Which of the following counseling points is recommended for patients using inhaled corticosteroids?

The recommended counseling point for patients using inhaled corticosteroids is to rinse the mouth after use to prevent thrush. Inhaled corticosteroids can lead to local fungal infections in the oropharyngeal area, with oral thrush being one of the most common occurrences. Rinsing the mouth helps to reduce the residue of the medication that can remain in the throat and mouth, which in turn minimizes the risk of fungal overgrowth. This practice is an essential part of proper inhaler technique and medication administration to optimize the benefits of inhaled corticosteroids while minimizing the risk of side effects.

Using oral corticosteroids in conjunction with inhaled corticosteroids is not typically recommended for everyone, as their combined use may lead to increased risk of systemic side effects and is generally reserved for specific cases. Additionally, inhaled corticosteroids are not intended to be used solely during asthma attacks; they are used regularly as a maintenance treatment to help control inflammation and prevent exacerbations. Finally, the use of a spacer with inhaled corticosteroids is often encouraged, particularly for those who may have difficulty coordinating inhaler actuation and inhalation, as spacers can improve the delivery of medication to the lungs and reduce the chance of side effects.