Table 2. Dosage of inhaled corticosteroids according to the German National Disease Management Guideline 2020 (7).

Active ingredient (ICS)	Daily dose (μg)
	Low dose	Moderate dose	High dose	Highest dose
Beclomethasone dipropionate (BDP) inhaled powder	200–500	>500–1000	>1000	≥2000
Beclomethasone dipropionate (BDP) metered-dose aerosol	100–200	>200–400	>400	≥1000
Budesonide	200–400	>400–800	>800	≥1600
Ciclesonide	80	160	≥320	≥320
Fluticasone furoate	100	–	200	200
Fluticasone propionate	100–250	>250–500	>500	≥1000
Mometasone furoate	200	400	>400	≥800

The table shows daily total doses of inhaled corticosteroids (ICS) according to the German National Disease Management Guideline (7).

The doses declared on the inhalers can sometimes differ from those used to calculate the total dose. For example, for the budesonide+formoterol fixed combination, the dose declared is the one that leaves the mouthpiece (at the highest dose this is 320 µg per inhalation), whereas the one used to calculate the total dose is the dose measured off in the inhaler (400 µg budesonide). With the beclomethasone/formoterol (metered-dose aerosol), a dose of 100 µg beclomethasone is declared, but because the aerosol is extrafine, this corresponds to a dose of 250 µg beclomethasone when given as a less fine aerosol, and the latter is the dose fed into the dose calculation.