[
  {
    "phenotype_id": "PH3449",
    "phenotype_version_id": 8489,
    "name": "High dose ICS Inhalers",
    "definition": "This codelist was taken from [OpenCodelists](https://www.opencodelists.org/), created by [OpenSAFELY](https://www.opensafely.org/). We recommend viewing this Phenotype on the OpenCodelist website to view the most recent version.\n\n\nA list of high dose inhaled corticosteroid (ICS) preparations at VMP and AMP from the [NHS Dictionary of Medicines and Devices](https://ebmdatalab.net/what-is-the-dmd-the-nhs-dictionary-of-medicines-and-devices/).\n\n\n© University of Oxford for the Bennett Institute for Applied Data Science 2025\\. This work may be copied freely for non\\-commercial research and study.\n\n",
    "implementation": null,
    "publications": null,
    "validation": null,
    "citation_requirements": null,
    "created": "2026-01-26T23:17:55.372795Z",
    "author": "OpenSAFELY",
    "collections": [
      {
        "name": "OpenCodelist",
        "value": 31
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 1,
      "slug": "opensafely",
      "name": "OpenSAFELY"
    },
    "world_access": 1,
    "updated": "2026-01-26T23:17:55.367463Z",
    "references": [
      {
        "url": "https://github.com/ebmdatalab/steroids-covid-codelist-notebook/blob/master/notebooks/highdose.inhaled.steroids.ipynb",
        "title": "Jupyter Notebook"
      },
      {
        "url": "https://github.com/ebmdatalab/opencorona-ics-research/issues/25",
        "title": "GitHub discussion"
      },
      {
        "url": "https://openprescribing.net/measure/icsdose/national/england/",
        "title": "OpenPrescribing.net live measure"
      }
    ],
    "signed_off": [],
    "methodology": "This codelist is based on the [OpenPrescribing.net measure of prescribing of high dose ICS](https://openprescribing.net/measure/icsdose/national/england/) which itself is derived from [British Thoracic/SIGN guidance](https://brit-thoracic.org.uk/standards-of-care/guidelines/btssign-british-guideline-on-the-management-of-asthma/). It includes \n\n\n- Inhalers where form\\-route is `pressurizedinhalation.inhalation` OR `powderinhalation.inhalation`\n\n\nand \n\n\n- BNF codes related to ICS. Full details of BNF codes included can be read in the Jupyter noptebook below.\n",
    "coding_system": [
      {
        "name": "dm+d codes",
        "value": 23
      }
    ],
    "open_codelist_id": "opensafely/high-dose-ics-inhalers",
    "source_reference": "https://www.opencodelists.org/codelist/opensafely/high-dose-ics-inhalers/2020-05-05",
    "concept_information": [
      {
        "concept_id": 8666,
        "concept_version_id": 16151,
        "concept_name": "opensafely/high-dose-ics-inhalers/2020-05-05",
        "coding_system": {
          "id": 23,
          "name": "dm+d codes",
          "description": "dm+d codes"
        },
        "phenotype_id": "PH3449",
        "phenotype_version_id": 8489,
        "phenotype_name": "High dose ICS Inhalers",
        "code_attribute_header": [
          "id",
          "type",
          "bnf_code"
        ],
        "codes": [
          {
            "code": "10074411000001100",
            "description": "Easyhaler Budesonide 400micrograms/dose dry powder inhaler (Orion Pharma (UK) Ltd)",
            "attributes": {
              "id": "10074411000001100",
              "type": "amp",
              "bnf_code": "0302000K0BGACAH"
            }
          },
          {
            "code": "10619611000001102",
            "description": "Clenil Modulite 250micrograms/dose inhaler (Chiesi Ltd)",
            "attributes": {
              "id": "10619611000001102",
              "type": "amp",
              "bnf_code": "0302000C0BPADBW"
            }
          },
          {
            "code": "10621111000001100",
            "description": "Beclometasone 250micrograms/dose inhaler CFC free",
            "attributes": {
              "id": "10621111000001100",
              "type": "vmp",
              "bnf_code": "0302000C0AABWBW"
            }
          },
          {
            "code": "11400811000001102",
            "description": "Beclometasone 250micrograms/dose inhaler (Almus Pharmaceuticals Ltd)",
            "attributes": {
              "id": "11400811000001102",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "17833911000001100",
            "description": "Beclometasone 250micrograms/dose inhaler (Phoenix Healthcare Distribution Ltd)",
            "attributes": {
              "id": "17833911000001100",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "21019711000001107",
            "description": "Flutiform 250micrograms/dose / 10micrograms/dose inhaler (Napp Pharmaceuticals Ltd)",
