Corticosteroid inhaler preparations: equivalent beclometasone (BDP)

These dosage equivalents are approximate and will depend on other factors such as inhaler technique.

Qvar® has extra-fine particles, is more potent than traditional beclometasone dipropionate CFC-containing inhalers, and is approximately twice as potent as Clenil Modulite®.

Fostair®/ Fostair NEXThaler® (beclometasone dipropionate & formoterol) has extra fine particles & is more potent than traditional BDP CFC-free inhalers. BTS/SIGN 2016 table 10 Fostair® 200 micrograms ≡ BDP 400 micrograms

When switching patients from other beclometasone dipropionate and formoterol fumarate inhalers, Fostair® 100/6 can be prescribed for patients already using beclometasone dipropionate 250 micrograms in another CFC-free inhaler; the dose of Fostair® should be adjusted according to response.

The steps are from the BTS/SIGN Asthma guideline.

Step 2 Regular preventer therapies

200 micrograms BDP equivalent per day

Beclometasone

  • Clenil Modulite® 50 micrograms - 2 puffs twice a day

Budesonide

  • Dry powder inhaler 100 micrograms - 1 puff twice a day

Fluticasone propionate

  • Evohaler® 50 micrograms - 1 puff twice a day
  • Accuhaler® 50 micrograms - 1 puff twice a day

400 micrograms BDP equivalent per day

Beclometasone

  • Clenil Modulite® 100 micrograms - 2 puffs twice a day
  • Qvar® 50 micrograms - 2 puffs twice a day

Budesonide

  • Dry powder inhaler 200 micrograms - 1 puff twice a day

Fluticasone propionate

  • Evohaler® 50 micrograms - 2 puffs twice a day
  • Accuhaler® 100 micrograms - 1 puff twice a day

500 micrograms BDP equivalent per day

Fluticasone propionate

  • Evohaler® 125 micrograms - 1 puff twice a day

800 micrograms BDP equivalent per day

Beclometasone

  • Clenil Modulite® 200 micrograms - 2 puffs twice a day
  • Qvar® 100 micrograms – 2 puffs twice a day

Budesonide

  • Dry powder inhaler 200 micrograms - 2 puff twice a day

Step 3 Initial add-on therapy - combination products

200 micrograms BDP equivalent per day

Budesonide / formoterol

  • Symbicort® 100/6 - 1 puff twice a day

400 micrograms BDP equivalent per day

Salmeterol / fluticasone propionate

  • Seretide® Accuhaler 100 - 1 puff twice a day
  • Seretide Evohaler® 50 - 2 puffs twice a day

Budesonide / formoterol

  • Duoresp Spiromax® 160/4.5 - 1 puff twice a day
  • Symbicort® 200/6 - 1 puff twice a day
  • Symbicort® 100/6 - 2 puffs twice a day

400-500 micrograms BDP equivalent per day

Beclometasone / formoterol

  • Fostair® / Fostair NEXThaler® 1 puff twice a day

800 micrograms BDP equivalent per day

Budesonide / formoterol

  • Duoresp Spiromax® 160/4.5 - 2 puffs twice a day
  • Duoresp Spiromax® 320/9 - 1 puff twice a day
  • Symbicort® 200/6 - 2 puffs twice a day
  • Symbicort® 400/12 - 1 puff twice a day

Step 4 Persistent poor control

1000 micrograms BDP equivalent per day

Beclometasone

  • Clenil Modulite® 250 micrograms - 2 puffs twice a day

Fluticasone propionate

  • Fluticasone Accuhaler® 250 micrograms - 1 puff twice a day
  • Fluticasone Evohaler® 250 micrograms - 1 puff twice a day
  • Fluticasone Evohaler® 125 micrograms - 2 puffs twice a day

2000 micrograms BDP equivalent per day

Fluticasone propionate

  • Fluticasone Accuhaler® 500 micrograms - 1 puff twice a day
  • Fluticasone Evohaler® 250 micrograms - 2 puffs twice a day

Combination products 800-1000 micrograms BDP equivalent per day

Beclometasone / formoterol

  • Fostair® / Fostair NEXThaler® 2 puffs twice a day

Combination products 1000 micrograms BDP equivalent per day

Salmeterol / fluticasone propionate

  • Sirdupla® MDI 250 - 1 puff twice a day
  • Sirdupla® MDI 125 - 2 puffs twice a day
  • Seretide Accuhaler® 250 - 1 puff twice a day
  • Seretide Evohaler® 250 - 1 puff twice a day
  • Seretide Evohaler® 125 - 2 puffs twice a day

Combination products 1600 micrograms BDP equivalent per day

Budesonide / formoterol

  • Duoresp Spiromax® 320/9 - 2 puffs twice a day
  • Symbicort® 400/12 - 2 puffs twice a day

Combination products 2000 micrograms BDP equivalent per day

Salmeterol / fluticasone propionate

  • Sirdupla® MDI 250 - 2 puffs twice a day
  • Seretide Accuhaler® 500 - 1 puff twice a day
  • Seretide Evohaler® 250 - 2 puffs twice a day

 

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