Patient was educated on contraindications for taking Qvar as follows: Hypertension Qvar inhalations should be used cautiously in hypertensive patient, as they can result in retention of sodium and water, which contributes towards elevated blood pressures. Maintain a log of everyday blood pressure readings and report any gross elevations in the readings to your physician. Opportunistic infection Qvar inhalations should be used cautiously in individuals with history of opportunistic infections, as it can result in [...]

Patient was educated on contraindications for taking Qvar as follows: Elevated blood sugars Qvar inhalations should be used cautiously in diabetic patients, as their long-term use can result in increased insulin resistance and increased synthesis of glucose from sources other than carbohydrates. Increased insulin resistance and synthesis of extra glucose result in elevated blood sugars, contribute towards impaired blood sugar control, and can be detrimental in diabetic patients. Elevated blood sugars and poorly managed diabetes, [...]

Patient was educated on the side effects of using Qvar as follows: 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. Osteoporosis Chronic use of Qvar inhalations can result in osteoporosis with weakening of the skeletal framework and pathological fractures. Hypokalemia Chronic [...]

Patient was educated on the side effects of using Qvar as follows: Hypertension Qvar inhalations can result in retention of sodium and water and cause elevated blood pressure. Elevated blood sugars Qvar inhalations for long term 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. Secondary bacterial and viral infections Due to the immunosuppression caused by the Qvar inhalations, [...]

Patient was educated on Qvar and its mechanism of action as follows: Chronic inflammation of the airways happens to be the key pathology in conditions such as asthma and COPD. In asthma, the inflammation of smooth muscle in the respiratory passages is secondary to various chemical mediators that are released due to repeated exposure to the allergens in the air. As part of the inflammation, the airways become swollen, increase mucus production, and the smooth [...]