Inhaled Mometasone

Aka: Inhaled Mometasone, Asmanex

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II. Indications

  1. Inhaled Corticosteroids are the most important agent in Asthma Management
  2. Indicated as daily maintenance agents in all persistent Asthma
    1. Mild Persistent Asthma
    2. Moderate Persistent Asthma
    3. Severe Persistent Asthma

III. Dosing: Mometasone (Asmanex Twisthaler or HFA)

  1. Use child dosing for age 6 to 11 years old
    1. Dry Powder Inhaler (Asmanex Twisthaler) approved down to age 4 years old
  2. Dose per puff
    1. Asmanex Twisthaler (dry powder) 110 or 220 mcg/puff (available 100, 200 or 400 mcg/puff in Canada)
    2. Asmanex HFA 50, 100, 200 mcg/puff (120 puffs/Inhaler)
  3. Low to Medium dose
    1. Adult: 220 mcg Inhaler, 1 puff daily
    2. Child: 110 mcg Inhaler, 1 puff daily
  4. High dose
    1. Adult: 220 mcg Inhaler, 2 puffs daily

IV. Medications: Combinations

  1. Formoterol/Mometasone (Dulera)

V. Adverse Effects

  1. See Inhaled Corticosteroid

VI. Efficacy

  1. See Inhaled Corticosteroid

VII. Safety

  1. Pregnancy Category C
  2. Unknown Safety in Lactation

VIII. Resources

  1. Mometasone or Asmanex (DailyMed)
    1. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=0c6d63da-41bc-4894-bead-198e66c848ac

IX. References

  1. (2022) Comparison of Asthma Medications, Presc Lett, #381217
  2. (2020) Drugs for Asthma, Med Lett Drug Ther 62: 193-200

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Related Studies

Cost: Medications

asmanex (on 5/18/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
ASMANEX HFA 100 MCG INHALER $14.81 per gram
ASMANEX HFA 200 MCG INHALER $17.43 per gram
ASMANEX HFA 50 MCG INHALER $13.72 per gram
ASMANEX TWISTHALER 110 MCG #30 $178.64 each
ASMANEX TWISTHALER 220 MCG #30 $192.47 each
ASMANEX TWISTHALER 220 MCG #60 $225.92 each
ASMANEX TWISTHALR 220 MCG #120 $324.90 each
FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information. GoodRx is another tool for finding lower drug prices.

Related Topics in Pharmacology

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