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Inhaled Corticosteroids

Last Updated May 2024

(See below for combination inhalers.)

Inhaled Corticosteroids: Are considered the most effective long-term usage medication for control and management of asthma.
Generic Name	Brand Name	Use	Usual Dosage
Beclomethasone Dipropionate	Qvar 40 Redihaler Qvar 80 Redihaler Qvar Website	4-11 years old Maintenance treatment of asthma 12 and above.	1-2 puffs twice a day. 1-2 puffs of 40 or 80 twice a day.
Budesonide	Pulmicort Flexhaler 90 mcg Pulmicort Flexhaler 180mcg Pulmicort Flexhaler Website	Control/prevent asthma. Age 6 and older.	Children 6 to 17 180 mcg twice a day. Maximum is 360 mcg twice a day. Age 18 and older: 360 mcg twice a day. Maximum is 720 mcg twice a day.
Budesonide	Pulmicort Respules 0.25 mg/2mL susp 0.5 mg/2mL susp 1 mg/2 mL susp Generic Pulmicort Respules Website	Control/prevent asthma. Age 12 months to 8 years of age.	12 months to 8 years old: 0.5mg to 1 mg, either once a day or in divided doses.
Ciclesonide	Alvesco Inhalation Aerosol 80mcg 160mcg Alvesco Product Website	Maintenance of asthma. Age 12 and older.	80 or 160 mcg 1 p bid daily.
Fluticasone Furoate	Arnuity Ellipta Arnuity Website	Persistent asthma 5 and above.	5-11 years 50 mcg, 12 and above 100 or 200 mcg.
Fluticasone Propionate	Fluticasone (generic) HFA 44 mcg Inhalation Aerosol Fluticasone (generic) HFA 110 mcg Inhalation Aerosol Fluticasone (generic) HFA 220 mcg Inhalation Aerosol Fluticasone (generic) Diskus 50, 100 and 250 mcg	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. Diskus does 1 or 2 inhalations two times per day.
Mometasone	Asmanex Twisthaler 220mcg Asmanex Website	Control/prevent asthma. Age 12 and older.	Age 12 and older: 220 to 880 mcg.
Mometasone	Asmanex Twisthaler 110mcg Asmanex Website	Control/prevent asthma. Age 4 to 11.	Children 4 to 11: 110 mcg in the evening.
Mometasone Furoate HFA 100 or 200 mcg	Asmanex HFA Asmanex Website	Prevent/control asthma 12 years and older.	2 puffs twice a day.

Combination Inhalers
Generic Name	Brand Name	Use	Usual Dosage	Product Links (if available)
Albuterol/Budesonide Inhaled	Airsupra	Relief of asthma symptoms and reduction in the risk of exacerbations in patients 18 years and older.	2 puffs as needed for asthma symptoms, not to exceed 12 puffs in a 24 hours period.	Airsupra Website
Budesonide in combination with Formoterol (bronchodilator)	Symbicort 80/4.5 Symbicort 160 /4.5 Also available as a generic - Breyna.	Maintenance of asthma ages 6-11. Maintenance of asthma ages 12 and over.	Symbicort 80/4.5: Single-inhaler maintenance and reliever therapy 1-2 puffs once or twice daily then q4hrs PRN. Max 8 puffs/day. Symbicort 160/4.5: Single-inhaler maintenance and reliever therapy 1-2 puffs once or twice daily then q4hrs PRN. Max 12 puffs/day. Prescriber should designate the exact strength 80/4.5 or 160/4.5.	Symbicort Website Breyna Website
Budesonide/Glycopyrrolate/Formoterol	Breztri Aerosphere	COPD Maintenance treatment in adults.	2 puffs twice a day.	Breztri Aerosphere Website
Fluticasone Furoate 100 mcg and Vilanterol 25 mcg	Breo Ellipta Mybreo.com Also available as a generic.	For maintenance treatment and exacerbation reduction in COPD. Maintenance of asthma age 18 and above.	1 puff once a day.
Fluticasone Furoate 200 mcg and Vilanterol 25 mcg	Breo Ellipta Mybreo.com Also available as a generic.	For maintenance treatment. Maintenance of asthma age 18 and above.	1 puff once a day.
Fluticasone furoate, Umeclidinium, and Vilanterol inhalation powder	Trelegy Ellipta 100/62.5/25 mcg Trelegy Website (COPD) Trelegy Ellipta 200/62.5/25 mcg Trelegy Website (asthma)	Maintenance treatment of COPD and treatment of asthma ages 18 and older. Maintenance treatment of asthma ages 18 and older.	1 puff per day. 1 puff per day.
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 Advair Diskus Product Information and Package Insert Also available as a generic.	Control/prevent asthma.	Advair Diskus 100/50 is for age 4 to 11. Advair Diskus 100/50, 250/50 and 500/50 are for age 12 and older. One inhalation twice daily. Advair HFA (all 3 strengths) Age 12 and older. 2 inhalations twice a day.
Fluticasone Propionate and Salmeterol	AirDuo Respiclick 55/14, 113/14 and 232/14 and also generic of each Myairduo Website	12 and over maintenance treatment of asthma. 12 and over maintenance treatment of asthma (connects with a companion mobile application).	1 puff twice a day. 1 puff twice a day.
Fluticasone Propionate and Salmeterol inhalation powder	WIXELA INHUB 100/50, 250/50, 500/50 (generic formulation) Wixela.com	Maintenance/control of asthma and COPD. Ages 4-11 100/50 dose. Age 12 and above start with 100/50; maximum 500/50.	1 inhalation twice a day.
Mometasone in combination with Formoterol (bronchodilator)	Dulera 100/5 and 200/5 Dulera Website	Control/prevent asthma.	For ages 12 and above. Two puffs two times a day.

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