Drug reference

Beclometasone with formoterol

BNF 80 (2020–2021)

Source: BNF 80 (2020–2021)
PDF pages: 294, 295

Review source pages for extracted sections and age labels. BNF dose snippets show only their first line.

Overview

Indications And Dose

FOSTAIR NEXTHALER ® 100/6 Asthma maintenance therapy ▶BY INHALATION OF POWDER ▶Adult: 1–2 inhalations twice daily; maximum 4 inhalations per day Asthma, maintenance and reliever therapy ▶BY INHALATION OF POWDER ▶Adult: Maintenance 1 inhalation twice daily; 1 inhalation as required, for relief of symptoms; maximum 8 inhalations per day Chronic obstructive pulmonary disease with forced expiratory volume in 1 second < 50% of predicted ▶BY INHALATION OF POWDER ▶Adult: 2 inhalations twice daily DOSE EQUIVALENCE AND CONVERSION ▶For inhalation of powder, when switching patients from other beclometasone dipropionate formulations with non-extraﬁne particle size distribution to Fostair NEXThaler ®, the dose should be adjusted according to response. ▶1 inhalation is equivalent to 100 micrograms beclometasone dipropionate and 6 micrograms formoterol fumarate. FOSTAIR NEXTHALER ® 200/6 Asthma maintenance therapy ▶BY INHALATION OF POWDER ▶Adult: 2 inhalations twice daily; maximum 4 inhalations per day DOSE EQUIVALENCE AND CONVERSION ▶For inhalation of powder, when switching patients from other beclometasone dipropionate formulations with non-extraﬁne particle size distribution to Fostair NEXThaler ®, the dose should be adjusted according to response. ▶1 inhalation is equivalent to 200 micrograms beclometasone dipropionate and 6 micrograms formoterol fumarate. FOSTAIR ® 100/6 Asthma maintenance therapy ▶BY INHALATION OF AEROSOL ▶Adult: 1–2 inhalations twice daily; maximum 4 inhalations per day Asthma, maintenance and reliever therapy ▶BY INHALATION OF AEROSOL ▶Adult: Maintenance 1 inhalation twice daily; 1 inhalation as required, for relief of symptoms; maximum 8 inhalations per day Chronic obstructive pulmonary disease with forced expiratory volume in 1 second < 50% of predicted ▶BY INHALATION OF AEROSOL ▶Adult: 2 inhalations twice daily DOSE EQUIVALENCE AND CONVERSION ▶For inhalation of aerosol, when switching patients from other beclometasone dipropionate and formoterol fumarate inhalers, dose should be adjusted according to response—100 micrograms of beclometasone dipropionate extraﬁne in Fostair ® is equivalent to 250 micrograms of beclometasone dipropionate in a non-extraﬁne formulation. ▶1 inhalation is equivalent to 100 micrograms beclometasone dipropionate and 6 micrograms formoterol fumarate. FOSTAIR ® 200/6 Asthma maintenance therapy ▶BY INHALATION OF AEROSOL ▶Adult: 2 inhalations twice daily; maximum 4 inhalations per day DOSE EQUIVALENCE AND CONVERSION ▶For inhalation of aerosol, when switching patients from other beclometasone dipropionate and formoterol fumarate inhalers, dose should be adjusted according to response—100 micrograms of beclometasone dipropionate extraﬁne in Fostair ® is equivalent to 250 micrograms of beclometasone dipropionate in a non-extraﬁne formulation. ▶1 inhalation is equivalent to 200 micrograms beclometasone dipropionate and 6 micrograms formoterol fumarate.

PDF pages 294, 295

Safety

Important Safety Information

MHRA/CHM ADVICE (JULY 2008) Fostair ® contains extra-ﬁne particles of beclometasone dipropionate and is more potent than traditional beclometasone dipropionate CFC-free inhalers. The dose of beclometasone dipropionate in Fostair ® should be lower than non-extra-ﬁne formulations of beclometasone dipropionate and will need to be adjusted to the individual needs of the patient.

PDF page 295

Interactions

→Appendix 1: beta2 agonists. corticosteroids

PDF page 295

Dose and formulations

Medicinal Forms

There can be variation in the licensing of different medicines containing the same drug. Inhalation powder CAUTIONARY AND ADVISORY LABELS 8, 10 ▶Fostair NEXThaler (Chiesi Ltd) Formoterol fumarate dihydrate 6 microgram per 1 dose, Beclometasone dipropionate 100 microgram per 1 dose Fostair NEXThaler 100micrograms/dose / 6micrograms/dose dry powder inhaler | 120 dose P £29.32 DT = £29.32 Formoterol fumarate dihydrate 6 microgram per 1 dose, Beclometasone dipropionate 200 microgram per 1 dose Fostair NEXThaler 200micrograms/dose / 6micrograms/dose dry powder inhaler | 120 dose P £29.32 DT = £29.32 Pressurised inhalation CAUTIONARY AND ADVISORY LABELS 8, 10 ▶Fostair (Chiesi Ltd) Formoterol fumarate dihydrate 6 microgram, Beclometasone dipropionate 200 microgram Fostair 200micrograms/dose / 6micrograms/dose inhaler | 120 dose P £29.32 DT = £29.32 Respiratory system Formoterol fumarate dihydrate 6 microgram per 1 dose, Beclometasone dipropionate 100 microgram per 1 dose Fostair 100micrograms/dose / 6micrograms/dose inhaler | 120 dose P £29.32 DT = £29.32

PDF page 295

Clinical care

Patient And Carer Advice

Patients or carers should be given advice on how to administer beclometasone with formoterol aerosol for inhalation. With high doses, a steroid card should be supplied.

PDF page 295

Dose text by age group

Adult

1–2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

Maintenance 1 inhalation twice daily;

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

2 inhalations twice daily

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

1–2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

Maintenance 1 inhalation twice daily;

First-line fragment. Read the complete Indications and Dose section above.

PDF page 295

Adult

2 inhalations twice daily

First-line fragment. Read the complete Indications and Dose section above.

PDF page 295

Adult

2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 295

Age labels are extracted for navigation. Check the complete source section and current local guidance before clinical use.

Drug reference

Beclometasone with formoterol

BNF 80 (2020–2021)

Source: BNF 80 (2020–2021)
PDF pages: 294, 295

Review source pages for extracted sections and age labels. BNF dose snippets show only their first line.

Overview

Indications And Dose

PDF pages 294, 295

Safety

Important Safety Information

PDF page 295

Interactions

→Appendix 1: beta2 agonists. corticosteroids

PDF page 295

Dose and formulations

Medicinal Forms

PDF page 295

Clinical care

Patient And Carer Advice

Patients or carers should be given advice on how to administer beclometasone with formoterol aerosol for inhalation. With high doses, a steroid card should be supplied.

PDF page 295

Dose text by age group

Adult

1–2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

Maintenance 1 inhalation twice daily;

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

2 inhalations twice daily

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

1–2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 294

Adult

Maintenance 1 inhalation twice daily;

First-line fragment. Read the complete Indications and Dose section above.

PDF page 295

Adult

2 inhalations twice daily

First-line fragment. Read the complete Indications and Dose section above.

PDF page 295

Adult

2 inhalations twice daily; maximum

First-line fragment. Read the complete Indications and Dose section above.

PDF page 295

Age labels are extracted for navigation. Check the complete source section and current local guidance before clinical use.