This question is for Sheryl. The doctor at Bkk/Pattaya hospital prescribed a Symbicort Turbuhaler for mild COPD about 3 years ago, but one of the side effects is hoarseness, which doesn't disappear even with gargling after every use.

Is there something similar that will help with the COPD but not have the same side effects?

The Turbohaler releases minutes grains of active product, it's a bit like inhaling dust. An alternative would be a Butesonid  aerosol. I remember buying one in Thailand.

Symbicort contains both budesonide and formoterol.

 

It is the formoterol that can cause hoarseness.

 

A budesonide-only inhaler may be better tolerated but may also be somewhat less effective.

 

Consult a pulmonologist before making the change

Seretide is another alternative.

I take Anoro which I found slightly more effective than Seretide but still suffer from voice problems. 

I have been using a Symbicort inhaler for years (for asthma) without a problem. One doctor mentioned to me to drink a little water after inhaling. That seems to help so maybe it's worth a try?

5 hours ago, mstevens said:

I have been using a Symbicort inhaler for years (for asthma) without a problem. One doctor mentioned to me to drink a little water after inhaling. That seems to help so maybe it's worth a try?

I gargle twice and then drink some water but the hoarseness remains. If I talk for too long I start to lose my voice.