3.2 Corticosteroids

High dose MDI inhaled corticosteroid devices should be prescribed with a spacer to reduce risk of oral candidiasis.

For information on corticosteroid inhaler preparations and their equivalent beclometasone dipropionate (BDP) see here

Beclometasone
  • Clenil® modulite aerosol inhalation 50 micrograms/ metered inhalation, 100 micrograms/ metered inhalation, 200 micrograms/ metered inhalation, 250 micrograms/ metered inhalation (£16.17 = 200 micrograms x 200 doses)
  • Qvar® aerosol inhalation 50 micrograms/ metered inhalation, 100 micrograms/ metered inhalation (£17.21 = 100 micrograms x 200 doses)
  • Qvar Autohaler® breath-actuated aerosol inhalation 50 micrograms/ metered inhalation, 100 micrograms/ metered inhalation (£17.21 = 100 micrograms x 200 doses)
  • Qvar Easi-breathe® breath-actuated aerosol inhalation 50 micrograms, 100 micrograms/ metered inhalation (£16.95 = 100 micrograms x 200 doses)

Indications

Notes

  1. BDP inhalers should be brand prescribed since they are not interchangeable. Qvar® is an extra-fine particle formulation and is approximately twice as potent as Clenil Modulite®
  2. Clenil Modulite® is recommended as an option for controlling asthma in patients aged 2 years or older (See Children's BNF section 3.2).
  3. Qvar ® is licensed for adults and children over 12 years.
Budesonide
  • Pulmicort Turbohaler® dry powder inhaler 100 micrograms/ metered inhalation, 200 micrograms/ metered inhalation, 400 micrograms/ metered inhalation (£11.84 = 200 micrograms x 100 doses)
  • Nebuliser solution 250 micrograms/ml, 500 micrograms/ml (£24.85 = 500 micrograms/ml, 20 x 2ml)

Indications

Fluticasone
  • Aerosol inhalation 50 micrograms/ metered inhalation, 125 micrograms/ metered inhalation, 250 micrograms/ metered inhalation (£36.14 = 250 micrograms x 120 doses)
  • Accuhaler® dry powder for inhalation 50 micrograms/ blister, 100 micrograms/ blister, 250 micrograms/ blister, 500 micrograms/ blister (£25.51 = 250 micrograms x 60 doses)

Indications

Notes

  1. Fluticasone is licensed for adults, only the 50 and 100 micrograms are indicated for children over 4 years of age

 

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