Inhalation steroids asthma

Oral steroids enter the bloodstream to get to the lungs, so they can cause these and other systemic effects, particularly if used frequently or for long periods of time. Other effects include cataracts, increased blood sugar, lack of blood supply to some bones and suppression of the body's own production of steroids needed during stress. Since inhaled steroids reduce the amount of oral steroids that may be needed for asthma, they may be safer than just using as needed mediation in all but the mildest forms of asthma. If your child is given many courses of oral steroids, careful monitoring for some of these side effects may be necessary.

Initial doses should be based upon previous therapy and asthma severity:

Fluticasone propionate INHALATION AEROSOL:
-For patients previously receiving bronchodilators alone:
Initial dose: 88 mcg via oral inhalation twice a day
Maximum dose: 440 mcg twice a day
-For patients previously receiving inhaled corticosteroids:
Initial dose: 88 to 220 mcg via oral inhalation twice a day
Maximum dose: 440 mcg twice a day
-For patients previously receiving oral corticosteroids:
Initial dose: 440 mcg via oral inhalation twice a day
Maximum dose: 880 mcg twice a day

Fluticasone propionate INHALATION POWDER:
-For patients previously receiving bronchodilators alone:
Initial dose: 100 mcg via oral inhalation twice a day
Maximum dose: 500 mcg twice a day
-For patients previously receiving inhaled corticosteroids:
Initial dose: 100 to 250 mcg via oral inhalation twice a day
Maximum dose: 500 mcg twice a day
-For patients previously receiving oral corticosteroids:
Initial dose: 500 to 1000 mcg via oral inhalation twice a day
Maximum dose: 1000 mcg twice a day

Fluticasone furoate INHALATION POWDER:
-For patients not previously receiving inhaled corticosteroids:
Initial dose: 100 mcg via oral inhalation once a day
-For patients with prior use of inhaled corticosteroids:
Initial dose 100 to 200 mcg via oral inhalation once a day
Maximum dose: 200 mcg once a day

Comments:
-Inhalation aerosol doses are generally intended to be given by a minimum of 2 inhalations twice a day.
-Higher initial doses may be considered in patients with poorer asthma control or those who have previously required higher doses of other inhaled corticosteroids.
-If asthma stability has not been achieved in 2 weeks, may increase dose without exceeding maximum dose; after asthma stability has been achieved, titrate to the lowest effective dose to reduce the possibility of side effects.
-For patients receiving oral corticosteroids,taper oral corticosteroids no more than once weekly beginning after the first week of inhaled therapy; patients should be carefully monitored for asthma instability during transition; once oral corticosteroid taper is complete, inhalation dose should be reduced to the lowest effective dose.
-Not indicated for the relief of acute bronchospasm.

Uses: As prophylactic therapy for the maintenance treatment of asthma and for those patients requiring oral corticosteroids for asthma who may be able to reduce or eliminate their requirement for oral corticosteroids over time.

Inhalation steroids asthma

inhalation steroids asthma

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