Best medications for asthma

 

A. BEST UNSTABLE ASTHMA MEDICATIONS:

1. SALBUTAMOL

Indications:

Bronchospasm 

Contraindications:

Hypersensitivity to albuterol 

Severe hypersensitivity to milk proteins.

No known contraindications in pregnancy or breastfeeding.

Dosage/How to use:

A. ADULTS:

Bronchospasm:

Nebulize solution: 2.5 mg BID OR TID PRN for quick relief.

Aerosol metered-dose inhaler: 180mcg (2 puffs) inhaled PO q4-6hr.

Tablet and syrup: 2-4 mg PO q6-8hr.

Acute or severe bronchospasm:

Nebulizer solution: 2.5- 5mg q20min for 3 doses, followed by 2.5-10 mg q1-4hr PRN.

Metered-dose inhaler: 4-8 pudds inhaled q20min for up to 4hr and then q1-4hr PRN.


B. PEDIATRICS:

Bronchospasm:

Aerosol metered dose inhaled:

< 4 years: safety not established

>=4 years: 1-2 puffs inhaled PO q4-6hr.

Nebulizer solution:

<2 years: 0.2-0.6 mgkg/day q4-6hr

2-12 years and < 15 kg: 2.5 mg/0.5ml (0.5% solution) q6-8hr.

2-12 years and >15 kg: 2.5 mg/3ml q6-8hr

>12 years: 2.5mg q6-8hr PRN.

Availability:

Available on all Insurances.
Prescription: GP and Consultants


2. HYDROCORTISONE

Indications:

Inflammation, status asthmatics, Acute adrenal crisis, chronic adrenal insufficiency, allergies, ...

Contraindications:

No known contraindications in pregnancy or breastfeeding.

Dosage/How to use:

A. ADULTS:

Status asthmatics:

1-2mg/kg IV q6hr initially for 24 hrs, maintenance: 0.5-1mg/kg q6hr.

Other conditions:

Usual PO dosing range:10-320 mg/day q6-8hrs.

Usual IM/IV dosing range: 100-500mg PRN initially, may be repeated q2hr, q4hr, or q6hr.

B. PEDIATRICS:

Inflammation:

<12 years: 2.5 -10mg/kg/day PO divided q6-8hr

>12 years: 

  • 20-240mg PO qDay
  • 100-500 mg/dose IV/IM q2hr, q4hr, or q6hr.
Status asthmatics:
  • 1-2 mg/kg IV q6hr for 24 hrs.
  • IV maintenance: 2mg/kg/day IV q6hrs.
  • PO maintenance : 0.5-1mg/kg IV q6hrs

Availability:

Available on all Insurances.
Prescription: GP and Consultants


B. BEST STABLE ASTHMA MEDICATIONS:


1. SERETIDE SPRAY EVOHALER


Salmeterol + Fluticasone (25mcg / 50mcg, 25mcg / 125mcg, 25mcg / 250mcg).

Indications:
Used in treating asthma where long-acting beta 2 agonists and inhaled corticosteroids are appropriate.

Contraindications:
It is contraindicated in pregnancy unless the benefits outweigh the risks.

Dosage/How to use:
Adults and Adolescents> 12 years: 2 puffs twice daily.

Availability:

Available on all Insurances.
Prescription: Consultants



2. SERETIDE DISKUS


Salmeterol + Fluticasone (50mcg/100mcg, 50mcg/250mcg, 50mcg/500mcg).

Indications:
Used in treating asthma where long-acting beta 2 agonists and inhaled corticosteroids are appropriate.

Contraindications:
It is contraindicated in pregnancy unless the benefits outweigh the risks.

Dosage/How to use:

Adults and Adolescents>12 years: 1 puff twice daily.

Availability:

Available on all Insurances.
Prescription: Consultants


3. SYMBICORT TURBUHALER


Formoterol 4.5mcg + Budesonide 160mcg

Indications:
Used in treating asthma where long-acting beta 2 agonists and inhaled corticosteroids are appropriate.

Contraindications:
It is not contraindicated in pregnancy and breastfeeding. Consult the Doctor before use.

Dosage/How to use:

Adults & Adolescents>12 years: 1-2 inhalations twice daily.

Availability:

Available on all Insurances.
Prescription: GP and Consultants


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