What is the recommended dosage of Fluticasone (Flovent) for asthma in a 9-year-old child?

From the Guidelines

For a 9-year-old child with asthma, the recommended starting dose of Flovent (fluticasone propionate) is 88-100 mcg twice daily, as inhaled corticosteroids are the preferred long-term control medication for initiating therapy 1.

Key Considerations

• The dosage may range from 88-220 mcg twice daily depending on asthma severity and previous medication use.
• The medication should be administered using a spacer device to improve delivery to the lungs.
• Regular follow-up with a healthcare provider is essential to monitor effectiveness and adjust dosage as needed.
• Side effects may include throat irritation, hoarseness, or oral thrush.

Important Factors

• Asthma severity and symptom control will influence the appropriate dose.
• Response to treatment will also impact the dosage, and adjustments should be made as needed.
• The child's specific condition and medical history should be taken into account when determining the exact dosage.

Administration and Monitoring

• The child should rinse their mouth after each use to prevent thrush.
• A healthcare provider should closely monitor the child's response to therapy and adjust the dosage accordingly.
• If a clear and beneficial response is not obvious within 4 to 6 weeks, treatment should be stopped, and alternative therapies or diagnoses should be considered 1.

From the FDA Drug Label

Patients should be started with 100 mcg (1 spray in each nostril once daily). Patients not adequately responding to 100 mcg may use 200 mcg (2 sprays in each nostril). Once adequate control is achieved, the dosage should be decreased to 100 mcg (1 spray in each nostril) daily The maximum total daily dosage should not exceed 2 sprays in each nostril (200 mcg/day).

The recommended dosage for a 9-year-old with asthma is to start with 100 mcg (1 spray in each nostril) once daily. If the patient does not respond adequately, the dosage may be increased to 200 mcg (2 sprays in each nostril) once daily, with a maximum total daily dosage of 200 mcg. 2

From the Research

Dosage for Flovent in Asthma Treatment

The recommended dosage for Flovent (fluticasone propionate) in the treatment of asthma can vary based on the patient's age, severity of asthma, and response to treatment.

• For children aged 4 to 11 years, the approved dosages are 50 to 100 micrograms administered twice daily 3.
• The study also mentions that once-daily dosage regimens did not receive approval, and twice-daily dosing was numerically superior to once-daily dosing at the same nominal dose in all comparative studies for the primary end point, change in predose FEV(1) 3.
• However, it's essential to consult a healthcare professional to determine the most appropriate dosage for a 9-year-old child with asthma, as individual needs may vary.

Considerations for Treatment

When treating asthma in children, it's crucial to consider the potential benefits and risks of different treatment options.

• Combination therapies, such as fluticasone propionate/salmeterol, may be effective in managing moderate-to-severe asthma in pediatric patients 4.
• The choice of treatment should be based on the individual child's needs and medical history, as well as the potential for adverse effects and interactions with other medications.
• Regular monitoring and follow-up with a healthcare professional are necessary to adjust the treatment plan as needed and ensure optimal asthma control.

Available Evidence

The available evidence suggests that Flovent can be an effective treatment option for asthma in children, but the dosage and treatment plan should be individualized.

• Studies have shown that fluticasone propionate can improve lung function and reduce symptoms in pediatric patients with asthma 3, 4.
• However, more research is needed to fully understand the efficacy and safety of Flovent in children, particularly in those under the age of 12 5.