            "attributes": {
              "id": "21019711000001107",
              "type": "amp",
              "bnf_code": "0302000N0BDABBK"
            }
          },
          {
            "code": "21113811000001105",
            "description": "Fluticasone 250micrograms/dose / Formoterol 10micrograms/dose inhaler CFC free",
            "attributes": {
              "id": "21113811000001105",
              "type": "vmp",
              "bnf_code": "0302000N0AABKBK"
            }
          },
          {
            "code": "23621711000001102",
            "description": "Relvar Ellipta 184micrograms/dose / 22micrograms/dose dry powder inhaler (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "23621711000001102",
              "type": "amp",
              "bnf_code": "0302000V0BBAAAA"
            }
          },
          {
            "code": "23661311000001105",
            "description": "Fluticasone furoate 184micrograms/dose / Vilanterol 22micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "23661311000001105",
              "type": "vmp",
              "bnf_code": "0302000V0AAAAAA"
            }
          },
          {
            "code": "25254711000001106",
            "description": "DuoResp Spiromax 320micrograms/dose / 9micrograms/dose dry powder inhaler (Teva UK Ltd)",
            "attributes": {
              "id": "25254711000001106",
              "type": "amp",
              "bnf_code": "0302000K0BHABAU"
            }
          },
          {
            "code": "2831211000001109",
            "description": "Flixotide 250micrograms/dose Evohaler (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "2831211000001109",
              "type": "amp",
              "bnf_code": "0302000N0BBBABC"
            }
          },
          {
            "code": "29782511000001103",
            "description": "Sirdupla 25micrograms/dose / 250micrograms/dose inhaler (Mylan)",
            "attributes": {
              "id": "29782511000001103",
              "type": "amp",
              "bnf_code": "0302000N0BFABBG"
            }
          },
          {
            "code": "30950311000001106",
            "description": "AirFluSal Forspiro 50micrograms/dose / 500micrograms/dose dry powder inhaler (Sandoz Ltd)",
            "attributes": {
              "id": "30950311000001106",
              "type": "amp",
              "bnf_code": "0302000N0BGAAAZ"
            }
          },
          {
            "code": "3103511000001100",
            "description": "Flixotide 250microgram disks (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "3103511000001100",
              "type": "amp",
              "bnf_code": "0302000N0BBAFAF"
            }
          },
          {
            "code": "31063111000001106",
            "description": "Fostair NEXThaler 200micrograms/dose / 6micrograms/dose dry powder inhaler (Chiesi Ltd)",
            "attributes": {
              "id": "31063111000001106",
              "type": "amp",
              "bnf_code": "0302000C0BRABCA"
            }
          },
          {
            "code": "31063411000001101",
            "description": "Fostair 200micrograms/dose / 6micrograms/dose inhaler (Chiesi Ltd)",
            "attributes": {
              "id": "31063411000001101",
              "type": "amp",
              "bnf_code": "0302000C0BQABBZ"
            }
          },
          {
            "code": "31064811000001101",
            "description": "Fluticasone propionate 500micrograms/dose / Salmeterol 50micrograms/dose dry powder inhaler (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "id": "31064811000001101",
              "type": "amp",
              "bnf_code": "0302000N0AAAZAZ"
            }
          },
          {
            "code": "31087411000001106",
            "description": "Beclometasone 200micrograms/dose / Formoterol 6micrograms/dose inhaler CFC free",
            "attributes": {
              "id": "31087411000001106",
              "type": "vmp",
              "bnf_code": "0302000C0AABZBZ"
            }
          },
          {
            "code": "31087511000001105",
            "description": "Beclometasone 200micrograms/dose / Formoterol 6micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "31087511000001105",
              "type": "vmp",
              "bnf_code": "0302000C0AACACA"
            }
          },
          {
            "code": "3174111000001102",
            "description": "Asmabec 250 Clickhaler (Focus Pharmaceuticals Ltd)",
            "attributes": {
              "id": "3174111000001102",
              "type": "amp",
              "bnf_code": "0302000C0BIAFBK"
            }
          },
          {
