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AAACSF Asthma Medications
AAACSF Asthma Medications
45
Pharmacology
Undergraduate 1
03/22/2012

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Cards

Term
Pulmicort Flexihaler
Definition
Inhaled Corticosteroid
Asthma "Controller"
Term
Pulmicort Flexihaler 90ug and 180ug
Dosing (> 8 years old)
Definition
1-3 inhalations 1-2x/day
RINSE MOUTH AFTER USE
Term
Pulmicort Respules suspension for nebulizer
0.25mg/2mL 0.5mg/2mL 1mg/2mL
Definition
< 1 years old: Safety & efficacy not established

1-8 years old: 0.5 mg qDay or BID; 1 mg/day maximum
RINSE MOUTH AFTER USE
Term
Pulmicort Respules (budesonide)

Category and Indication/Dx
Definition
Nebulized inhaled corticosteroid
Asthma "Controller
Term
Asmanex Twisthaler

Category and Indication/Dx
Definition
Inhaled corticosteroid
Asthma "Controller
Term
Asmanex Twisthaler 110mcg 220mcg
Adult dosing
Definition
Up to 220 mcg inhaled PO 1-2x/day

RINSE MOUTH AFTER USE
Term
Asmanex Twisthaler 110mcg 220mcg
Pediatric dosing
Definition
4-11 years old: 110 mcg inhaled PO q Evening; not to exceed 110 mcg/day

12 years or older: Same as adults; 220 mcg inhaled PO qDay
Term
Alvesco (ciclesonide)

Category and Indication/Dx
Definition
Inhaled corticosteroid
Asthma "Controller
Term
Alvesco (ciclesonide) 80mcg/puff
160mcg/puff
Adult dosing
Definition
80 mcg inhaled BID initially; may increase to 320 mcg BID
RINSE MOUTH AFTER USE
Consider using a spacer
Term
Alvesco (ciclesonide) 80mcg/puff
160mcg/puff
Pediatric dosing
Definition
<12 years: Safety and efficacy not established

>12 years or older: As adults
Term
Flovent (fluticasone) Diskus or HFA

Category and Indication/Dx
Definition
Inhaled corticosteroid
Asthma "Controller
Term
Flovent (fluticasone) HFA (aerosol)
44mcg/inh 110mcg/inh 220mcg/inh
Adult dosing
Definition
88 mcg (2 puffs) inhaled PO BID; may incr to max 880 mcg inhaled PO BID
RINSE MOUTH AFTER USE
Consider using a spacer
Term
Flovent (fluticasone) HFA (aerosol)
44mcg/inh 110mcg/inh 220mcg/inh
Pediatric Dosing
Definition
4-11 years: 88 mcg (2 puffs) inhaled PO BID
12 years or older: as adult; initial 88 mcg (2 puffs) inhaled PO BID; may incr to max 440 mcg inhaled PO BID
RINSE MOUTH AFTER USE
Consider using a spacer
Term
Flovent (fluticasone) Diskhaler
50mcg/inh 100mcg/inh 250mcg/inh
Adult Dose
Definition
100 mcg inhaled PO BID; may incr to max 1000 mcg BID
RINSE MOUTH AFTER USE
Term
Flovent (fluticasone) Diskhaler
50mcg/inh 100mcg/inh 250mcg/inh
Pediatric Dose
Definition
4-11 years: 50-100 mcg inhaled PO BID
12 years or older: same as adult dosing; initial 100 mcg inhaled PO BID; may incr to max 500 mcg BID
RINSE MOUTH AFTER USE
Term
Albuterol

Category and Indication/Dx
Definition
Asthma "Relief" inhaled medication
Short acting
Term
Albuterol

Brand name inhalers
Definition
Proventil HFA, Ventolin HFA, Proair HFA, Proventil
Term
Albuterol

Brand name nebulizer solutions
Definition
Proventil, Ventolin nebulizer Solution

0.083% premixed ampules
0.5% to mix w saline
Term
Albuterol
Adult dosing
Definition
2 puffs inhaled PO q4-6hr
0.5 mL of 0.5% solution (2.5 mg) or 1 ).083% ampule nebulized q4-8hr PRN
Term
Albuterol
Pediatric dosing
Definition
Inhaler: >4 years old: As adult; 1-2 inhalations PO q4-6 hr (Use spacer)

<2 years old (off-label): 0.2-0.6 mg/kg/day divided q4-6hr nebulized
2-12 years old, >15 kg: 0.63-2.5 mg TID/QID
Term
Xopenex

Category and Indication/Dx
Definition
Asthma "Relief" inhaled medication
Short acting
Less jittery and tachycardia
Term
Xopenex neb solution
0.31mg/3mL 0.63mg/3mL 1.25mg/3mL
1.25mg/5mL
Adult dosing
Definition
0.63-1.25 mg neb TID (q6-8hr)
Term
Xopenex HFA MDI 45mcg/inh
Adult dosing
Definition
2 inh (90 mcg total) q4-6hr
Consider using a spacer
Term
Xopenex HFA MDI 45mcg/inh
Pediatric dosing
Definition
<4 yo: Safety & efficacy not established
>4 yo: 2 puffs q4-6hr PRN
Consider using a spacer
Term
Xopenex neb solution
0.31mg/3mL 0.63mg/3mL 1.25mg/3mL
1.25mg/5mL
Pediatric dosing
Definition
< 4 yo: Safety & efficacy not established

