BUDESONIDE FLUTICASONE propionate FLUTICASONE propionate

FLUTICASONE propionate FLUTICASONE propionate

BUDESONIDE powder for inhalationFLUTICASONE propionate
nhalers
owder forfor Asthma or Aerosol
inhalation COPD New inhalers Subsidised
ZealandFLUTICASONE Inhalers
March 2016propionate
Aerosol Subsidised
inhalers
for Asthma
Inhalers for or COPD
powder
Asthma New
for or Zealand
inhalation
COPD New March
Zealand2016
March 2016
powder for
eg/dose inhalation
200mcg/dose 50mcg/dose 125mcg/dose powder
50mcg/dose for inhalation
125mcg/dose
Inhaler Devices Identification Chart
50mcg/dose
ICS – Inhaled 125mcg/dose
Corticosteroids Aerosol inhalers
250mcg/dose
0mcg/dose

400mcg/dose 200mcg/dose 50mcg/dose 125mcg/dose SABA – Short-Acting
250mcg/dose
SABA –50mcg/dose
250mcg/dose Beta2
Short-Acting
250mcg/dose
Agonists
Beta2 Agonists
125mcg/dose
BUDESONIDE
50mcg/dose 125mcg/dose 250mcg/dose
FLUTICASONE propionate
400mcg/dose
FLUTICASONE propionate 250mcg/dose SALBU
owder for inhalation SALBUTAMOL Aerosol Aerosol inhaler powder for inhalation
Aerosol inhalers inhaler
SALBUTAMOL TERBUTALINE powder forpowder
TERBUTALINE inhalation
Short Acting Muscarinic Combination SABA + for inhalation
g/dose 200mcg/dose Short Acting Beta2 Agonists (SABA)
100mcg/puff 50mcg/dose 125mcg/dose
250mcg/dose
400mcg/dose
50mcg/dose 125mcg/dose 100mcg/puff
250mcg/dose Antagonists (SAMA) SAMA
250mcg/dose
250mcg/dose
SALBUTAMOL TERBUTALINE IPRATROPIUM SALBUTAMOL + IPRATROPIUM

RELIEVERS
Floair Flixotide Flixotide Accuhaler
ulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler
Pulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler
sonide is approximately
Fluticasone and beclomethasone dipropionate are NOT dose equivalent
dudesonide is approximately Fluticasone and beclomethasone dipropionate are NOT dose equivalent
me
ulmicort
rsthma
ma potency
Asthma
or COPD COPDasNew
Turbuhaler
or New
COPD standard
orFluticasone is approximately
Zealand
New
Zealand Zealand
MarchMarchMarch
20162016twiceFluticasone
Floair
2016 as potent as and beclomethasone
Flixotide
standard dipropionate
beclomethasone are NOT
Flixotide
dipropionate dose equivalent
Accuhaler
ee same potency 100mcg
as standard 100mcg
Fluticasone is100mcg
approximately100mcg twice as potent as 250mcg 20mcg
standard beclomethasone dipropionate 100/20
methasone
sonide
spigen is dipropionate
approximately
Respigen SalAirFluticasone is approximately
(Beclazone)
SalAir twice
Salamol as potent as
Salamolstandard beclomethasone
Ventolin dipropionate
Ventolin BricanylDuolin HFA
Turbuhaler
Bricanyl Turbuhaler
nhaled
–edInhaled Respigen
dipropionate SalAir
Corticosteroids
Corticosteroids
Corticosteroids
eclomethasone Ventolin
Fluticasone and beclomethasone Salamol Bricanyl Turbuhaler
(Beclazone)
dipropionate are NOT dose equivalent Atrovent
me (Beclazone)
potency as standard (Beclazone)
IDE
methasone
(Beclazone)
dipropionate FLUTICASONEFluticasone
FLUTICASONE
FLUTICASONE propionate
propionate
is approximately
propionate
FLUTICASONE
twice FLUTICASONE
FLUTICASONEas potent Inhaled Corticosteroids (ICS)
propionate
propionate
as
propionate standard beclomethasone dipropionate
