Fluticasone HFA Dosing

In general, a fluticasone HFA inhaler is used twice a day to prevent asthma attacks. For people who are taking an oral steroid in addition to fluticasone HFA, dosing usually starts at two inhalations of fluticasone HFA 220 mcg twice daily. The starting dosage of fluticasone HFA for people taking bronchodilators alone is two inhalations of fluticasone HFA 44 mcg twice daily. Your age and other medications you may be currently taking are among that factors that can affect fluticasone HFA dosing.

 

An Introduction to Fluticasone HFA Dosing

Fluticasone HFA (Flovent® HFA) is an environmentally-friendly inhaler used to prevent asthma attacks. "HFA" stands for hydrofluoroalkane, which is the propellant used in fluticasone HFA inhalers.
 
The dose of fluticasone HFA your healthcare provider recommends will vary depending on a number of factors, including:
 
  • Your age
  • The severity of your asthma
  • Other medications you may be taking.
     
As always, do not adjust your fluticasone HFA dose unless your healthcare provider specifically instructs you to do so.
 
Fluticasone HFA Dosing for Young Children
For the treatment of asthma in children ages 4 to 11, the recommended fluticasone HFA dose is two inhalations of fluticasone HFA 44 mcg twice daily.
 
Fluticasone HFA Dosing for Adolescents and Adults
For asthma treatment in adults and adolescents at least 12 years old, the recommended fluticasone HFA dose varies, depending upon what type of asthma medications were previously taken.
 
For people taking bronchodilators alone, such as albuterol (Proair HFA®, Proventil®, Proventil HFA®, Ventolin HFA®), or salmeterol (Serevent®), the starting dose is two inhalations of fluticasone HFA 44 mcg twice daily. The maximum dose in these situations is fluticasone HFA 220 mcg twice daily.
 
For people who are taking an inhaled steroid (with or without a bronchodilator), the starting dose is two inhalations of fluticasone HFA 44 mcg or 110 mcg twice daily. The maximum dose is two inhalations of fluticasone HFA 220 mcg twice daily.
 
For people taking an oral steroid (with or without a bronchodilator), the starting dose is two inhalations of fluticasone HFA 220 mcg twice daily, and the maximum dose is four inhalations of fluticasone HFA 220 mcg twice daily. After you have been using fluticasone HFA for a week, your healthcare provider should attempt to slowly decrease the dose of your oral steroid.
 
(Fluticasone HFA Dosing Continued: Page 2)
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;