therapy III sec 3 inhalers

ventolin/proair/proventil

SABA

albuterol HFA 90mcg

1-2 puffs q4-6h PRN

asthma track 2, COPD group A

xopanex

SABA

levalbuterol HFA 45mcg

1-2 puffs q4-6h PRN

asthma track 2 only

striverdi respimat

LABA

olodaterol 2.5mcg

2 inhalations once daily

possibly COPD group B/E

combivent

SAMA/SABA

ipratropium 20/albuterol 100mcg

1 puff q4-6h PRN

COPD group A, asthma rescue

spiriva handihaler/respimat

LAMA

tiotropium 18mcg

1 inhalation daily

tiotropium 1.25 (asthma), 2.5mcg (COPD)

2 inhalations once daily

COPD group B/E, asthma track 1 step 5

incruse ellipta

LAMA

umeclidinium 62.5mcg

1 inhalation daily

COPD group B/E

anoro ellipta

LAMA/LABA

umeclidinium 62.5/vilanterol 25mcg

1 inhalation daily

COPD group B/E

pulmicort flexhaler

ICS

budesonide 90, 180mcg

1-2 inhalations BID

asthma track 2 step 1/2, COPD group E with high eosinophils

arnuity ellipta

ICS

fluticasone furoate 50, 100, 200mcg

1 inhalation daily

asthma track 2 step 1/2, COPD group E with high eosinophils

asmanex HFA/twisthaler

ICS

mometasone 100, 200mcg

1-2 inhalations BID

mometasone 220mcg

1-2 inhalations BID

asthma track 2 step 1/2, COPD group E with high eosinophils

symbicort/breyna HFA

ICS/LABA

budesonide 80, 160/formoterol 4.5mcg

1-2 inhalations BID

asthma track 1, asthma track 2 step 3/4, possibly COPD group E with high eosinophils

advair/wixela diskus/inhub

ICS/LABA

fluticasone 100, 250, 500/salmeterol 50mcg

1 puff BID

asthma track 2 step 3/4, possibly COPD group E with high eosinophils

dulera HFA

ICS/LABA

mometasone 50, 100, 200/formoterol 5mcg

1-2 puffs BID

asthma track 2 step 3/4, possibly COPD group E with high eosinophils

trelegy ellipta

ICS/LAMA/LABA

fluticasone 100, 200/umeclidinium 62.5/vilanterol 25mcg

1 puff daily

asthma track 1 step 5, COPD group E with high eosinophils

fluticasone Diskus

fluticasone Propionate DPI

ICS

50, 100, 250mcg

L:100mcg 1 puff BID

M: 100mcg 2 puff BID or 250mcg 1 puff bid

H: 250mcg 2-4 puff bid

FDA:Asthma

OFF label: COPD

Fluticasone HFA

fluticasone propionate HFA

HFA

Low: 44mcg 2 puff bid or 110mcg 1 puff bid

Med: 110mcg 2 puff bid or 220 1 puff BID

Hi: 220mcg 2-4 puff bid

FDA: Asthma

Off: COPD