Asthma inhalers available for children 1–5 years

ClassMedicineAvailable inhaler types (brand names)TGA-approved age groupNotes
SABASalbutamolpMDI with dose counter (Asmol, Ventolin, Zempreon)No restriction

≤3 years: with small spacer plus mask

4–5 years: with small spacer

Breath-actuated MDI (Airomir Autohaler)No restrictionBreath-actuated MDIs not recommended for children 1–5 years 
ICSFluticasone propionatepMDI (Axotide Junior, Flixotide Junior)≥ 1 years

≤3 years: with small spacer plus mask

4–5 years: with small spacer and mouthpiece

DPI (Axotide Junior Accuhaler, Flixotide Junior Accuhaler)≥ 5 years

DPIs not recommended for children 1–5 years

⚠ Accuhaler contradicted for children with severe milk-protein allergy

Fluticasone furoateDPI (Arnuity Ellipta)≥ 5 years

DPIs not recommended for children 1–5 years

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

ICS-LABAFluticasone propionate-salmeterolpMDI (Evocair, Pavtide, Seretide)≥4 years4–5 years: with small spacer and mouthpiece
DPI (Pavtide Accuhaler, Seretide Accuhaler)≥4 years

DPIs not recommended for children 1–5 years

⚠ Accuhaler contradicted for children with severe milk-protein allergy

LABASalmeterol

DPI (Serevent Accuhaler)

                                                           

≥4 years

Salmeterol indicated only in patients also using ICS or oral corticosteroids

Separate inhalers for ICS and LABA should be generally avoided to prevent accidental LABA monotherapy

DPIs not recommended for children 1–5 years

⚠ 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 1–5 years. 

[ ] Recommended options

[  ] Not recommended for most children in this age group