ATS GUIDELINES Bundle

Severe Asthma

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Table 8. Inhaled Corticosteroids (continued) Generic (Brand) Dosage Form Age Dose a Low Medium High Fluticasone (Flovent Diskus ® ) DPI: 50 mcg 100 mcg 250 mcg ≥12 yrs 100–300 mcg bid † 300–500 mcg bid † >500 mcg bid † 5–11 yrs 100–200 mcg bid † >200–400 mcg bid † >400 mcg bid † ≥12 yrs b Initial: 100 mcg bid Max dose: 500 mcg bid * ≥12 yrs c Initial: 100-250 mcg bid Max dose: 500 mcg bid * ≥12 yrs d Initial: 500-1000 mcg bid Max dose: 1000 mcg bid * 4–11 yrs Initial: 50 mcg bid Max dose: 100 mcg bid * Mometasone (Asmanex Twisthaler ® ) DPI: 110 mcg/inh 220 mcg/ inh ≥12 yrs 200 mcg † 400 mcg † >400 mcg † ≥12 yrs b Initial: 220 mcg qd in evening ; Max dose: 440 mcg per day* ≥12 yrs c Initial: 220 mcg qd in evening ; Max dose: 440 mcg per day* ≥12 yrs d Initial: 440 mcg bid; Max dose: 880 mcg bid * 4–11 yrs Initial: 110 mcg qd in evening ; Max dose: 110 mcg per day* Triamcinolone (Azmacort ® ) MDI: 75 mcg/inh ≥12 yrs 150–375 mcg bid † 375–750 mcg bid † >750 mcg bid † 5–11 yrs 150-300 mcg bid † >300–450 mcg bid † >450 mcg bid † >12 yrs 150 mcg tid-qid OR 300 mcg bid * 300 mcg tid-qid OR 600 mcg bid 1200 mcg daily* 6–12 yrs 75–150 mcg tid- qid OR 150–300 mcg bid * 150–225 mcg tid- qid OR 300–450 mcg bid * Max: 900 mcg daily * a Some thresholds are from the NAEPP guidelines and others are from the prescribing information. b Previously treated with bronchodilator alone c Previously treated with inhaled corticosteroids d Previously treated with oral corticosteroids * Dosing from the Prescribing Information. † Dosing from the National Asthma Education and Prevention Program (NAEPP). 11

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