tion
halation powder
powder powderfor inhalation
for inhalation
for (Beclazone)
inhalation
(Beclazone) Aerosol FLUTICASONE propionate
Aerosol inhalers
Aerosol
inhalers inhalers Combination ONCE BECLOMETHASONE BECLOMETHASONE
mcg/dose
A00mcg/dose
dose Fully subsidised - Special Authority 50mcg/dose
50mcg/dose
50mcg/dose
removed 125mcg/dose
125mcg/dose
125mcg/dose BUDESONIDE Combination ONCE dipropionate (ultra fine particle)
nation
50mcg/dose
50mcg/dose
ICS & LABA Aerosol inhaler and Accuhaler
125mcg/dose
50mcg/dose125mcg/dose
125mcg/dose 250mcg/dose
250mcg/dose
250mcg/dose
Fully subsidised - Special Authority removed dipropionate
Combination ONCE
ose
mbination SAMA ICS–&Short-Acting
SAMA
LABA – Short-Acting Muscarinic
Fully Antagonists
subsidisedMuscarinic250mcg/dose
- Special 250mcg/dose
250mcg/dose Authority Antagonists
daily(see
removed ICS & 3)LABA
note (see note 3) Combination SABA & SABA
Combination SAMA
Combinationdaily
Fully subsidised - Special Authority removed FLUTICASONE FUROATE & daily ICS & LABA
ONCEICS & LABA
nation ICS
PIONATE & LABA
& SALMETEROL
FLUTICASONE
FLUTICASONE PROPIONATE FLUTICASONE
PROPIONATE & SALMETEROL
& SALMETEROL PROPIONATE & daily ICS &
VILANTEROL
LABA SALBUTAMOL
FLUTICASONE
FLUTICASONE FUROATE
FUROATE &&WITH IPRATROPIUM
SALBUTAMOL WITH IPRATROPIUM SALBUTAMO SA
sol inhaler IPRATROPIUM
FLUTICASONE Nebuliser
IPRATROPIUMPROPIONATE
FLUTICASONE PROPIONATE
solution
Nebuliser
&&
solution
TROPIUM
FLUTICASONE Aerosol
IPRATROPIUM inhaler
Aerosol
PROPIONATE Aerosol
inhaler inhaler
& SALMETEROL SALMETEROL FLUTICASONE FUROATE VILANTEROL
&
VILANTEROL Aerosol inhaler Aerosol inhaler Neb
sone propionate & Aerosol inhaler FLUTICASONE 250 mcg/mL
PROPIONATE
SALMETEROL powder
SALMETEROL &250 for inhalation
mcg/mL
powder & for VILANTEROL
powder
powder for forinhalation
inhalation
20mcg/puff
50mcg50mcgAerosol inhalerpropionate
20mcg/puff
fluticasone
fluticasone propionate & inhalation Fluticasone furoate 100mcg & salbutamol 100 mcg + 100 mcg +
salbutamol salbu

PREVENTERS
almeterol/puff
aler Floair Flixotide SALMETEROL
500mcg/2mL
powder
Flixotide for
Accuhaler 500mcg/2mL
inhalation
buhaler
50mcg Floair
Floairfluticasone Flixotide
propionate & Flixotide
100mcg fluticasone propionate powder
FlixotideFlixotide
Accuhaler
50mcg 125mcg 250mcg 50mcg 125mcg 250mcg 50mcg 100mcg 250mcg for
Accuhalerinhalation powder for
100mcg 200mcg 400mcg inhalation
50mcg 100mcg 250mcg 50mcg 100mcg
asone
imately propionate &
25mcg 25mcg salmeterol/puff
salmeterol/puff powder for& inhalation vilanterol 25 mcg Fluticasone furoate
Fluticasone furoate 100mcg&&ipratropium
ipratropium
100mcg 20 mcg /puff 20 mcg /puff ipratropi
proximately
ely 25mcg salmeterol/puff 100mcg
Floair Flixotide Flixotide Accuhaler
100mcg fluticasone
fluticasone propionate & furoate 100mcg
Pulmicort Turbuhaler
Fluticasone
propionate Beclazone
& Qvar
400
tandard 125mcg Fluticasone
Fluticasone
125mcg Fluticasoneandand
fluticasone
and
fluticasone 50mcg
beclomethasone
beclomethasone
propionate
beclomethasone
propionate salmeterol/dose
dipropionate
&
dipropionate & are are are
dipropionate
NOT
