anytime I'm on Advair or oral steroids. So I try to avoid them if at all possible. I am currently using Spiriva HandiHaler which I believe is not suppose to have any steroids but I keep getting Thrush in my mouth ! It is a constant problem even just using the Duoneb, and especially if I have to take any antibiotics. I'm, constantly having to take Fluconazole tablets after a round of antibiotics for candidiasis under my breasts and in my mouth. I always rinse my mouth after any inhalers or the spriva handihaler either with water or mouthwash. Usually both. I also use Clotrimazole 10 mg troche up to 5 times daily for the thrush in my mouth. I am so frustrated as I feel like the spriva is helping my breathing but I am miserable. Why is the spriva causing me to have thrush in my mouth if there is no steroid in the medication?
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