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ICS + LABA combination inhaler

Beclometasone with formoterol

Brand names: Fostair

Adult dose

Dose: 100/6 or 200/6: 1–2 inhalations BD; MART regimen 1 BD + PRN
Route: Inhaled (pMDI)
Frequency: BD ± PRN

Clinical pearls

  • NICE NG80 / GINA / BTS-SIGN: ICS-formoterol MART preferred for adults & adolescents
  • Extra-fine particle formulation (Fostair) — differential lung deposition vs other ICS-LABA

Contraindications

  • Untreated asthma exacerbation
  • Hypersensitivity

Side effects

  • Tremor
  • Tachycardia
  • Oral candidiasis
  • Hypokalaemia
  • Pneumonia (COPD)
  • Adrenal suppression (high-dose)

Interactions

  • Beta-blockers
  • QT-prolonging drugs
  • CYP3A4 inhibitors
  • Diuretics

Monitoring

  • Asthma control
  • PEFR
  • Inhaler technique

Reference: BNF; NICE NG80; BTS/SIGN; GINA; https://bnf.nice.org.uk/drugs/beclometasone-with-formoterol/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.