East Sussex - Better Together
NHS

Inhaled corticosteroid dose categorisation chart

Based on BTS/SIGN asthma guidelines 2016 and product information. Doses are total daily doses.

NICE asthma guideline 2017 uses ‘low’, ‘moderate’ and ‘high’ dose for adults and children, which differ slightly.

See BTS/SIGN asthma guidelines for more detailed information for individual products.

For a printable version of this table please see attached.

 

Approx relative potency to beclometasone

Very Low Dose (children only) – total daily dose

Low Dose – total daily dose

Medium Dose – total daily dose

High Dose (adults only) – total daily dose*

Formulary inhalers

Beclometasone dipropionate

1

200mcg

400mcg

800mcg

More than 800mcg

Clenil Modulite

Beclometasone dipropionate extra-fine (QVAR / Fostair)

2

100mcg

200mcg

400mcg

800mcg

QVAR MDI

Fostair MDI

Fostair NEXThaler

Budesonide

1

200mcg

400mcg

800mcg

More than 800mcg

Pulmicort Turbohaler

Symbicort Turbohaler

Fluticasone dipropionate

2

100mcg

200mcg

500mcg

More than  500mcg

Flutiform MDI Fluticasone MDI Flixotide Accuhaler

Fluticasone furoate (Relvar)

10

N/A

N/A

92mcg

 

184mcg

Relvar Ellipta

Ciclesonide

2

N/A

160

320

N/A

Alvesco MDI

Mometasone

1

200mcg

400mcg

800mcg

Not licensed

Not on formulary

Combination products and beclometasone products should be prescribed by brand to ensure consistency of device and dosage

*Patients using high dose inhaled corticosteroids should be issued with an inhaled corticosteroid safety card

  • First Line Drugs
  • Second Line Drugs
  • Specialist Initiated Drugs
  • Specialist Only Drugs
  • Mixed Status