Name | Dose (adults) | Maximum dose |
Available in the United States | ||
Budesonide-formoterol MDI (brand name [United States]: Symbicort, Breyna)¶ | 2 inhalations twice daily (160/4.5 mcg/actuation) | 2 inhalations twice daily |
Fluticasone propionate-salmeterol MDI (brand names [United States]: Advair HFA)*¶Δ | 2 inhalations twice daily (115/21 mcg/actuation) | 2 inhalations twice daily |
Fluticasone propionate-salmeterol DPI (brand names [United States]: Advair Diskus, Wixela Inhub)¶◊ | 1 inhalation twice daily (250/50 mcg/actuation) (500/50 mcg/actuation)Δ§ | 1 inhalation twice daily |
Fluticasone furoate-vilanterol DPI (brand name [United States]: Breo Ellipta)״ | 1 inhalation once daily (100/25 mcg/actuation) | 1 inhalation once daily |
Mometasone-formoterol MDI (brand name [United States]: Dulera)Δ | 2 inhalations twice daily (100/5 mcg/actuation) (200/5 mcg/actuation)§ | 2 inhalations twice daily |
Not available in the United States but are widely available elsewhere | ||
Beclometasone-formoterol MDI and DPI (brand name [UK and Europe]: Fostair [MDI] and Fostair Nexthaler [DPI]) | 2 inhalations twice daily (100/6 mcg/actuation) | 2 inhalations twice daily |
Budesonide-formoterol DPI (brand name [Canada]: Symbicort 200 Turbuhaler)◊ | 2 inhalations twice daily (200/6 mcg/actuation) | 2 inhalations twice daily |
Budesonide-formoterol DPI (brand name [Canada]: Symbicort Forte Turbuhaler)◊ | 1 inhalation twice daily (400/12 mcg/actuation) | 1 inhalation twice daily |
Fluticasone propionate-salmeterol MDI (brand name [Canada]: Advair)¶Δ | 2 inhalations twice daily (Canada: 125/25 mcg/actuation) | 2 inhalations twice daily |
Fluticasone propionate-salmeterol DPI (brand names [Canada]: Advair Diskus, Wixela Inhub)¶◊ | 1 inhalation twice daily (250/50 mcg/actuation) (500/50 mcg/actuation)§ | 1 inhalation twice daily |
Fluticasone furoate-vilanterol DPI (brand name [Canada]: Breo Ellipta)״ | 1 inhalation once daily (100/25 mcg/actuation) | 1 inhalation once daily |
Mometasone-formoterol MDI (brand name [Canada]: Zenhale)Δ | 2 inhalations twice daily (100/5 mcg/actuation) (200/5 mcg/actuation)§ | 2 inhalations twice daily |
MDI: metered dose inhaler; HFA: metered dose inhaler with hydrofluoroalkane propellant; DPI: dry powder inhaler; ICS: inhaled corticosteroid; LABA: long-acting beta-agonist.
* Fluticasone propionate-salmeterol (AirDuo RespiClick) contains a lower dose of salmeterol per inhalation and is used in asthma, but not COPD.
¶ Generic equivalent may be available in United States, Canada, and some other countries.
Δ ICS-LABA agent off-label for COPD.
◊ DPIs contain lactose and may contain small amounts of milk protein.
§ Additional benefit from this higher ICS dose relative to standard dose is uncertain; risk of pneumonia and systemic adverse effects may be increased.
¥ Fluticasone furoate has a greater anti-inflammatory potency per microgram than fluticasone propionate inhalers. Thus, fluticasone furoate is administered at a lower daily dose and used only once daily.Do you want to add Medilib to your home screen?