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. 2009 May 15:463–481. doi: 10.1016/B978-032303004-5.50079-X

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.