            "code": "3179811000001108",
            "description": "Beclometasone 250micrograms/dose inhaler (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "id": "3179811000001108",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "3180011000001102",
            "description": "Beclometasone 250micrograms/dose inhaler (Mylan)",
            "attributes": {
              "id": "3180011000001102",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "3180211000001107",
            "description": "Becloforte 250micrograms/dose inhaler (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "3180211000001107",
              "type": "amp",
              "bnf_code": "0302000C0BBAAAC"
            }
          },
          {
            "code": "3180611000001109",
            "description": "Beclazone 250 inhaler (Teva UK Ltd)",
            "attributes": {
              "id": "3180611000001109",
              "type": "amp",
              "bnf_code": "0302000C0BFACAC"
            }
          },
          {
            "code": "3180911000001103",
            "description": "Beclometasone 250micrograms/dose inhaler (Alliance Healthcare (Distribution) Ltd)",
            "attributes": {
              "id": "3180911000001103",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "3182411000001107",
            "description": "AeroBec Forte 250 Autohaler (Meda Pharmaceuticals Ltd)",
            "attributes": {
              "id": "3182411000001107",
              "type": "amp",
              "bnf_code": "0302000C0BEABAU"
            }
          },
          {
            "code": "3182611000001105",
            "description": "Beclazone 250 Easi-Breathe inhaler (Teva UK Ltd)",
            "attributes": {
              "id": "3182611000001105",
              "type": "amp",
              "bnf_code": "0302000C0BFAFAU"
            }
          },
          {
            "code": "3185211000001103",
            "description": "Flixotide 500micrograms/dose Accuhaler (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "3185211000001103",
              "type": "amp",
              "bnf_code": "0302000N0BBAUAU"
            }
          },
          {
            "code": "3188311000001102",
            "description": "Seretide 500 Accuhaler (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "3188311000001102",
              "type": "amp",
              "bnf_code": "0302000N0BCACAZ"
            }
          },
          {
            "code": "320276009",
            "description": "Fluticasone 250micrograms/dose / Salmeterol 25micrograms/dose inhaler CFC free",
            "attributes": {
              "id": "320276009",
              "type": "vmp",
              "bnf_code": "0302000N0AABGBG"
            }
          },
          {
            "code": "320280004",
            "description": "Fluticasone propionate 500micrograms/dose / Salmeterol 50micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "320280004",
              "type": "vmp",
              "bnf_code": "0302000N0AAAZAZ"
            }
          },
          {
            "code": "320491008",
            "description": "VMP previous to 35908611000001102",
            "attributes": {
              "id": "320491008",
              "type": "vmp",
              "bnf_code": "0302000C0AAAUAU"
            }
          },
          {
            "code": "320531008",
            "description": "VMP previous to 35908811000001103",
            "attributes": {
              "id": "320531008",
              "type": "vmp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "320568006",
            "description": "VMP previous to 35912711000001106",
            "attributes": {
              "id": "320568006",
              "type": "vmp",
              "bnf_code": "0302000K0AAAHAH"
            }
          },
          {
            "code": "320588005",
            "description": "VMP previous to 36059511000001106",
            "attributes": {
              "id": "320588005",
              "type": "vmp",
              "bnf_code": "0302000N0AAAFAF"
            }
          },
          {
            "code": "320599007",
            "description": "VMP previous to 36059711000001101",
            "attributes": {
              "id": "320599007",
              "type": "vmp",
              "bnf_code": "0302000N0AAAPAP"
            }
          },
          {
            "code": "320605000",
            "description": "Fluticasone propionate 500micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "320605000",
              "type": "vmp",
              "bnf_code": "0302000N0AAAUAU"
            }
          },
          {
            "code": "320615006",
            "description": "Fluticasone 250micrograms/dose inhaler CFC free",
