Controller meds long term in asthma and copd Flashcards
Beclomethasone brand name
QVAR
Beclomethasone dosage form
Redihaler MDI inhalation
Beclomethasone dosing for 0-4 years old
do not use
Beclomethasone dosing for 5-11 years old
40-80 mcg inhaled twice daily
Beclomethasone adult dosing
40-320mcg inhaled twice daily
Adverse effects and clinical pearls for long term control
AE: Oral thrush, cough, dysphonia.
Counseling tips: Patients should rinse their mouth and spit after use to prevent thrush
-Inhaled corticosteroids are most effective long term control therapy for asthma
-ICSs may increase the risk of pneumonia in patients with COPD
-titrate to lowest effective dose see low, medium, and high dose conversion table
-pulmicort repulses should use jet nebulizer and should not mixed with other nebulizer medications
-high doses increase the risk for systemic side effects
see steroid potency chart for the end for dosing
Budesonide brand name
Pulmicort
Budesonide dosage form
Flexhaler
Budesonide 0-4 ages dosing
Don’t use
Budesonide 5-11 ages dosing
90-360mcg inhaled twice daily
Budesonide adult dosing
90-730mcg inhaled twice daily
Ciclesonide brand name
Alvesco
Ciclesonide dosage form
HFA
Ciclesonide 0-4 dosing
dont use
Ciclesonide 5-11 dosing
(>6yo) 80-160mcg daily
Ciclesonide adult dosing
80-320 mcg inhaled twice daily
Fluticasone propionate brand name
Flovent
Fluticasone propionate dosage form
HFA and DPI and Aerosol powder inhaler
Fluticasone propionate dosing 0-4 ages
HFA: >4yo 88mcg twice daily for
DPI: 4>yo 50mcg twice daily
Fluticasone propionate dosing ages 5-11
HFA 44-88mcg inhaled twice daily
DPI 50-100mcg inhaled twice daily
Fluticasone propionate adult dosing
HFA 44-220mcg inhaled twice daily
DPI 50-250mcg inhaled twice daily
MDPI 55-232mcg inhaled twice daily
Fluticasone furoate brand name
Arnuity ellipta
Fluticasone furoate dosage form
ellipta
Fluticasone furoate dosing 0-4 ages
do not