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Table 1 ICS starting doses for asthma therapy in children in Canada

From: Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy

ICS and inhaler device Minimum age licensed for use Low-moderate dose (μg/day) High-dose (μg/day)
Beclomethasone dipropionate MDI (Qvar, generics) 5 years 100-150 BID 200 BID
Budesonide DPI (Pulmicort) 6 years 200 BID 400 BID
Budesonide Nebulizer (Pulmicort) 3 months 250-500 BID 1000 BID
Ciclesonide MDI (Alvesco) 6 years 100-200 OD 400 OD-BID
Fluticasone propionate MDI/DPI (Flovent HFA, Flovent Diskus) 12 months 100-125 BID 250 BID
  1. ICS: inhaled corticosteroid; MDI: metered dose inhaler; DPI: dry powder inhaler; BID: twice daily; OD: once daily
  2. Adapted from Kovesi et al., 2010 [14]