If you are:
FDB Only When Necessary: ACOG GUIDELINES REC INHALED CORTICOSTEROIDS FOR ASTHMA TREATMENT IN PREGNANCY
Precaution: UNLIKELY CLINICALLY SIGNIFICANT AMOUNT EXCRETED WITH TOP/NASAL ADMINISTRATION
Giving Asmanex Twisthaler 220 mcg (120 doses) breath activated to a child under 12:
management or monitoring precaution: May reduce growth rate; monitor growth and titrate to lowest effective dose.
Severe Precaution: May cause reduced growth rate. Potential HPA-axis suppression. Safety and efficacy not established age < 4 years.
management or monitoring precaution: May cause growth delay. Monitor growth rate and titrate to lowest effective dose.
Severe Precaution: Higher doses increase the risk of growth delay and possible HPA-axis suppression. 110 mcg strength approved ages 4-11 years. Titrate to lowest effective dose. Monitor growth rate.