Steroid therapy step | Seretide MDI | Seretide Accuhaler | Symbicort Turbohaler | Flutiform MDI | Relvar Ellipta | Other LABA/ICS combinations (FP equivalent dose per day) |
---|---|---|---|---|---|---|
Step 1 | Seretide 50 2 bd | Seretide 100 1 bd | Symbicort 6/200 1 bd If ACQ ≥ 1.5 add OXIS 12 1 bd (or equivalent) | Flutiform 50 2 bd If ACQ ≥ 1.5 add OXIS 12 1 bd (or equivalent) | Seretide 100 Accuhaler 1 bd | LABA/FP equivalent – 200 μg per day |
Step 2 | Seretide 125 2 bd | Seretide 250 1 bd | Symbicort 6/200 2 bd If ACQ ≥ 1.5 add OXIS 12 1 bd (or equivalent) | Flutiform 125 2 bd If ACQ ≥ 1.5 add OXIS 12 1 bd (or equivalent) | Relvar 22/92 1 mane | LABA/FP equivalent – 500 μg per day |
Step 3 | Seretide 250 2 bd | Seretide 500 1 bd | Bud 12/400 2 bd | Flutiform 250 2 bd | Relvar 22/184 1 mane | LABA/FP equivalent – 1000 μg per day |
Step 4 | Seretide 250 2 bd μg Prednisolone 5 mg per day | Seretide 500 1 bd Prednisolone 5 mg per day | Bud 12/400 2 bd Prednisolone 5 mg per day | Flutiform 250 2 bd Prednisolone 5 mg per day | Relvar 22/184 1 mane Prednisolone 5 mg per day | LABA/FP equivalent – 1000 μg per day Prednisolone 5 mg per day |
Step 5 | Seretide 250 2 bd Prednisolone 10 mg per day | Seretide 500 1 bd Prednisolone 10 mg per day | Bud 12/400 2 bd Prednisolone 10 mg per day | Flutiform 250 2 bd Prednisolone 10 mg per day | Relvar 22/184 1 mane Prednisolone 10 mg per day | LABA/FP equivalent – 1000 μg per day Prednisolone 10 mg per day |
Step 6 | Seretide 250 2 bd Prednisolone 15 mg per day | Seretide 500 1 bd plus Prednisolone 15 mg per day | Bud 12/400 2 bd plus Prednisolone 15 mg per day | Flutiform 250 2 bd Prednisolone 15 mg per day | Relvar 22/184 1 mane plus Prednisolone 15 mg per day | LABA/FP equivalent – 1000 μg per day plus Prednisolone 15 mg per day |
Step 7* | Seretide 250 2 bd Prednisolone 20 mg per day | Seretide 500 1 bd Prednisolone 20 mg per day | Bud 12/400 2 bd Prednisolone 20 mg per day | Flutiform 250 2 bd Prednisolone 20 mg per day | Relvar 22/184 1 mane Prednisolone 20 mg per day | LABA/FP equivalent – 1000 μg per day plus Prednisolone 20 mg per day |