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. Author manuscript; available in PMC: 2019 Jul 29.
Published in final edited form as: Gastroenterol Clin North Am. 2014 Mar 29;43(2):345–356. doi: 10.1016/j.gtc.2014.02.008

Table 2.

Dosing regimens for fluticasone propionate and oral viscous budesonide in pediatric eosinophilic esophagitis

Medication Age (y) Drug
Formulation		 Induction
Dose		 Weaning Dose Instructions
FP 1–10 110 mg/puff 2 Puffs 4 times/d 2 Puffs 3 times/d × 3 wk,
2 puffs 2 times/d × 3 wk,
1 puff 2 times/d × 2 wk

  1. Do not use with spacer.

  2. Place inhaler in mouth, close lips around it, press down firmly on top of canister to release 1 dose of medication and swallow. Repeat as indicated.

  3. No eating or drinking for 30 min after taking medication.

  4. After 30 min, drink 30–60 mL of liquid to rinse medication to prevent yeast infection.
11–18 220 mg/puff Same as above with 220 mg/puff inhaler Same as above with 220 mg/puff inhaler
OVB 1–10 0.5 mg/2 mL budesonide respules 1 mg Daily

  1. Open liquid budesonide respules and mix with sucralose (5ga per 2 mL respule).

  2. Swallow mixture slowly over 5–10 min to help coat esophagus.

  3. No eating or drinking for 30 min after taking medication.

  4. After 30 min, drink 30–60 mL of liquid to rinse medication to prevent yeast infection.
11–18 0.5 mg/2 mL budesonide respules 2 mg Daily
a

Sucralose (5 g) 5 5 packets or 10 teaspoons.