MedicationDosage formChild dosage*
Inhaled medications
Albuterol (Proventil)HFA MDI with spacer: 90 mcg per puff, 200 puffs1 to 2 puffs every 4 to 6 hours as needed.
Nebulizer solution: 5 mg per mL (0.5 percent), 3.5 mg per 3 mL, 1.25 mg per 3 mL, 0.63 mg per 3 mL0.05 mg per kg (minimum 1.25 mg, maximum 2.5 mg) in 3 mL of saline every 4 to 6 hours.
Ipratropium (Atrovent)MDI with spacer: 18 mcg per puff, 200 puffs1 to 2 puffs every 6 hours
Nebulizer solution: 0.25 mg per mL (0.025 percent)0.25 to 0.5 mg every 6 hours
Levalbuterol (R-albuterol, Xopenex)Nebulizer solution: 0.31 mg per 3 mL, 0.63 mg per 3 mL, 1.25 mg per 3 mL0.025 mg per kg (minimum 0.63 mg; maximum 1.25 mg) every 4 to 8 hours
Systemic corticosteroids
Methylprednisolone (Medrol)2-, 4-, 8-, 16-, and 32-mg tablets0.25 to 2 mg per kg in the morning or every other day, as needed for control
Short-course “burst”: 1 to 2 mg per kg per day (maximum 60 mg per day) for 3 to 10 days
Prednisolone (Delta-Cortef)5-mg tabletsSame as methylprednisolone
Syrup: 5 mg per 5 mL, 15 mg per 5 mL
Prednisone1-, 2.5-, 5-, 10-, 20-, and 50-mg tabletsSame as methylprednisolone
Syrup: 5 mg per mL, 5 mg per 5 mL