Asthma inhalers available for children 6–11 years

ClassMedicineAvailable inhaler types (brand names)Notes
SABASalbutamolpMDI with dose counter (Asmol, Ventolin, Zempreon)pMDIs should be used with spacers
Breath-actuated MDI (Airomir Autohaler)Breath-actuated MDIs are generally suitable for children aged ≥ 7 years
TerbutalineDPI (Bricanyl Turbuhaler)DPIs are generally suitable for children aged 10 years and over. Most primary-school children can use a DPI correctly with training, support and practice, but some children <10 years may have difficulty
ICSBeclometasonepMDI (Qvar)pMDIs should be used with spacers
Breath-actuated MDI (Qvar Autohaler)Breath-actuated MDIs are generally suitable for children aged ≥ 7 years
BudesonideDPI (Pulmicort Turbuhaler)DPIs are generally suitable for children aged 10 years and over. Most primary-school children can use a DPI correctly with training, support and practice, but some children <10 years may have difficulty
CiclesonidepMDI (Alvesco)pMDIs should be used with spacers
Fluticasone furoateDPI (Arnuity Ellipta)

DPIs are generally suitable for children aged 10 years and over. Most primary-school children can use a DPI correctly with training, support and practice, but some children <10 years may have difficulty

⚠ Arnuity Ellipta contradicted for children with severe milk-protein allergy

Fluticasone propionatepMDI (Axotide Junior, Flixotide Junior, Fluticasone Cipla)pMDIs should be used with spacers
DPI (Axotide Junior Accuhaler, Flixotide Junior Accuhaler)

DPIs are generally suitable for children aged 10 years and over. Most primary-school children can use a DPI correctly with training, support and practice, but some children <10 years may have difficulty

⚠ Accuhaler contradicted for children with severe milk-protein allergy

ICS-LABAFluticasone propionate-salmeterolpMDI (Evocair, Pavtide, Seretide)pMDIs should be used with spacers
DPI (Pavtide Accuhaler, Seretide Accuhaler)

DPIs are generally suitable for children aged 10 years and over. Most primary-school children can use a DPI correctly with training, support and practice, but some children <10 years may have difficulty

⚠ Accuhaler contradicted for children with severe milk-protein allergy

LABASalmeterolDPI (Serevent Accuhaler)

⚠Salmeterol indicated only in patients also using ICS or oral corticosteroids. Separate inhalers for ICS and LABA should be avoided to prevent accidental LABA monotherapy

DPIs are generally suitable for children aged 10 years and over. Most primary-school children can use a DPI correctly with training, support and practice, but some children <10 years may have difficulty

⚠ Accuhaler contradicted for children with severe milk-protein allergy

Additional information

DPI: dry powder inhaler; ICS: inhaled corticosteroid;  LABA: long-acting  beta2 agonist; MDI: metered-dose inhaler; pMDI: pressurised metered-dose inhaler;  SABA: short-acting beta2 agonist; TGA: Therapeutic Goods Administration

Table shows inhalers approved by TGA for the treatment of asthma in children 6–11 years. 

[ ] Recommended options (subject to notes on age groups)

[  ] Not recommended for most children in this age group