Starting dose: Mild asthma 200-400 mcg daily, may be increased up to 800 mcg daily. Moderate to severe asthma 1,600 mcg daily. Maintenance dose: Adult, elderly, childn & adolescent >12 yr 100-400 mcg bd, may be increased up to 1,600 mcg bd in severe asthma. Childn 6-12 yr 100-200 mcg bd, may be increased up to 800 mcg bd. Mild to moderate asthma Patient w/o previous inhaled corticosteroids 200-400 mcg once daily, patient already controlled on inhaled corticosteroids Once daily dosing up to 800 mcg. Steroid-naive childn 6-12 yr or controlled on inhaled corticosteroids 200-400 mcg once daily.
Discontinue use if paradoxical bronchospasm occur. Not indicated for acute dyspnoea or status asthmaticus. Active or quiescent TB, fungal, viral & other airway infections; asthma exacerbations. Adrenal suppression, decreased bone mineral density, cataract or glaucoma. Monitor HPA axis functions regularly. Ensure proper oral hygiene after each administration to avoid oral candidiasis. Administer short-term therapy in patients w/ excessive resp tract mucous secretion. Transferring from oral to inhaled steroids. Avoid abrupt discontinuation. High doses or prolonged use. Not to be taken by patients w/ galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. Avoid concomitant use w/ ketoconazole or other potent CYP3A4 inhibitors. Severe hepatic dysfunction. Pregnancy & lactation. Monitor height in childn & adolescents to avoid growth retardation.
Sign Out
