Fluticasone Inhaled Corticosteroid Pediatric Dosing
Inhaled corticosteroid dosing for asthma via MDI or DPI in children.
Age in years (min 4 years for MDI)
NAEPP severity classification
Delivery device
⚠️ Warnings & Contraindications
- Monitor growth velocity; all ICS may reduce growth slightly in first year
- Rinse mouth after each use to prevent oral candidiasis
- Use spacer with MDI in all children
- Systemic effects are minimal at low-medium doses
- Not for acute bronchospasm - use SABA for rescue
- For children <4 years, budesonide nebulizer suspension is preferred ICS
ℹ️ Clinical Notes
Flovent HFA: 44 mcg, 110 mcg, 220 mcg per inhalation. Diskus: 50 mcg, 100 mcg, 250 mcg per blister. Flonase nasal spray: 50 mcg per spray. Low bioavailability minimizes systemic effects.
References
- NAEPP Asthma Guidelines - Comparative ICS dosages - NHLBI (2007)
- Flovent prescribing information - FDA (2024)
Medical Disclaimer
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