TABLE 3.
Inhaled corticosteroid (ICS) dosing categories in paediatrics
Corticosteroid | Trade name |
Daily inhaled corticosteroid dose, μg
|
|||||
---|---|---|---|---|---|---|---|
(6 to 11 years of age)
|
(12 years of age and over)
|
||||||
Low | Medium | High | Low | Medium | High | ||
Beclomethasone dipropionate HFA | QVAR† | ≤200 | 201–400 | >400 | ≤250 | 251–500 | >500 |
Budesonide* | Pulmicort Turbuhaler‡ | ≤400 | 401–800 | >800 | ≤400 | 401–800 | >800 |
Ciclesonide* | Alvesco§ | ≤200 | 201–400 | >400 | ≤200 | 201–400 | >400 |
Fluticasone | Flovent MDI and spacer; Flovent Diskus¶ | ≤200 | 201–500 | >500 | ≤250 | 251–500 | >500 |
Dose equivalencies are approximate and are based on efficacy data. Categories are somewhat arbitrary but are based on manufacturers’ recommendations.
Licensed for once daily dosing in Canada;
Graceway Pharmaceuticals, Canada;
AstraZeneca Inc, Canada;
Nycomed Canada Inc, Canada;
GlaxoSmithKline Inc, Canada. HFA Hydrofluoroalkane; μg micrograms; MDI Metered-dose inhaler. ICS are currently approved for the following ages: Flovent 12 months and over, QVAR 5 years and over, Alvesco 6 years and over, Pulmicort (nebules) 3 months and over (products insert). This information was originally published in Can Respir J 2010 17(1): 15–24