This page shows dosing level of inhaled corticosteroids (ICS). This table does not imply potency equivalence but only suggested total daily dosing level for low, medium, and high ICS. It's important to note that fluticasone furoate 100 inhalers can count as both low or medium ICS dose and appear in the table twice.
This is the most complete table of steroid dosing that I know. The GINA website linked below has a page that shows levels by generic name, DPI, and total daily ICS dose. I made this table by looking up all of the brand inhalers, their ingredients, multiplied their frequency to get the total daily ICS dose, and then fitted them back to the table.
Dosing Level | Brand Name | Generic | Type of Delivery | Frequency |
---|---|---|---|---|
Low | ||||
Arnuity Ellipta 100 | fluticasone-furoate | DPI | 1 puff daily | |
Breo Ellipta 100/25 | fluticasone furoate-vilanterol | DPI | 1 puff every evening | |
Trelegy 100/62.5/25 | fluticasone furoate-umeclidinium-vilanterol | DPI | 1 puff daily | |
Advair HFA 45/21 | fluticasone propionate-salmeterol | MDI | 2 puffs 2x daily | |
AirDuo Respiclick 55/14 | fluticasone propionate-salmeterol | DPI | 2 puffs 2x daily | |
Advair Diskus 100/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Wixela Inhub 100/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Flovent HFA 44 | fluticasone-proprionate | MDI | 2 puffs 2x daily | |
Flovent Diskus 50 | fluticasone-proprionate | DPI | 2 puffs 2x daily | |
Airsupra 90/80 | budesonide 80-albuterol 90 | MDI | 2 puffs as needed | |
Symbicort HFA 80/4.5 | budesonide-formoterol | MDI | 2 puffs 2x daily | |
Pulmicort Flexhaler 60 or 120 | budesonide | DPI | 1 puff 2x daily | |
Asmanex HFA 50 | mometasone | MDI | 2 puffs 2x daily | |
Asmanex Twisthaler 110 | mometasone | DPI | 1 puff daily | |
QVAR RediHaler 40, 80, or 160 | beclomethasone | MDI | 1 inhalation 2x daily | |
Medium | ||||
Arnuity Ellipta 100 | fluticasone-furoate | DPI | 1 puff daily | |
Breo Ellipta 100/25 | fluticasone furoate-vilanterol | DPI | 1 puff every evening | |
Trelegy 100/62.5/25 | fluticasone furoate-umeclidinium-vilanterol | DPI | 1 puff daily | |
Advair HFA 115/21 | fluticasone propionate-salmeterol | MDI | 2 puffs 2x daily | |
AirDuo Respiclick 113/14 | fluticasone propionate-salmeterol | DPI | 2 puffs 2x daily | |
Advair Diskus 250/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Wixela Inhub 250/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Flovent HFA 110 | fluticasone-proprionate | MDI | 2 puffs 2x daily | |
Flovent Diskus 100 | fluticasone-proprionate | DPI | 2 puffs 2x daily | |
Symbicort HFA 160/4.5 | budesonide-formoterol | MDI | 2 puffs 2x daily | |
Breztri 160/9/4.8 | budesonide-glycopyrrolate-formoterol | MDI | 2 puffs 2x daily | |
Dulera HFA 100/5 | mometasone-formoterol | MDI | 2 puffs 2x daily | |
Asmanex HFA 100 or 200 | mometasone | MDI | 2 puffs 2x daily | |
Asmanex Twisthaler 220 | mometasone | DPI | 1 puff daily | |
QVAR RediHaler 320 | beclomethasone | MDI | 1 inhalation 2x daily | |
High | ||||
Arnuity Ellipta 200 | fluticasone-furoate | DPI | 1 puff daily | |
Breo Ellipta 200/25 | fluticasone furoate-vilanterol | DPI | 1 puff every evening | |
