Medications

FDA Dosing Recommendations

This information was collected from the Food and Drug Administration webpage on August 16, 2015.   Never alter or discontinue your prescribed medication without first speaking with your doctor. 

Inhaled Corticosteroids


Beclomethasone HFA MDI (Qvar)
 

Recommended Dosing for Children 5 to 11 Years
Patient’s Previous Therapy Recommended Starting Dose Highest Recommended Dose
Bronchodilators Alone 40 mcg twice daily 80 mcg twice daily
Inhaled Corticosteroids 40 mcg twice daily 80 mcg twice daily


IMPORTANT:
QVAR is preventive therapy for asthma and must be used regularly and at the times your
physician has prescribed.


Fluticasone Propionate (Flovent HFA)
 

Previous Therapy  Recommended Starting Dosage Highest Recommended Dosage
Patients aged  ≥12 years Bronchodilators alone, Inhaled corticosteroids, Oral
corticosteroids
88 mcg twice daily 88-220 mcg twice daily 440 mcg twice daily 440 mcg twice daily 440 mcg twice daily 880 mcg twice daily
Patients aged 4-11 years 88 mcg twice daily 88 mcg twice daily

 Patients should rinse the mouth after inhalation of FLOVENT HFA

ADVERSE REACTIONS

Systemic and local corticosteroid use may result in the following:

  • Candida albicans infection
  • Immunosuppression
  • Hypercorticism and adrenal suppression
  • Reduction in bone mineral density
  • Growth effects
  • Glaucoma  and cataracts


Mometasone DPI (Asmanex)
 

Previous Therapy

Recommended Starting Dose

Highest Recommended Daily Dose

Patients ≥12 years
who received bronchodilators alone

220 mcg once daily in the evening

440 mcg

Patients ≥12 years
who received inhaled corticosteroids

220 mcg once daily in the evening

440 mcg

Patients ≥12 years
who received oral corticosteroids

440 mcg twice daily

880 mcg

Children 4-11 years of age

110 mcg once daily in the evening

110 mcg

 

 Budesonide DPI (Pulmicort)

PULMICORT FLEXHALER is NOT indicated for the relief of acute bronchospasm.

Patient Age

Recommended Starting Dosage

Highest Recommended Dosage

Adults (age 18 and older)

360 mcg twice daily.  In some patients, a starting dosage of 180 mcg twice daily may be adequate.

The maximum dosage should not exceed 720 mcg twice daily.

Children (age 6 to 17)

180 mcg twice daily. In some patients a starting dosage of 360 mcg twice daily may be appropriate.

The maximum dosage should not exceed 360 mcg twice daily.

 

Ciclesonide HFA MDI (Alvesco) 

Previous Therapy

Recommended Starting Dose

Highest Recommended Dose

Patients ≥ 12 years who received bronchodilators alone

80 mcg twice daily

160 mcg twice daily

Patients ≥ 12 years who received inhaled corticosteroids

 

80 mcg twice daily

 

320 mcg twice daily

 

Patients ≥ 12
years who received oral corticosteroids

 

320 mcg twice daily

320 mcg twice daily

 

 

 Flunisolide HFA MDI (Aerospan)

Note: In all patients it is desirable to titrate to the lowest effective dose once asthma stability is achieved.

Patient Age

Recommended Starting Dose

Highest Recommended Dose

Adults (age 12 and older)

160 mcg twice daily

320 mcg twice daily

Children (age 6 to 11)

80 mcg twice daily

160 mcg twice daily