            "attributes": {
              "id": "320615006",
              "type": "vmp",
              "bnf_code": "0302000N0AABCBC"
            }
          },
          {
            "code": "320632005",
            "description": "VMP previous to 35908711000001106",
            "attributes": {
              "id": "320632005",
              "type": "vmp",
              "bnf_code": "0302000C0AABKBK"
            }
          },
          {
            "code": "3228711000001106",
            "description": "Pulmicort 400 Turbohaler (AstraZeneca UK Ltd)",
            "attributes": {
              "id": "3228711000001106",
              "type": "amp",
              "bnf_code": "0302000K0BBAIAH"
            }
          },
          {
            "code": "33679711000001103",
            "description": "Aerivio Spiromax 50micrograms/dose / 500micrograms/dose dry powder inhaler (Teva UK Ltd)",
            "attributes": {
              "id": "33679711000001103",
              "type": "amp",
              "bnf_code": "0302000N0BHAAAZ"
            }
          },
          {
            "code": "34023811000001102",
            "description": "Sereflo 25micrograms/dose / 250micrograms/dose inhaler (Cipla EU Ltd)",
            "attributes": {
              "id": "34023811000001102",
              "type": "amp",
              "bnf_code": "0302000N0BIABBG"
            }
          },
          {
            "code": "34215511000001101",
            "description": "AirFluSal 25micrograms/dose / 250micrograms/dose inhaler (Sandoz Ltd)",
            "attributes": {
              "id": "34215511000001101",
              "type": "amp",
              "bnf_code": "0302000N0BGACBG"
            }
          },
          {
            "code": "34675711000001103",
            "description": "Aloflute 25micrograms/dose / 250micrograms/dose inhaler (Mylan)",
            "attributes": {
              "id": "34675711000001103",
              "type": "amp",
              "bnf_code": "0302000N0BJABBG"
            }
          },
          {
            "code": "34812111000001106",
            "description": "Fobumix Easyhaler 320micrograms/dose / 9micrograms/dose dry powder inhaler (Orion Pharma (UK) Ltd)",
            "attributes": {
              "id": "34812111000001106",
              "type": "amp",
              "bnf_code": "0302000K0BIAAAU"
            }
          },
          {
            "code": "35515311000001106",
            "description": "Fusacomb Easyhaler 50micrograms/dose / 500micrograms/dose dry powder inhaler (Orion Pharma (UK) Ltd)",
            "attributes": {
              "id": "35515311000001106",
              "type": "amp",
              "bnf_code": "0302000N0BKABAZ"
            }
          },
          {
            "code": "35594411000001101",
            "description": "Combisal 25micrograms/dose / 250micrograms/dose inhaler (Aspire Pharma Ltd)",
            "attributes": {
              "id": "35594411000001101",
              "type": "amp",
              "bnf_code": "0302000N0BLACBG"
            }
          },
          {
            "code": "35908611000001102",
            "description": "Beclometasone 250micrograms/dose breath actuated inhaler",
            "attributes": {
              "id": "35908611000001102",
              "type": "vmp",
              "bnf_code": "0302000C0AAAUAU"
            }
          },
          {
            "code": "35908711000001106",
            "description": "Beclometasone 250micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "35908711000001106",
              "type": "vmp",
              "bnf_code": "0302000C0AABKBK"
            }
          },
          {
            "code": "35908811000001103",
            "description": "Beclometasone 250micrograms/dose inhaler",
            "attributes": {
              "id": "35908811000001103",
              "type": "vmp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "35912711000001106",
            "description": "Budesonide 400micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "35912711000001106",
              "type": "vmp",
              "bnf_code": "0302000K0AAAHAH"
            }
          },
          {
            "code": "36059511000001106",
            "description": "Fluticasone propionate 250microgram inhalation powder blisters",
            "attributes": {
              "id": "36059511000001106",
              "type": "vmp",
              "bnf_code": "0302000N0AAAFAF"
            }
          },
          {
            "code": "36059711000001101",
            "description": "Fluticasone propionate 500microgram inhalation powder blisters with device",
            "attributes": {
