Flunisolide Dosage

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Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Asthma

Initial dose: 2 puffs orally twice a day, morning and evening.
The maximum daily dose should not exceed 4 puffs twice a day.

Usual Pediatric Dose for Asthma

6 years to 15 years:

Initial dose: 2 puffs orally twice a day.
Higher doses have not been studied.

> 15 years:

Initial dose: 2 puffs orally twice a day, morning and evening.
The maximum daily dose should not exceed 4 puffs twice a day.

Dose Adjustments

In asthma patients who respond to treatment, improvement in pulmonary function is usually apparent within 1-4 weeks. Once the desired effect is achieved, consideration should be given to tapering to the lowest effective dose.

Precautions

When the drug is used chronically at 4 puffs twice a day, patients should be monitored periodically for effects on the hypothalamic-pituitary-adrenal (HPA) axis.
With chronic use, pediatric patients should be monitored for growth as well as for effects on the HPA axis.

Other Comments

Insufficient information is available to warrant use in children under age 6. Patients on oral corticosteroids may have reductions made after 1-2 weeks, depending on the response of the patient. A slow rate of withdrawal is strongly recommended. Generally, these decrements should not exceed 2.5 mg of prednisone or its equivalent.

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