ATS GUIDELINES Bundle

Severe Asthma

American Thoracic Society Quick-Reference GUIDELINES Apps

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9 Table 8. Inhaled Corticosteroids Generic (Brand) Dosage Form Age Dose a Low Medium High Beclomethasone (QVAR HFA ® ) MDI: 40 mcg/inh 80 mcg/inh ≥12 yrs 80–240 mcg daily † >240–480 mcg daily † >480 mcg daily † 5–11 yrs 80–160 mcg daily † >160–320 mcg daily † >320 mcg daily † ≥12 yrs b 40–80 mcg bid * N/A* Max: 320 mcg bid * ≥12 yrs c 40–160 mcg bid * N/A* 5–11 yrs b,c 40 mcg bid * N/A* Max: 80 mcg bid * Budesonide (Pulmicort Flexhaler ® ) DPI: 90 mcg/inh 180 mcg/inh ≥12 yrs 180–600 mcg daily † >600–1200 mcg daily † >1200 mcg daily † 5–11 yrs 180–400 mcg daily † >400–800 mcg daily † >800 mcg daily † ≥18 yrs 180–360 mcg bid * N/A* Max dose: 720 mcg bid * 6–17 yrs 180 mcg bid * 360 mcg bid * Max dose: 360 mcg bid * Budesonide (Pulmicort Respules ® ) Suspension: 0.25 mg/2mL 0.5 mg/2mL 1 mg/2mL 0–4 yrs 0.25–0.5 mg daily † >0.5–1.0 mg daily † >1.0 mg daily † 5–11 yrs 0.5 mg daily † 1.0 mg daily † 2.0 mg daily † 1–8 yrs 0.25–0.5 mg daily OR 0.25 mg bid a * 0.5 mg daily OR 0.25–0.5 mg bid b * 0.5 mg bid OR 1 mg daily d * Ciclesonide (Alvesco ® ) MDI: 80 mcg/inh 160 mcg/inh ≥12 yrs b 80 mcg bid * N/A* Max: 160 mcg bid * ≥12 yrs c 80 mcg bid * N/A* Max: 320 mcg bid * ≥12 yrs d 320 mcg bid * N/A* Max: 320 mcg bid *

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