Rita:
Advair contains an inhaled corticosteroid. Corticosteroids can have the side effects of thrush and hoarseness, as you stated. Changing how you take your medication is something that should be done under the supervision of your healthcare provider.
With that said, one proven way to reduce the chance for developing thrush is to use a spacer. You have not indicated if you use Advair in the Discus or Metered Dose Inhaler (MDI) form. Spacers can only be used with the MDI. Secondly, ALWAYS rinse your mouth (rinse & spit) after using your Advair.
If you are concerned about what medications should be on your personalized asthma management plan, I encourage you to see your doctor and ask that specific question, "What is MY personalized asthma action plan?" Make sure to tell you provider the following:
1. How often you have asthma symptoms
2. What side effects you are experiencing
3. SHOW HIM/HER - How you take your medication
4. That you would like a personalized asthma action plan
While no medication is side effect-free, you can reduce the severeity of the side effects. Many inhaler side effects can be reduced by simply taking them in the correct way, correct amount and using the correct technique.
Good Luck & Breathe Easy!
Gerri Rivers, AE-C