> 4yo: 6-12 yo: 0.31 mg neb TID; not to exceed 0.63 mg TID

>12 yo: 0.63-1.25 mg q8hr PRN
Term
Foradil

Category and Indication/Dx
Definition
Asthma "Relief" inhaled medication
Long acting (12 hours)
Quick onset
Term
Foradil Aerolizer
12mcg/cap
Adult dosing
Definition
Foradil Aerolizer: 12 mcg inhaled q12hr

NEVER MORE THAN TWICE DAILY/q 12 hours
Term
Foradil Aerolizer
12mcg/cap
Pediatric dosing
Definition
<5 years: Safety and efficacy not established
5 years or older: As adult (Foradil Aerolizer); 12 mcg inhaled PO q12hr

NEVER MORE THAN TWICE DAILY/q 12 hours
Term
Serevent Diskus

Category and Indication/Dx
Definition
Asthma "Relief" inhaled medication
Long acting (12 hours)
Delayed (45-60 minutes) onset
Term
Serevent Diskus 50mcg/inhalation
Adult dosing
Definition
1 inhalation (50 mcg) BID
NEVER MORE THAN TWICE DAILY/q 12 hours
Term
Serevent Diskus 50mcg/inhalation
Pediatric dosing
Definition
Children 4 years and older dose same as adult
Term
Singulair (montelukast)

Category and Indication/Dx
Definition
Oral anti inflammatory (non steroid)
Asthma "Controller" medication
Term
Singulair (montelukast)

Adult dosing
Definition
10 mg PO q Evening (use 10 mg tablet)
Term
Singulair (montelukast) chewable 4mg,5mg
oral granules 4mg/packet
Pediatric dosing
Definition
<12 months: Safety and efficacy not established

12-24 months: 4 mg (granules) PO qEvening

2-5 years: 4 mg (chewable tablet or granules) PO qEvening

6-14 years: 5 mg (chewable tablet) PO qEvening

15 years or older: 10 mg (conventional tablet) PO qEvening
Term
Advair Diskus or HFA
Flovent/serevent)
Category and Indication/Dx
Definition
Combination:
Long Acting relief + Controller (ICS)
Term
Advair Diskus

(50mcg/100mcg)/actuation
(50mcg/250mcg)/actuation
(50mcg/500mcg)/actuation
Adult dosing
Definition
nitial dose based on asthma severity
1 inhalation PO BID initially of 50/100 or 50/250
Not to exceed 1 inhalation PO BID of 50/500
NEVER MORE THAN TWICE DAILY/q 12 hours
NEVER USE FOR QUICK RELIEF
RINSE MOUTH AFTER USE
Term
Advair Diskus
(50mcg/100mcg)/actuation
(50mcg/250mcg)/actuation
(50mcg/500mcg)/actuation
Pediatric dosing
Definition
<4 years: Safety and effiacy not established
4-11 years: 1 inhalation PO BID of 50/100
12 years or older: As adults; 1 inhalation PO BID initially; dose is based on asthma severity; not to exceed 1 inhalation PO BID of 50/500
NEVER MORE THAN TWICE DAILY/q 12 hours
NEVER USE FOR QUICK RELIEF
Term
Advair HFA
(21mcg/45mcg)/actuation
(21mcg/115mcg)/actuation
(21mcg/230mcg)/actuation
Pediatric Dosing
Definition
<12 years: Safety and effiacy not established
Dose is based on asthma severity
12 years or older: As adults; 2 inhalations PO BID; not to exceed 2 inhalations PO BID of 21/230
NEVER MORE THAN TWICE DAILY/q 12 hours
NEVER USE FOR QUICK RELIEF
Consider using a spacer
RINSE MOUTH AFTER USE
Term
Advair HFA
(21mcg/45mcg)/actuation
(21mcg/115mcg)/actuation
(21mcg/230mcg)/actuation
Adult Dosing
Definition
nitial dose based on asthma severity
2 inhalations PO BID
Not to exceed 2 inhalations PO BID of 21/230
NEVER MORE THAN TWICE DAILY/q 12 hours
NEVER USE FOR QUICK RELIEF
Consider using a spacer
RINSE MOUTH AFTER USE
Term
Symbicort Turbuhaler
(pulmicort/foradil)

Category and Indication/Dx
Definition
Combination:
Long Acting relief + Controller (ICS)
Term
Symbicort Turbuhaler
(80mcg/4.5mcg)/puff
(160mcg/4.5mcg)/puff
Adult dosing
Definition
2 inhalations twice daily depending on severity of asthma
NEVER MORE THAN TWICE DAILY/q 12 hours
Consider using a spacer
RINSE MOUTH AFTER USE
Term
(80mcg/4.5mcg)/puff
(160mcg/4.5mcg)/puff
Pediatric dosing
Definition
<12 years old: Safety & efficacy not established
>12 years old: As in adults
NEVER MORE THAN TWICE DAILY/q 12 hours
Consider using a spacer
RINSE MOUTH AFTER USE
Term
Dulera

Category and Indication/Dx
Definition
Combination:
Long Acting relief + Controller (ICS
Term
Dulera MDI 100mcg/5mcg/actuation 200mcg/5mcg/actuation
(mometasone inhaled/formoterol)
Adult dosing
Definition
2 inhalations PO BID

NEVER MORE THAN TWICE DAILY/q 12 hours
Consider using a spacer
RINSE MOUTH AFTER USE
Term
Dulera MDI 100mcg/5mcg/actuation 200mcg/5mcg/actuation
(mometasone inhaled/formoterol)
Pediatric dosing
Definition
<12 years: Safety and efficacy not established

12 years or older: As adults; 2 inhalations PO BID
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