Trelegy 200/62.5/25 | fluticasone-furoate-umeclidinium-vilanterol | DPI | 1 puff daily | |
Advair HFA 230/21 | fluticasone propionate-salmeterol | MDI | 2 puffs 2x daily | |
AirDuo Respiclick 232/14 | fluticasone propionate-salmeterol | DPI | 2 puffs 2x daily | |
Advair Diskus 500/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Wixela Inhub 500/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Flovent HFA 220 | fluticasone-proprionate | MDI | 2 puffs 2x daily | |
Flovent Diskus 250 | fluticasone-proprionate | DPI | 2 puffs 2x daily | |
Dulera HFA 200/5 | mometasone-formoterol | MDI | 2 puffs 2x daily | |
DPI, dry powder inhaler; MDI, metered dosing inhaler; HFA, hydrofluoroalkane. |
Dosing Level | Brand Name | Generic | Type of Delivery | Frequency |
---|---|---|---|---|
Low | ||||
Airsupra 90/80 | budesonide 80-albuterol 90 | MDI | 2 puffs as needed | |
Pulmicort Flexhaler 60 | budesonide | DPI | 1 puff 2x daily | |
Asmanex Twisthaler 110 | mometasone | DPI | 1 puff daily | |
QVAR RediHaler 40 or 80 | beclomethasone | MDI | 1 inhalation 2x daily | |
Medium | ||||
Advair HFA 45/21 | fluticasone propionate-salmeterol | MDI | 2 puffs 2x daily | |
Wixela Inhub 100/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Flovent HFA 44 | fluticasone-proprionate | MDI | 2 puffs 2x daily | |
Flovent Diskus 50 | fluticasone-proprionate | DPI | 2 puffs 2x daily | |
Symbicort HFA 80/4.5 | budesonide-formoterol | MDI | 2 puffs 2x daily | |
Pulmicort Flexhaler 120 | budesonide | DPI | 1 puff 2x daily | |
Asmanex Twisthaler 110 | mometasone | DPI | 1 puff daily | |
QVAR RediHaler 160 | beclomethasone | MDI | 1 inhalation 2x daily | |
High | ||||
Arnuity Ellipta 100 or 200 | fluticasone-furoate | DPI | 1 puff daily | |
Breo Ellipta 100/25 or 200/25 | fluticasone furoate-vilanterol | DPI | 1 puff every evening | |
Trelegy 100/62.5/25 or 200/62.5/25 | fluticasone-furoate-umeclidinium-vilanterol | DPI | 1 puff daily | |
Advair HFA 100/50 | fluticasone propionate-salmeterol | MDI | 2 puffs 2x daily | |
Advair HFA 115/21 or 230/21 | fluticasone propionate-salmeterol | MDI | 2 puffs 2x daily | |
AirDuo Respiclick 113/14 or 232/14 | fluticasone propionate-salmeterol | DPI | 2 puffs 2x daily | |
Advair Diskus 250/50 or 500/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
AirDuo Respiclick 55/14 | fluticasone propionate-salmeterol | DPI | 2 puffs 2x daily | |
Wixela Inhub 250/50 or 500/50 | fluticasone propionate-salmeterol | DPI | 1 puff 2x daily | |
Flovent HFA 110 or 220 | fluticasone-proprionate | MDI | 2 puffs 2x daily | |
Flovent Diskus 100 or 250 | fluticasone-proprionate | DPI | 2 puffs 2x daily | |
Asmanex HFA 50 , 100, or 200 | mometasone | MDI | 2 puffs 2x daily | |
Asmanex Twisthaler 220 | mometasone | DPI | 1 puff daily | |
Dulera HFA 100/5 or 200/5 | mometasone-formoterol | MDI | 2 puffs 2x daily | |
QVAR RediHaler 320 | beclomethasone | MDI | 1 inhalation 2x daily | |
Symbicort HFA 160/4.5 | budesonide-formoterol | MDI | 2 puffs 2x daily | |
Breztri 160/9/4.8 | budesonide-glycopyrrolate-formoterol | MDI | 2 puffs 2x daily | |
DPI, dry powder inhaler; MDI, metered dosing inhaler; HFA, hydrofluoroalkane. |