Managing the Side Effects of Inhaled Corticosteroids

Medically Reviewed by Poonam Sachdev on June 30, 2022
2 min read

Inhaled corticosteroids are a common asthma treatment. Inhalers, as they are commonly called, provide a controlled dose of medicine that prevents your airways from swelling. Fast-acting inhalers stop an asthma attack as it's happening. Preventative inhalers are taken daily to keep airways open and functioning well at all times.

There are multiple inhaled corticosteroids, including mometasone, ciclesonide, fluticasone, budesonide, and beclomethasone HFA. Your doctor will help you decide which inhaled medication is right for you. 

All medications come with a risk of side effects. The most common side effects of inhaled corticosteroids are relatively mild and easy to manage. 

Your medication might irritate your vocal cords and cause your voice to sound hoarse. Using a spacer with your inhaler might improve this situation. You can also try rinsing your mouth and throat to soothe irritation. If the problem doesn't get better, ask your doctor about changing medications. 

Oral thrush is a fungal infection inside your mouth and throat. You may notice white patches on your tongue and the inside of your mouth. Thrush might cause pain or irritation. Ask your doctor about treatments for the infection. You might be able to use an over-the-counter gel, or your doctor might prescribe stronger medicine. Try rinsing your mouth with water or brushing your teeth after taking your inhaler to prevent recurrences.

Some people feel nasal congestion and have a cough while taking inhaled corticosteroids. Using a spacer or rinsing your mouth after taking your inhaler might help with those side effects. If they don't go away, talk to your doctor. You might need a different medication. 

Experts caution that you shouldn't stop taking your medication, even if you have mild side effects. You should continue to take your inhaler the way your doctor suggests. If the side effects of inhaled corticosteroids are bothering you, call your doctor to discuss the problem. They can offer suggestions for coping with or minimizing side effects.

In rare cases, people above reported more severe side effects, including:

  • Constipation
  • Nosebleeds
  • Trouble sleeping
  • Fast or irregular heartbeat
  • Chest pain
  • Dizziness
  • Weight changes
  • Urinary problems

If you have any of these side effects, contact your doctor. You may need to adjust your treatment plan.  

In very rare cases, people have severe allergic reactions to inhaled corticosteroids. If you get a rash or hives, swelling of the face or throat, or have difficulty breathing, seek medical help right away.