By Nycomed US Inc

What is this medication for?

Ciclesonide belongs to the class of medications called inhaled corticosteroids and is used to treat asthma in adults and children 12 years and older. It helps to control symptoms and prevent asthma attacks by decreasing inflammation in the lungs, thereby opening the airways and improving breathing. Ciclesonide can start to work within 24 hours, but it may take up to 4 weeks to see the full benefit.

It is also indicated to treat seasonal or lasting  allergic rhinitis in adults and children 12 years and older.

It is important to remember that ciclesonide will not provide immediate relief for an asthma attack that has already started. This medication should be used on a regular basis. It is intended for long-term control of asthma symptoms. Inhalers that contain "reliever" medications with fast action (e.g., albuterol, terbutaline) will still be needed while using this medication on a regular basis.

Your doctor may have suggested this medication for conditions other than those listed here. As well, some forms of this medication may not be used for all of the conditions discussed here. If you are not sure why you are using this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.

What form(s) does this medication come in?

Alvesco® is available as:

  • aerosol for inhalation
    • 80 µg per actuation
    • 160 µg per actuation
Some medications may have other generic brands available. Always ask your doctor or pharmacist about the safety of switching between brands of the same medication.

How should I use this medication?

The recommended starting dose of ciclesonide depends on your current asthma therapy. The usual starting dose is 80 µg twice daily. People who are taking corticosteroids by mouth may be advised to use 320 µg twice daily. The maximum recommended dose of inhaled ciclesonide is 320 µg twice daily. Once your asthma is under control, your doctor will advise you to reduce the dose to the lowest possible dose that keeps the asthma under control for you.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

In order to get the best possible effect of this medication, it must be used regularly, as prescribed by your doctor.

Inhaled ciclesonide is used to prevent asthma attacks. It is not used to relieve an attack that has already started. Use your "reliever" medication (e.g., albuterol, terbutaline, formoterol) to relieve an asthma attack that has already started. If you do not have another medication to use for an attack or if you have any questions about this, speak with your doctor.

In order to get the most medication into the lungs from the inhaled dose, ask your doctor or pharmacist about proper techniques for using this medication and about whether a spacer device might be right for you.

Rinsing your mouth and gargling with water after each inhalation can help prevent hoarseness, throat irritation, and an infection in the mouth called candidiasis (a type of yeast infection of the mouth, also known as "thrush").

It is important to use this medication exactly as prescribed by your doctor. If you miss a dose, administer it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not administer a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Remember to use a dry clean tissue to clean both the inside and outside of the medication’s mouthpiece.  Using a folded dry tissue, you should wipe over the small hole where the medication is released.  Do not wash this medication unit in any liquids, including water.

Store this medication at room temperature between 59°F and 86°F (15°C and 30°C) and protect from temperatures above 120°F (49°C). Do not freeze or store near heat or open flame. Exposure to temperature above 120°F (49°C) may cause bursting. Never throw canister into fire or incinerator. Keep it out of the reach of children.

Who should NOT take this medication?

Do not use this medication if you:

  • are allergic to ciclesonide or any ingredients of the medication
  • are having an asthma attack or a sudden attack of breathlessness
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The contents of this health site are for informational purposes only. Always seek the advice of your physician or other qualified healthcare provider regarding any questions you may have about a medical condition.

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