100mcg NOT
dosedose
NOT equivalent
dose propionate(Asthma
equivalent
equivalent
fluticasone & and& COPD) 25 mcg
vilanterol
vilanterol
vilanterol 25mcg
25 mcg
almeterol/puff
as standard 125mcg
ard
isfluticasone propionate as& 50mcg
50mcg salmeterol/dose
salmeterol/dose (Asthma and
andCOPD)
COPD)
lterol
opionate
ipropionate
ate
Fluticasone
Fluticasone
Fluticasone
25mcg
is approximately
approximately
25mcg
twice
is approximately
twice
250mcg
salmeterol/puff
salmeterol/puff Combination Inhaled Corticosteroids (ICS) + Long Acting Beta2 Agonists (LABA)
as twice
potentpotent
as as standard
aspotent
standard
fluticasone beclomethasone
as standard
beclomethasone
propionate
50mcg &dipropionate
beclomethasone dipropionate
dipropionate
salmeterol/dose Fluticasone furoate 200mcg
(Asthma &(Asthma
and COPD)
l: 250mcg fluticasone25mcg salmeterol/puff (Beclazone)
(Beclazone)
(Beclazone) 250mcg fluticasone
250mcg fluticasone propionate & Fluticasone furoate 200mcg&&
ne)
Notsubsidised:
subsidised: FLUTICASONE propionate + SALMETEROL
250mcg fluticasone 250mcg fluticasone
50mcg salmeterol/dose propionate &propionate & mcgfuroate
FLUTICASONE furoate
vilanterol 25
Fluticasone Fluticasone
200mcgfuroate
& 200mcg
BUDESONIDE + FORMOTEROL
5mcg Not
se salmeterol/puff
Not subsidised:
250mcg 250mcg
fluticasonefluticasone vilanterol25
25 mcg
Aerosol inhaler and Accuhaler 50mcg + VILANTEROL
50mcgsalmeterol/dose
(Asthma only)
salmeterol/dose
50mcg salmeterol/dose vilanterol
vilanterol 25 mcg mcg
Turbuhaler and Aerosol inhaler
propionate
propionate
propionate & 25mcg
& 25mcg & 25mcg salmeterol/puff
salmeterol/puff
salmeterol/puff Combination
Combination
Combination ONCE
ONCE ONCE (Asthmaonly)
(Asthma only) (Asthma only)
CS
ABA& LABA FullyFully
& LABA subsidised
Fully - Special
subsidised
subsidised - Special Authority
-Authority
Special removed
Authority
removed removed
daily ICS
daily
daily ICS & LABA
ICS & LABA
& LABA
NESONEPROPIONATE
ROPIONATE PROPIONATE & SALMETEROL
& SALMETEROL& SALMETEROL FLUTICASONE PROPIONATE & FLUTICASONE FLUTICASONE
FLUTICASONE FUROATE
FUROATE & & &
FUROATE
Aerosol inhaler FLUTICASONE
FLUTICASONE PROPIONATE PROPIONATE
& & VILANTEROL
erosol Aerosol
inhaler inhaler VILANTEROL VILANTEROL
gicasone
fluticasone propionate
SALMETEROL
SALMETEROL SALMETEROL powder for inhalation
0mcg fluticasone
propionate & & &
propionate powder for inhalation
powder powder for inhalation
for inhalation
powder powder
for for
inhalationinhalation
g5mcg25mcg AtroventSeretide Atrovent
salmeterol/puff
salmeterol/puff
salmeterol/puff RexAir Seretide Seretide Accuhaler Fluticasone
Fluticasone
Fluticasone furoate
50/25 125/25 250/25 50/25 125/25 250/25 100/50 250/50 Univent
furoate
furoate
100mcg & & &Univent
100mcg
100mcg Breo ElliptaBreo Ellipta
100/25 200/25 Duolin Duolin
100/6 200/6 400/12 100/6 200/6
cg fluticasone propionate &
100mcg
100mcg 100mcgfluticasone
fluticasonefluticasone & & & Seretide
propionate
propionate
propionate Accuhaler
vilanterol
vilanterol 25 mcg25 mcg
vilanterol 25 mcg
5mcg
ticasone
esentations are&RexAir
RexAir
Inhaler equivalent
presentations 50mcg
are
50mcg
Seretide
Seretide
