Low dose inhaled corticosteroid for asthma

Children and adolescents <16 years taking high doses of fluticasone propionate (typically ≥ 1000 micrograms/day) may be at particular risk of systemic effects. Systemic effects may occur, particularly at high doses prescribed for long periods. Possible systemic effects include Cushing's syndrome, Cushingoid features , adrenal suppression, acute adrenal crisis and growth retardation in children and adolescents and more rarely, a range of psychological or behavioural effects including psychomotor hyperactivity, sleep disorders, anxiety, depression or aggression. Consideration should be given to referring the child or adolescent to a paediatric respiratory specialist.

processing.... Drugs & Diseases fluticasone inhaled (Rx) Brand and Other Names: Flovent Diskus, Flovent HFA, more... ArmonAir RespiClick

  • Classes: Corticosteroids, Inhalants
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Sections fluticasone inhaled (Rx)
  • Sections fluticasone inhaled
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Dosing & Uses Adult Pediatric Dosage Forms & Strengths aerosol for inhalation (Flovent HFA)

The most commonly reported side effects were: oral thrush , nausea , headache , and pain in the pharynx or larynx . More rarely reported side effects (occurring in <1% of patients during the clinical trial) include: tachycardia , palpitations , dry mouth , allergic reaction ( bronchospasm , dermatitis , hives ), pharyngitis , muscle spasms , tremor , dizziness , insomnia , nervousness , and hypertension . Patients experiencing an allergic reaction or increase in difficulty breathing while using this medication should immediately discontinue its use and contact their physician. [4]

Initial dose based on previous asthma drug therapy and disease severity; 100 mcg via oral inhalation once daily is the usual recommended starting dose for patients not on an inhaled corticosteroid. After 2 weeks of therapy, if asthma symptoms are uncontrolled, increase dose to 200 mcg via oral inhalation once daily. Max: 200 mcg once daily. Administer at the same time each day. The maximum beneficial effect may not be achieved for up to 2 weeks or longer after starting treatment. Titrate to the lowest effective dose once asthma stability is achieved.

I am interested in approaching my 15 yo son’s endo for a prescription just to be used for stubborn highs. I’m not sure if he is going to approve, but I’m going to ask. We are fairly successful with Omni/Dex combo, but occasionally, due to (who knows?) timing, carbs under-calculated, under-bolused, pump failure, etc., he can go over 200 and be hard to bring down. I’d like to use it for these instances. I know of a few people doing this, but had trouble also with insurance not understanding it was adding on – not daily use. Thanks for the information!

Low dose inhaled corticosteroid for asthma

low dose inhaled corticosteroid for asthma

Initial dose based on previous asthma drug therapy and disease severity; 100 mcg via oral inhalation once daily is the usual recommended starting dose for patients not on an inhaled corticosteroid. After 2 weeks of therapy, if asthma symptoms are uncontrolled, increase dose to 200 mcg via oral inhalation once daily. Max: 200 mcg once daily. Administer at the same time each day. The maximum beneficial effect may not be achieved for up to 2 weeks or longer after starting treatment. Titrate to the lowest effective dose once asthma stability is achieved.

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