I have tried almost everything (including all of the tips here and visits to doctors, specialists, etc)! I have not found a single steroid inhaler that doesn’t cause hoarseness in my voice. I don’t have a sore throat, but the sound of my voice is really impacted. My voice is weak and hoarse and has no ability to call at high volume. The impact of the steroid on my voice is below where I can rinse and nothing seems to stop it. Using a spacer has reduced it, but it is driving me crazy as I speak for my work.