RexAir Seretide Seretide Accuhaler
fluticasone
propionate propionate
NOT &
dose50mcg with
doseAccuhaler
salmeterol/dose
NOT equivalent(Asthma
salmeterol/dose
salmeterol/dose with Seretide
Seretide
Accuhaler
(Asthma andand
(Asthma
and COPD)
Accuhaler
AccuhalerBreo Ellipta
COPD) Fluticasone
COPD) furoate furoate
Fluticasone Breo
Breo Ellipta
Ellipta
Symbicort Turbuhaler Vannair
g5mcg salmeterol/puff
25mcg salmeterol/puff
salmeterol/puff
25mcg Inhalers
salmeterol containInhaler
Inhaler -25mcgpresentations
250mcg
presentations
250mcg fluticasone
salmeterol
250mcg
fluticasone
Accuhalers are- are
NOTNOT
propionate
Accuhalers
fluticasone dose
&dose
propionate
propionate
contain 50mcg equivalent
& Fluticasone
Fluticasone
equivalent
contain
&
salmeterol 50mcg
Fluticasone
furoate with
furoate
with Accuhaler
200mcg
salmeterol
furoate
200mcg & &100mcg
Accuhaler
200mcg & ONCE dailyONCE Fluticasone
100mcg Fluticasone
daily furoate
furoate
bsidised:
cg subsidised: ©Respiratory Quality Improvement Group, June 2016
250mcg
250mcg fluticasone
fluticasone
sed:
ate
puffs
pionate
e&
250mcg
& 25mcg
25mcg
fluticasone
Inhalers
Inhaler:
Inhalers
twice
& 25mcg daily; TWOcontain
contain
salmeterol/puff puffs 50mcg
25mcg
twice
25mcg
Accuhaler:
salmeterol/puff
salmeterol/puff
50mcg
daily;salmeterol/dose
50mcg
salmeterol
ONE
salmeterol/dose
salmeterol/dose
salmeterol - -Accuhalers
Accuhaler:
inhalation Accuhalers
ONE
twice inhalation
daily
vilanterol
vilanterolcontain
twice
contain
(Asthma
25
vilanterol
25 mcg mcg
25 mcg
50mcgsalmeterol
daily
50mcg
only)only)
Mast CellMast
salmeterol Cell Stabilisers
Stabilisers 100mcg
is approx. equivalent
only)is approx. equivalent to
100mcg to ONCE ONCEdaily daily
dose (Asthma (Asthma
If extra Inhaler:
inhaled corticosteroid
Inhaler:
TWO TWO is needed,
puffs
puffs twice change
daily; to the higher
Accuhaler: strength
ONE presentation
inhalation daily fluticasone
twicedaily propionate
is approx.
approx. equivalent toto
costeroid is needed,
SODIUM change totwice
CROMOGLYCATE the daily;
higher Accuhaler:
strength
Powder ONE inhalation
forpresentation
inhalation twice
fluticasone propionate is
SODIUM CROMOGLYCATE equivalent
Aerosol inhaler NEDOC
NEDOCROMIL Ae
edose
UM CROMOGLYCATE or Powder
add separatefor inhalation
inhaled corticosteroid SODIUM CROMOGLYCATE
250mcg TWICE dailyAerosol inhaler
 powder for inhalation 62.5mcg/dose
For asthma,
ForMUST
LABA –For be
asthma,
Long used
asthma,
MUST in
Acting combination
MUST
be be used
used
Beta2 with
in
inAgonists an inhaled
combination
combination with corticosteroid
with
(seean 3)an inhaled
inhaled
note corticosteroid
corticosteroid refer refer ‘Ultra’ long-acting bet
refer http://www.nzf.org.nz/nzf_1706
http://www.nzf.org.nz/nzf_170
http://www.nzf.org.nz/nzf_1706
ST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706
Inhaler Devices Identification Chart
agonist (see note 3)
SALMETEROL SALMETEROL
SALMETEROL SALMETEROL SALMETEROL
SALMETEROL FORMOTEROL (eformoterol)
FORMOTEROL
FORMOTEROL (eformoterol)
(eformoterol)
Foradil capsule containing powder for Onbrez capsules containing
FORMOTEROL powder
(eformoterol)
