Pulmonary - Mast Cell stabilizers

cromolyn sodium (Intal ®) nedocromil (Tilade ®)

cromolyn sodium (Intal ®)  top of page icon

Inhalation: May be used as an adjunct in the prophylaxis of allergic disorders, including asthma; prevention of exercise-induced bronchospasm
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Dosing:
Inhalation:
For chronic control of asthma, taper frequency to the lowest effective dose (ie, 4 times/day to 3 times/day to twice daily):

Nebulization solution: Children >2 years and Adults: Initial: 20 mg 4 times/day; usual dose: 20 mg 3-4 times/day

Metered spray:
Children 5-12 years: Initial: 2 inhalations 4 times/day; usual dose: 1-2 inhalations 3-4 times/day

Children >/= 12 years and Adults: Initial: 2 inhalations 4 times/day; usual dose: 2-4 inhalations 3-4 times/day

Prevention of allergen- or exercise-induced bronchospasm: Administer 10-15 minutes prior to exercise or allergen exposure but no longer than 1 hour before:

Nebulization solution: Children >2 years and Adults: Single dose of 20 mg

Metered spray: Children >5 years and Adults: Single dose of 2 inhalations
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Supplied:
Aerosol, for oral inhalation, as sodium (Intal®): 800 mcg/inhalation (8.1 g) [112 metered inhalations; 56 doses], (14.2 g) [200 metered inhalations; 100 doses]

Solution for nebulization, as sodium (Intal®): 20 mg/2 mL (60s, 120s)

nedocromil  (Tilade ®) top of page icon

Use
Aerosol: Maintenance therapy in patients with mild to moderate bronchial asthma

Mechanism of Action
Inhibits the activation of and mediator release from a variety of inflammatory cell types associated with asthma including eosinophils, neutrophils, macrophages, mast cells, monocytes, and platelets; it inhibits the release of histamine, leukotrienes, and slow-reacting substance of anaphylaxis; it inhibits the development of early and late bronchoconstriction responses to inhaled antigen
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Dosing:
Inhalation: Children >6 years and Adults: 2 inhalations 4 times/day; may reduce dosage to 2-3 times/day once desired clinical response to initial dose is observed
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Supplied:
Aerosol for inhalation, as sodium (Tilade®): 1.75 mg/activation (16.2 g)
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Disclaimer

Listed dosages are for - Adult patients ONLY. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. GlobalRPH does not directly or indirectly practice medicine or provide medical services and therefore assumes no liability whatsoever of any kind for the information and data accessed through the Service or for any diagnosis or treatment made in reliance thereon.

David F. McAuley, Pharm.D., R.Ph.  GlobalRPh Inc.