Management of Asthma - Inhaled Corticosteroid Doses (BTS/SIGN Guideline)

Categorisation of inhaled corticosteroid doses in asthma.

KEY: od= once daily bd= twice daily

CHILDREN ADULTS
Very low dose Low dose Medium dose* Low dose Medium dose High dose*
PRESSURISED METERED DOSE INHALERS (with spacer in children)
Beclometasone dipropionate
Non-proprietary

50 mcg x2 puffs bd

100 mcg x2 puffs bd 200 mcg x2 puffs bd 100 mcg x2 puffs bd 200 mcg x2 puffs bd 200 mcg x4 puffs bd
Clenil Modulite 50 mcg x2 puffs bd 100 mcg x2 puffs bd 200 mcg x2 puffs bd
100 mcg x2 puffs bd 200 mcg x2 puffs bd 250 mcg x2 puffs bd, or 250 mcg x4 puffs bd
Kelhale - - - 50 mcg x2 puffs bd 100 mcg x2 puffs bd 100 mcg x4 puffs bd
Qvar (extrafine)/ Autohaler/ Easi-breathe - 50 mcg x2 puffs bd   100 mcg x2 puffs bd
50 mcg x2 puffs bd 100 mcg x2 puffs bd 100 mcg x4 puffs bd 
Soprobec 50 mcg x2 puffs bd 100 mcg x2 puffs bd 200 mcg x2 puffs bd 100 mcg x2 puffs bd 200 mcg x2 puffs bd 250 mcg x2 puffs bd, or 250 mcg x4 puffs bd
Ciclesonide
Alvesco - 80 mcg x2 puffs od 160 mcg x2 puffs od
80 mcg x2 puffs od 160 mcg x2 puffs od 160 mcg x2 puffs bd
Fluticasone propionate
Flixotide Evohaler 50 mcg x1 puff bd 50 mcg x2 puffs bd 125 mcg x2 puffs bd
50 mcg x2 puffs bd 125 mcg x2 puffs bd 250 mcg x2 puffs bd
DRY POWDER INHALERS
Beclometasone
Non-proprietary/ Easyhaler - - - 200 mcg x1 puff bd 200 mcg x2 puffs bd

-

Budesonide
Non-proprietary/ Easyhaler - 100 mcg x2 puffs bd 200 mcg x2 puffs bd
100 mcg x2 puffs bd 200 mcg x2 puffs bd 400 mcg x2 puffs bd
Budelin Novolizer - - - - 200 mcg x2 puffs bd 200 mcg x4 puffs bd
Pulmicort Turbohaler 100 mcg x1 puff bd 100 mcg x2 puffs bd, or
200 mcg x1 puff bd
200 mcg x2 puffs bd, or
400 mcg x1 puff bd
100 mcg x2 puffs bd, or
200 mcg x1 puff bd
200 mcg x2 puffs bd, or
400 mcg x1 puff bd
400 mcg x2 puffs bd
Fluticasone propionate
Flixotide Accuhaler 50 mcg x1 puff bd 100 mcg x1 puff bd 250 mcg x1 puff bd
100 mcg x1 puff bd 250 mcg x1 puff bd 500 mcg x1 puff bd
Mometasone
Asmanex Twisthaler - 200 mcg x1 puff bd - 200 mcg x1 puff bd 400 mcg x1 puff bd -
COMBINATION INHALERS
Beclometasone dipropionate (extrafine) + formoterol
Fostair (pMDI) - - - 100/6 x1 puff bd 100/6 x2 puffs bd 200/6 x2 puffs bd 
Fostair NEXThaler - - - 100/6 x1 puff bd 100/6 x2 puffs bd 200/6 x2 puffs bd
Budesonide + formoterol
DuoResp Spiromax - - - 200/6 x1 puff bd 200/6 x2 puffs bd, or
400/12 x1 puff bd
400/12 x2 puffs bd
Symbicort Turbohaler 100/6 x1 puff bd 100/6 x2 puffs bd, or
200/6 x1 puff bd
- 100/6 x2 puffs bd, or
200/6 x1 puff bd
200/6 x2 puffs bd, or
400/12 x1 puff bd
400/12 x2 puffs bd
Fobumix Easyhaler - - - 80/4.5 x2 puffs bd, or 160/4.5 x1 puff bd 160/4.5 x2 puffs bd, or 320/9 x1 puff bd 320/9 x2 puffs bd
Fluticasone propionate + formoterol
Flutiform pMDI - - - 50/5 x2 puffs bd 125/5 x2 puffs bd 250/10 x2 puffs bd
Flutiform K-haler - - - 50/5 x2 puffs bd 125/5 x2 puffs bd -
Fluticasone propionate + salmeterol
AirFluSal Forspiro - - - - - 500/50 x1 puff bd
AirFluSal MDI - - - - 125/25 x2 puffs bd 250/25 x2 puffs bd
Aloflute - - - - 125/25 x2 puffs bd 250/25 x2 puffs bd
Combisal - 50/25 x2 puffs bd - 50/25 x2 puffs bd 125/25 x2 puffs bd 250/25 x2 puffs bd
Fusacomb Easyhaler - - - - 250/50 x1 puff bd 500/50 x1 puff bd
Sereflo - - - - 125/25 x2 puffs bd 250/25 x2 puffs bd
Seretide Accuhaler - 100/50 x1 puff bd - 100/50 x1 puff bd 250/50 x1 puff bd 500/50 x1 puff bd
Seretide Evohaler - 50/25 x2 puffs bd - 50/25 x2 puffs bd 125/25 x2 puffs bd 250/25 x2 puffs bd
Sirdupla - - - - 125/25 x2 puffs bd 250/25 x2 puffs bd
Stalpex - - - - - 500/50 x1 puff bd
Fluticasone furoate + vilanterol
Relvar Ellipta - - - - 92/22 x1 puff od 184/22 x1 puff od

*Medium doses in children and high doses in adults should only be used after referring the patient to secondary care.

Note: Different products and doses are licensed for different age groups; check before prescribing.

Source 

 


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