FORMOTEROL
FORMOTEROL (efor
aler
Aerosol inhaler SALMETEROL
Aerosol
Aerosol inhaler
Oxis inhaler
Turbuhaler FORMOTEROL
Powder forPowder(eformoterol)
inhalation
Powder
for for 6mcg/dose
inhalation
inhalation powder for
6mcg/dose
6mcg/dose powderpowder
for for INDACATEROL
Long Acting Beta2 Agonists (LABA)
inhalation FORMOTEROL (eformoterol)
viaforAerolizer device for inhalation via Breezhaler
12mcg/dose device
powder
apsule Powder
containing
25mcg/dose for inhalation
powder
25mcg/dose
25mcg/dose for 6mcg/dose
50mcg/dose powder 50mcg/dose
50mcg/dose inhalation inhalation
inhalation
12mcg/dose
powder forfor
12mcg/dose inhalatio
powderpowd
inhalationfo
SALMETEROL Aerosol inhaler and Accuhaler Spiriva Respimat FORMOTEROL (eformoterol)
12mcg/dose powder for inhalation
Seebri INDACATEROL
Incruse
capsules Ellipta or
containing powder for
r 50mcg/dose
Oxis and Foradil are NOTinhalation
dose equivalent Indication - COPD
150 mcg/dose 300 mcg/d
tion via Handihaler
Spiriva Respimat device Incruse Ellipta
dose OxisAdult dose:
contains 2 puffs (5mcg) ONCE daily
6mcg/dose Indication – COPD:
150mcg ONE dose inhaled
via Breezhaler
OR 300mcg ONCE
device
se: 18mcg
se: 2 puffs (5mcg)
inhaledONCE
ONCE daily
daily Indication – COPD: ONE dose inhaled ONCE daily
ce daily Foradil contains 12mcg/capsule for inhalation Indication
inhaled via Breezhaler– COPD:
ONCE 50mcg
daily inhaled ON

SYMPTOM CONTROLLERS

MA Combination
– Long Acting Muscarinic Combination
LAMA & ‘ultra’ long-acting LAMA(LABA)
(see note
beta2 agonist & ‘ultra’ long-acting beta2 agonist (LA
3)
25mcg 25mcg 50mcg 6mcg 12mcg
No Special Authority required for umeclidinium Special
or Authority required
150mcg 300mcg
glycopyrronium –
see Note 2
Serevent Accuhaler
Serevent
Serevent
Meterol Serevent Serevent Accuhaler Accuhaler Foradil capsule containing powder Foradil
Accuhaler for capsule
Foradil
Onbrez containing
Foradil
capsules powder
capsule
capsule
containing con
containinpo
ol
ent MeterolMeterol Serevent
Serevent (see Accuhaler
note Serevent
3) Serevent Oxis Turbuhaler Oxis Turbuhaler
Oxis Turbuhaler Foradil Aerolizer device Oxis Oxis
Turbuhaler Onbrez Breezhaler
Turbuhaler
L Antagonists
IOTROPIUM BROMIDE WITH OLODATEROL
UMECLIDINIUM WITH VILANTEROL UMECLIDINIUM
inhalation script must be
WITH VILANTEROL endorsed
inhalation
via AerolizerGLYCOPYRRONIUM
device that
via Aerolizer
inhalation
for inhalation
WITH
Combination Long Acting Muscarinc Antagonists (LAMA)
via device
inhalation via A
Aeroliz
via Breezhaler
INDACATEROL dpatient has had COPD confirmed by spirometry
Long Acting Muscarinic Antagonists (LAMA)
solution for inhalation powder for inhalation
MTr presentations
dose equivalent
InhalerInhaler with
are Accuhaler
NOT dose
presentations
presentations equivalent
arepowder
are NOT with
NOT equivalent
dose dose
UMECLIDINIUM Accuhaler
for equivalent
withand
Oxis
inhalation with
Accuhaler
Foradil are NOT dose+ Long Acting Beta2 Agonists (LABA)
Accuhaler equivalent
Oxis GLYCOPYRRONIUM
and Foradil
Oxis Oxis
and powder
areForadil
NOTForadil
and doseforNOT
are Indication - COPD
inhalation
equivalent
are NOT equivalent
