AAAAI Allergy & Asthma Medication Guide

Last updated December 2009

Inhaled Corticosteroids

Generic name

Photo

Brand name

Use

Usual Dosage

Tips / Product Links

Beclomethasone
Propionate
HFA

QVAR Inhalation Aerosol
40 mcg/puff

 

QVAR Inhalation Aerosol
80 mcg/puff

Control/prevent asthma. Age 5 and older.

Children 5 to 11:
40 to 80 mcg twice a day.

Adult:
40 to 320 mcg
twice a day.

 

QVAR product information

This extra-fine aerosol mist delivers medication to the smaller airways.

Rinse mouth after use.

Pregnancy Category C

Budesonide

Pulmicort Flexhaler
90 mcg

Pulmicort Flexhaler
180mcg

Control/prevent asthma. Age 6 and older.

Children 6 to 17
180 mcg twice a day.
Maximum is 360 mcg twice a day.

Age 18 and older:
360 mcg twice a day.
Maximum is 720 mcg twice a day.

 

Dry powder inhaler.

May not feel or taste the medication.

Rinse out mouth and spit out after use;
contains trace lactose which contains trace amounts of milk protein.

When counter reaches 0; device is empty even though it twists.

Pulmicort Flexhaler Web site

Pregnancy Category B

Pulmicort Respules
0.25 mg/2mL susp
0.5 mg/2mL susp
1 mg/2 mL susp.

Control/prevent asthma. Age 12 months to 8 years of age.

12 months to 8 years old: 0.5mg to 1 mg, either once a day or in divided doses.

Use in a standard jet nebulizer only, not in an ultrasonic nebulizer.

The effect of mixing Pulmicort Respules with other medications is not known.

Shake Respule gently before use.

Store unused Respules for 2 weeks in the foil not in light.

Rinse out child’s mouth after use.

Pulmicort Respules Web site

 

Budesonide
In combination with
Formoterol
(bronchodilator)

Symbicort 80/4.5

Symbicort 160 / 4.5

Maintenance treatment of asthma. Age 12 and older.

Symbicort 80/4.5:
2 puffs twice a day.

Symbicort 160/4.5:
2 puffs twice a day.

Prescriber should designate the exact strength 80/4.5 or 160/4.5.

Symbicort Web site

Pregnancy Category C

 FDA LABA Warning

This device has a dose counter.

ciclesonide

Alvesco Inhalation Aerosol
80mcg
160mcg

Maintenance treatment of asthma. Age 12 and older.

80 to 320 mcg a day.

Alvesco 80mcg = 60 doses.

Alvesco 160 = 60 or 120 doses.

Pregnancy Category C

Alvesco Product Web site

Flunisolide

Aerobid
Aerosol
250 mcg/puff

 

Aerobid-M
Aerosol
250 mcg/puff

 

Age 6 and older:
2 inhalations twice a day.

Adult:
2 to 4 inhalations twice a day.

The “M” has a menthol taste.

Rinse out mouth.

 

AEROBID Information and Insert

 

Pregnancy Category C

Fluticasone
propionate

 

Flovent HFA 44 mcg
Inhalation Aerosol

 

Flovent HFA 110 mcg
Inhalation Aerosol

 

Flovent HFA 220 mcg
Inhalation Aerosol

Flovent Diskus 50mcg

Control/prevent asthma.

 

Age 4 and above.

Dosing varies.

Dose must be adjusted by physician.

44  is the weakest.
110 is intermediate.
220 is the strongest.

Diskus dose is 50.

3 dose strengths in Metered Dose Inhaler.

1 dose strength in Diskus (50mcg).

MDI has a dose counter.

Each canister has a different color.

Prime 4 times first use.

Rinse out mouth after use.

Flovent Package Insert

Flovent Diskus Web site

Pregnancy Category C

Fluticasone in
Combination with
Salmeterol
( bonchodilator)

Advair Diskus
100/50
Advair Diskus
250/50
Advair Diskus
500/50

Advair HFA 45/21
Advair HFA 115/21
Advair HFA 230/21

 

Control/prevent
asthma.

Advair Diskus 100/50 is for age 4 to 11.

Advair Diskus 100/50, 250/50 and 500/50 are for age 12 and older.

One inhalation twice daily.

Advair HFA (all 3 strengths)
Age 12 and older.
2 inhalations twice a day.

3 dose strengths.

Available in Diskus and HFA.

Inner label of Diskus is color coded with strength as are the HFA canisters.

Rinse out mouth after inhalation.

This device contains two medications:
Fluticasone/Flovent anti-inflammatory and Salmeterol/Serevent bronchodilator.

Please note the FDA Information:
FDA Information about LABA

Advair Diskus Product Information and Package Insert

Advair HFA Package Insert

Pregnancy Category C

Mometasone

Asmanex Twisthaler 220mcg

Control/prevent asthma. Age 12 and older.

Age 12 and  older:
220 to 880 mcg .

Contains milk proteins (lactose).

Usually taken in the PM.

Rinse out mouth after use.

Asmanex Web site

Pregnancy Category C

 

Asmanex Twisthaler 110mcg

Control/prevent asthma. Age 4 to 11.

Children 4 to 11:
110 mcg in the evening.

Triamcinolone
acetonide

Azmacort
Inhalation
Aerosol
75mcg/spray

Control/prevent
asthma.

Age 6 to 12:
2 to 8 puffs a day
in divided doses.

Adults:
4 to 16 puffs a day in divided doses.

Device has a built in spacer/mouthpiece.

Can be taken twice a day.

Rinse out mouth.

Azmacort Product Information and Package Insert

Pregnancy Category C

 



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