              "id": "36059711000001101",
              "type": "vmp",
              "bnf_code": "0302000N0AAAPAP"
            }
          },
          {
            "code": "36603811000001107",
            "description": "Soprobec 250micrograms/dose inhaler (Glenmark Pharmaceuticals Europe Ltd)",
            "attributes": {
              "id": "36603811000001107",
              "type": "amp",
              "bnf_code": "0302000C0BTADBW"
            }
          },
          {
            "code": "36604711000001102",
            "description": "Stalpex 50micrograms/dose / 500micrograms/dose dry powder inhaler (Glenmark Pharmaceuticals Europe Ltd)",
            "attributes": {
              "id": "36604711000001102",
              "type": "amp",
              "bnf_code": "0302000N0BMAAAZ"
            }
          },
          {
            "code": "38897411000001103",
            "description": "VMP subsequent to 320280004",
            "attributes": {
              "id": "38897411000001103",
              "type": "vmp",
              "bnf_code": "0302000N0AAAZAZ"
            }
          },
          {
            "code": "38897711000001109",
            "description": "VMP subsequent to 320605000",
            "attributes": {
              "id": "38897711000001109",
              "type": "vmp",
              "bnf_code": "0302000N0AAAUAU"
            }
          },
          {
            "code": "39111311000001106",
            "description": "VMP subsequent to 320276009",
            "attributes": {
              "id": "39111311000001106",
              "type": "vmp",
              "bnf_code": "0302000N0AABGBG"
            }
          },
          {
            "code": "39111411000001104",
            "description": "VMP subsequent to 320615006",
            "attributes": {
              "id": "39111411000001104",
              "type": "vmp",
              "bnf_code": "0302000N0AABCBC"
            }
          },
          {
            "code": "4373811000001100",
            "description": "Symbicort 400/12 Turbohaler (AstraZeneca UK Ltd)",
            "attributes": {
              "id": "4373811000001100",
              "type": "amp",
              "bnf_code": "0302000K0BDACAU"
            }
          },
          {
            "code": "4378111000001103",
            "description": "Budesonide 400micrograms/dose / Formoterol 12micrograms/dose dry powder inhaler",
            "attributes": {
              "id": "4378111000001103",
              "type": "vmp",
              "bnf_code": "0302000K0AAAUAU"
            }
          },
          {
            "code": "4774011000001109",
            "description": "Beclometasone 250micrograms/dose inhaler (Teva UK Ltd)",
            "attributes": {
              "id": "4774011000001109",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "539811000001106",
            "description": "Seretide 250 Evohaler (GlaxoSmithKline UK Ltd)",
            "attributes": {
              "id": "539811000001106",
              "type": "amp",
              "bnf_code": "0302000N0BCAFBG"
            }
          },
          {
            "code": "7379311000001100",
            "description": "Beclometasone 250micrograms/dose inhaler (Kent Pharmaceuticals Ltd)",
            "attributes": {
              "id": "7379311000001100",
              "type": "amp",
              "bnf_code": "0302000C0AAACAC"
            }
          },
          {
            "code": "9004211000001109",
            "description": "Alvesco 160 inhaler (AstraZeneca UK Ltd)",
            "attributes": {
              "id": "9004211000001109",
              "type": "amp",
              "bnf_code": "0302000U0BBABAB"
            }
          },
          {
            "code": "9004411000001108",
            "description": "Ciclesonide 160micrograms/dose inhaler CFC free",
            "attributes": {
              "id": "9004411000001108",
              "type": "vmp",
              "bnf_code": "0302000U0AAABAB"
            }
          }
        ]
      }
    ],
    "coding_system_release": "",
    "open_codelist_version_id": "60c4594f",
    "open_codelist_version_tag": "2020-05-05",
    "status": 1,
    "doi": "https://doi.org/10.48533/ym1y-t376",
    "is_deleted": false,
    "publish_status": 2,
    "owner": "ieuan.scanlon",
    "template": {
      "id": 3,
      "name": "OpenCodelists Phenotype",
      "description": "OpenSafely's OpenCodelist Phenotype, visit https://www.opencodelists.org/ to learn more",
      "version_id": 1
    },
    "versions": [
      {
        "version_id": 8489,
        "version_name": "High dose ICS Inhalers",
        "version_date": "2026-01-26T23:17:55.381439Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]