dose dose equiva
;Tiotropium
Accuhaler
25mcg - 50mcg
2.5mcg salmeterol/dose
salmeterol/puff; with olodaterol
Accuhaler - 62.52.5mcg
50mcg salmeterol/dose Oxis containsTIOTROPIUM +
6mcg/dose UMECLIDINIUM + GLYCOPYRRONIUM +
150mcg OR 300mcg
InhalerInhaler
- 25mcg
mcg/inhalation - TIOTROPIUM
25mcg salmeterol/puff;
salmeterol/puff;
Umeclidinium
powder for Accuhaler
Accuhaler - with
UMECLIDINIUM
mcg
inhalation - vilanterol
50mcg 50mcg
GLYCOPYRRONIUM
62.5mcg/dose 25 mcg Umeclidinium
salmeterol/dose
salmeterol/dose 62.5
powder
OLODATEROL
mcg
forOxis withOxis
glycopyrronium
inhalation
VILANTEROL
vilanterol
contains 6mcg/dose
Oxis
50 mcg
50mcg/dose 25
contains
contains with mcg
INDACATEROL
6mcg/dose
6mcg/dose
indacaterol 110
ly Accuhaler ONE inhalation twice daily Foradil contains 12mcg/capsule for inhalation inhaled via Breezhaler
erAerosol
rosolTWO puffs
inhaler twice
inhaler
TWO dailypuffs
TWO
puffs Accuhaler
twice twice ONE Accuhaler
daily daily inhalation
Accuhaler twiceinhalation
ONE
ONE inhalation daily daily Foradil contains
dailytwicetwice Foradil12mcg/capsule
Foradil contains
contains for inhalation
12mcg/capsule
12mcg/capsule for inhad
ONCE
for inhalation
LAMA – Long Acting Muscarinic No Special Authority required for umeclidinium or glycopyrronium –
ropium see Note 1
Antagonists
see Note 1 (see
see Notesee
LAMA
note 3)
1 Note 1
– Long
LAMA Acting
LAMA
– Long Muscarinic
– Long
Acting Acting MuscarinichadSpecial
Muscarinic
script must be endorsed that patient hasNo COPDNoAuthority
Special
confirmed required
No Special
by Au
Authorit
spirom
hority
pecial required
Special
Authorityfor Tiotropium
Authority required
required for Tiotropium
for Tiotropium (see note 3) (see note
(see3)note 3)
AntagonistsAntagonists
Antagonists script must be endorsed
scriptscript
must
that
must bepatie
end
be endorsed
TIOTROPIUM
18mcg 2.5mcg 62.5mcg UMECLIDINIUM
50mcg 2.5/2.5 62.5/25 GLYCOPYRRONIUM
50/110
Seebri capsulesUltibro capsule
containing powdercontaining powder for inhala
for inhalation
TIOTROPIUM
eat solution forTIOTROPIUM
TIOTROPIUM
Spiolto
inhalation Respimat
Spiriva Handihaler Spiriva Respimat Anoro
Incruse
2.5mcg/inhalation Ellipta
TIOTROPIUM
Incruse Ellipta TIOTROPIUM
TIOTROPIUM
Ellipta powder
Seebri Breezhaler Spiolto
for inhalation 62.5mcg/dose UMECLIDINIUM
Anoro Elliptapowder
Anoro Ellipta UMECLIDINIUM
UMECLIDINIUM
for inhalation 50mcg/dose
Ultibro Breezhaler
via Breezhaler device
via Breezhaler device
y
g)inhalation
PowderPowder
ONCE for
NOTES
daily18mcg/dose
ndication •COPD:for Indication
inhalation
inhalation Indication solution
18mcg/dose
18mcg/dose – COPD:
COPD:
TWO inhalations ONCE daily for
ONE inhalation
ONE solution
solution
dose for 2.5mcg/inhalation
inhalation
for
inhaled ONCE
ONCE daily
inhalation
inhalation daily 2.5mcg/inhalation
2.5mcg/inhalation
Indicationpowder
COPD: for inhalation
powder
ONE powder
for 62.5mcg/dose
for inhalation
inhalation
inhalation 62.5mcg/dose
62.5mcg/dose
•
Beclazone and Qvar are NOT dose equivalent Indication Indication
– COPD:
Fluticasone furoate 100mcg DAILY is approximately equivalent to fluticasone propionate 250mcg BD
50mcg COPD:ONCE
