Asthma Medication Chart
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1
2Asthma Medication Chart
Good asthma control reduces the risk of exacerbations and long-term pulmonary damage.
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Therapeutic Options for Older Children > 5 years of age and Adults
5-11 Years
≥12 years
FDA
Inhaled Corticosteroids (ICSs)
Approved
Low Dose:
Medium Dose:
High Dose:
Low Dose:
Medium Dose:
High Dose:
Age
Total Inhs / Day
Total Inhs / Day
Total Inhs / Day
Total Inhs / Day
Total Inhs / Day
Total Inhs / Day
Alvesco (ciclesonide) 80 mcg MDI*
12+
1 – 2
3 – 4
> 4
Alvesco (ciclesonide) 160 mcg MDI*
12+
1
2
> 2
Asmanex Twisthaler (mometasone) 110 mcg DPI
4+
1
2 – 4
> 4
2
4
> 4
Asmanex Twisthaler (mometasone) 220 mcg DPI
12+
1
2
> 2
Flovent HFA (fluticasone) 44 mcg MDI*
4+
2 – 4
5 – 10
> 10
2 – 6
7 – 10
> 10
Flovent HFA (fluticasone) 110 mcg MDI*
4+
1
2 – 4
> 4
2
3 – 4
> 4
Flovent HFA (fluticasone) 220 mcg MDI*
4+
1 – 2
> 2
1
2
> 2
Flovent Diskus (fluticasone) 50 mcg DPI
4+
2 – 4
5 – 8
> 8
2 – 6
7 – 10
> 10
Flovent Diskus (fluticasone) 100 mcg DPI
4+
1 - 2
3 – 4
> 4
1 – 3
4 – 5
> 5
Flovent Diskus (fluticasone) 250 mcg DPI
4+
1 – 2
> 2
1
2
> 2
Pulmicort Flexhaler (budesonide) 90 mcg DPI
12+
2 – 4
5 – 8
> 8
2 – 6
7 – 13
> 13
Pulmicort Flexhaler (budesonide) 180 mcg DPI
12+
1 – 2
3 – 4
> 4
1 – 3
4 – 6
> 6
Pulmicort Respules (budesonide) 0.25, 0.5, or 1 mg NEB
1+
0.5 mg
1 mg
2 mg
QVAR (beclomethasone) 40 mcg MDI*
5+
2 – 4
5 – 8
> 8
1 – 6
7 – 12
> 12
QVAR (beclomethasone) 80 mcg MDI*
5+
1 – 2
3 – 4
> 4
1 – 3
4 – 6
> 6
5-11 Years
≥12 years
FDA
Combination Inhalers
Approved
Low
Medium
High
Low
Medium
High
(Inhaled Corticosteroids/Long-acting Beta2-agonists)
Age
Dose
Dose
Dose
Dose
Dose
Dose
Advair Diskus (fluticasone/salmeterol)
4+
100/50
250/50
100/50
250/50
500/50
100/50, 250/50, 500/50 DPI
1 inh BID
1 inh BID
1 inh BID
1 inh BID
1 inh BID
Advair HFA (fluticasone/salmeterol)
12+
45/21
115/21
230/21
45/21, 115/21, 230/21 MDI*
2 inhs BID
2 inhs BID
2 inhs BID
Dulera MDI (mometasone/formoterol)
12+
100/5
200/5
100/5, 200/5 MDI*
2 inhs BID
2 inhs BID
Symbicort MDI (budesonide/formoterol)
12+
80/4.5
160/4.5
80/4.5, 160/4.5 MDI*
2 inhs BID
2 inhs BID
NOTE: MDI = Metered Dose Inhaler, DPI = Dry Powder Inhaler, NEB = Solution for nebulization, Inh(s) = Inhalation(s)
*The use of a spacer is encouraged for optimal technique with any MDI.
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