AAAAI Allergy & Asthma Medication Guide: Inhaled Corticosteroids

Last updated: November 2006

Generic name

Photo

Brand name

Use

Usual Dosage

Tips / Product Links

Beclomethasone
Propionate
HFA

QVAR Inhalation Aerosol
40 mcg/puff

 

QVAR Inhalation Aerosol
80 mcg/puff

Control / prevent asthma age 5 and older

Children 5 to 11:
40 to 80 mcg. twice a day

Adult:
40 to 320 mcg.
twice a day

 

QVAR Product information

This extrafine aerosol mist delivers medication to the smaller airways.
Rinse  mouth after use.
Contains HFA as the propellant rather than CFC.

Pregnancy Category C

Budesonide

Pulmicort Turbuhaler®
200 mcg/puff

Control / prevent asthma age 6 and older

Child:
1 to 2 inhalations twice a day

Adult:
1 to 4 inhalations twice a day

Can be used once a day (AM or PM)

Dry powder inhaler.
May not feel or taste the medication

Rinse out mouth and spit out after use;

Red mark in window means 20 doses remain in the Turbuhaler.

Pulmicort Turbuhaler Package Insert
Pregnancy Category B

Pulmicort Respules
0.25 mg/2mL susp
0.5 mg/2mL susp

Control / prevent asthma age 12 months to 8 years of age

0.25 mg:
1 or 2 Respules once or twice a day

0.50 mg:
1 or 2 Respules once or twice a day

Use in a standard jet nebulizer only, not in an ultrasonic nebulizer.

The effect of mixing Pulmicort Respules with other medications is not known.

Shake Respule Gently before use.
Store unused Respules fro 2 weeks in the foil not in light.
Rinse out child’s mouth after use.

Pulmicort Respules Package Insert

 

Budesonide
In combination with
Formoterol
(bronchodilator)

Not available
In USA
At this time

Symbicort 80/4.5

Symbicort 160 / 4.5

 

 

Symbicort Package Insert

Pregnancy Category C

Flunisolide

Aerobid
Aerosol
250 mcg/puff

 

Aerobid-M
Aerosol
250 mcg/puff

 

Age 6 and older:
2 inhalations twice a day

Adult:
2 to 4 inhalations twice a day

The “M” has a menthol taste

Rinse out mouth

 

AEROBID Information and Insert

 

Pregnancy Category C

Fluticasone
propionate

Flovent HFA 44 mcg
Inhalation Aerosol

 

Flovent HFA 110 mcg
Inhalation Aerosol

 

Flovent HFA 220 mcg
Inhalation Aerosol

Control / prevent

asthma

 

Age 4 and above

Dosing varies

Dose must be adjusted by Physician

44  is the weakest
110 is intermediate
220 is the strongest

3 dose strengths

each canister has a different color
Prime 4 times first use.
Rinse out mouth after use.

Flovent Package Insert

Pregnancy Category C

Fluticasone in
Combination with
Salmeterol
( bonchodilator)

Advair Diskus
100/50
Advair Diskus
250/50
Advair Diskus
500/50

Advair HFA 45/21
Advair HFA 115/21
Advair HFA 230/21
[no photo]

 

Control /
Prevent
asthma

Age 4 and older

One inhalation twice daily

3 dose strengths
Available in Diskus and HFA
Inner label of Diskus is color coded with strength.

Rinse out mouth after inhalation.

This device contains two medications:
Fluticasone/Flovent anti-inflammatory
Salmeterol/Serevent bronchodilator
Please note the FDA Information.
FDA Information about LABA

Advair Diskus Product Information and Package Insert

Advair HFA Package Insert

Pregnancy Category C

Mometasone

Asmanex Twisthaler

Control / prevent asthma

Age 12 and  older:
1 to 4 inhalations a day.

Contains milk proteins (lactose).
Usually taken in the PM.
Rinse out mouth after use.
Asmanex Information
Pregnancy Category C
Available in 3 sizes:
30, 60 and 120 doses

Triamcinolone
acetonide

Azmacort
Inhalation
Aerosol

Control /
Prevent
asthma

Age 6 to 12:
2 to 8 puffs a day
in divided doses

Adults:
4 to 16 puffs a day in divided doses

Device has a built in spacer / mouthpiece

Can be taken twice a day
Rinse out mouth
Azmacort Product Information and Package Insert
Pregnancy Category C

 



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