inhaled ONE daily
ONCEinhalation
daily ONCE dai
• Breo Ellipta 200/25 is not subsidised
ch 2016. Disclaimer: This information is obtained from current relevant sources; individual clinical circumstances should be considered
Symbicort 400/12 and Seretide Accuhaler 100/50 and 250/50 can not be prescribed as greater than 2 doses per day when making treatment deci
repared by Helen
• Cant Clinical Pharmacist Tokoroa March 2016. Disclaimer: This information is obtained from currentseerelevant
on LAMA & ‘ultra’ long-acting beta2 agonist (LABA) Special Authority required Note 2 sources; individual clinical cir
• The therapeutic dose of tiotropium when delivered via Respimat device (Spiriva Respimat or Spiolto) is 5microgram daily ie. two doses inhaled once daily
or • Tiotropium (handihaler and respimat) – require Special Authority SA1568 (Actual FEV1 as a % of predicted <60%) Seebri capsules containing powder for inhala
• UMECLIDINIUM WITH VILANTEROL
Spiriva Respimat GLYCOPYRRONIUM WITH INDACATEROL
Incruse Ellipta
Glycopyrronium – Subsidy by endorsement “certified condition” or “COPD confirmed by spirometry” (post bronchodilator FEV1/FVC < LLN or <0.7)
• Umeclidinium – Subsidy by endorsement “certified condition” or “COPD confirmed by spirometry” (post bronchodilator FEV1/FVC < LLN or <0.7) via Breezhaler device
ule
iriva Adult
Spiriva• dose:
containing
capsule capsule 2 puffs (5mcg) ONCE daily
powder
powder
containingfor
for
containinginhalation
powderpowder
for for Indication – COPD: ONE dose inhaled ONCE daily
powder for inhalation Seeb
Prescribing Combination LAMA + LABA - all combinations (Spiolto, Anoro Ellipta, Ultibro) require Special Authority SA1584 (same form for all combinations)
ily Spiriva RespimatSpiriva
Spiriva Respimat
Respimat Incruse Ellipta Incruse
Incruse ElliptaEllipta Indication – COPD: 50mcg inhaled ONCE da
*Inhalers not depicted include Mast Cell Stabilisers including: SODIUM CROMOGLYCATE powder for inhalation (Intal Spincaps and spinhaler 20mg/dose) and aerosol inhaler (Intal Forte 5mg/puff) and
viaUmeclidinium
Handihaler
inhalation
inhalation device
62.5
via mcgdevice
withdevice
Handihaler
via Handihaler vilanterol 25 mcg
NEDOCROMIL aerosol inhaler (Tilade 2mg/puff) glycopyrronium 50 mcg with indacaterol 110 mcg
Adult dose: 2 puffs
Adult (5mcg)
Adult
dose: dose:
2 ONCE
2
puffs daily
puffs
(5mcg)(5mcg) Indication
ONCEONCE
daily – COPD:
daily IndicationONE dose
Indication inhaled
–Authority
– COPD:
Special COPD:
ONE ONE
doseONCE
dosedaily
inhaled
required inhaled
ONCEONCE
daily see Note 2
18mcg
ult inhaled
(seeAdult
note
dose: 3)dose:
18mcg Combination
ONCE
18mcg daily
inhaled
inhaled ONCEONCE LAMA
daily daily& ‘ultra’ long-acting beta2 agonist (LABA) Ind
©Respiratory Quality Improvement Group, June 2016
TH OLODATEROL UMECLIDINIUM WITH VILANTEROL GLYCOPYRRONIUM WITH INDACATEROL
lation (see note 3) (see note
(seeCombination LAMA &LAMA
Combination
Combination
note 3) for
3)powder inhalation ‘ultra’
&long-acting
LAMA & ‘ultra’
‘ultra’ beta2
long-actingagonist
long-acting
beta2
powder (LABA)
for beta2 agonist
agonist
inhalation Spec
(LA
(LABA)