| Term 
 | 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 
 | 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
 |  | 
        |  |