Patient was educated on the side effects of using Qvar as follows:

  1. Opportunistic fungal infection
  • Qvar inhalations can result in opportunistic fungal infection in the oral cavity, such as, candida with the individual presenting with white patches on the tongue and in the oral cavity.
  • This is secondary to immunosuppression due to Qvar use.
  1. Osteoporosis
  • Chronic use of Qvar inhalations can result in osteoporosis with weakening of the skeletal framework and pathological fractures.
  1. Hypokalemia
  • Chronic use of Qvar inhalations can result in hypokalemia giving rise to symptoms such as, irregular heartbeat, palpitations, dizziness, tingling, and muscle cramps.
  1. Constitutional symptoms, such as, nervousness, trouble sleeping, and irritability can occur secondary to chronic Qvar use.