Patient was educated on side effects of using Symbicort as follows:

  1. Hypertension
  • Steroid in Symbicort can result in retention of sodium and water and cause elevated blood pressure.
  1. Elevated blood sugars
  • On long-term use, steroid in Symbicort can result in increased insulin resistance and contribute towards elevated blood sugars.
  • This particularly can be an issue in diabetics with poor blood sugar control.
  1. Opportunistic fungal infection
  • Symbicort 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 the steroid content of Symbicort.
  1. Osteoporosis
  • Chronic use of steroids can result in osteoporosis with weakening of the skeletal framework and pathological fractures.