Table 75-14.
Estimated Comparative Daily Dosages for Inhaled Corticosteroids
Low Daily Dose | Medium Daily Dose | High Daily Dose | ||||
---|---|---|---|---|---|---|
Drug | Adult | Child* | Adult | Child* | Adult | Child* |
Beclomethasone HFA 40 or 80 μg/puff | 80-240 μg | 80-160 μg | 240-480 μg | 160-320 μg | >480 μg | >320 μg |
Budesonide DPI 200 μg/inhalation | 200-600 μg | 200-400 μg | 600-1200 μg | 400-800 μg | >1200 μg | >800 μg |
Budesonide inhalation suspension for nebulization (child dose) | 0.5 mg | 1.0 mg | 2.0 mg | |||
Flunisolide 250μg/puff | 500-1000 μg | 500-750 μg | 1000-2000 μg | 1000-1250 μg | >2000 μg | >1250 μg |
Fluticasone MDI: 44, 110, or 220 μg/puff DPI: 50, 100, or 250 μg/inhalation | 88-264 μg 100-300 μg | 88-176 μg 100-200 μg | 264-660 μg 300-600 μg | 176-440 μg 200-400 μg | >660 μg >600 μg | >440 μg >400 μg |
Trlamcinolone acetonide 100 μg/puff | 400-1000 μg | 400-800 μg | 1000-2000 μg | 800-1200 μg | >2000 μg | >1200 μg |
DPI, dry powder inhaler.
Children ≤12 years of age.
Modified from National Heart, Lung, and Blood Institute: Executive Summary of NAEPP Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma: Update on Selected Topics (NIH Publication No. 02-5075). Bethesda, MD, US Department of Health and Human Services, National Institutes of Health, 2002.