MedicationDosage
Albuterol (nebulized)Children
Initial: 0.15 mg per kg (minimum dose is 2.5 mg) every 20 minutes for three doses
Subsequent: 0.15 to 0.3 mg per kg (up to 10 mg) every one to four hours as needed
Adults
Initial: 2.5 to 5 mg every 20 minutes for three doses
Subsequent: 2.5 to 10 mg every one to four hours as needed
Ipratropium (nebulized)Children: 0.25 to 0.5 mg every 20 minutes for three doses and then as needed
Adults: 0.5 mg every 20 minutes for three doses and then as needed
Oral corticosteroids (e.g., prednisone, methylprednisolone, prednisolone)Children: 1 mg per kg in two divided doses (maximum dosage is 60 mg per day)
Adults: 40 to 80 mg per day in one or two divided doses
Intramuscular epinephrine* (1 mg per mL)Children: 0.01 mg per kg per dose every five to 15 minutes up to three doses (maximum dose for prepubertal children is 0.3 mg per dose; maximum dose for adolescents is 0.5 mg per dose)
Adults: 0.3 to 0.5 mg; may repeat every 20 minutes for three doses
High-dose inhaled corticosteroidsIf five years or older, 2 mg or greater of beclomethasone equivalent
Intravenous magnesium sulfate2-g infusion over 20 minutes