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Ciclesonide (inhalation)

Generic names: Alvesco HFA and Alvesco
Dosage form: inhalation aerosol (160 mcg/inh; 80 mcg/inh)
Drug class: inhaled corticosteroids

What is Ciclesonide (inhalation)?

Ciclesonide, a corticosteroid, is used to treat inflammation. It stops the release of substances that cause inflammation in the body. The use of clesonide to prevent asthma attacks is recommended for adults and children aged 12 or older. This medication guide does not cover all possible uses of clesonide.

Side effects of Ciclesonide (inhalation)

If you experience any of the following signs and symptoms of an allergic reaction: hives, difficulty breathing or swelling to lips, face, tongue or throat. Seek medical assistance immediately.

Ciclesonide may cause serious side effects. If you experience:

  • If you experience wheezing or other breathing problems, discontinue use of this medication.
  • Bronchospasm is a condition that causes difficulty breathing, wheezing, and chest tightness.
  • Sores or white patches on your throat or mouth
  • Vision problems such as tunnelling or blurred vision
  • Asthma symptoms can worsen.

Side effects of ciclesonide include:

  • Unpleasant taste in the mouth
  • Dry mouth is a burning sensation in the mouth.
  • Sore throat, runny nose, or stuffy nose
  • Hoarse voice;
  • The itching and skin rash are mild.
  • Joint pain, back pain,

There may be other side effects. Call your physician if experiencing side effects; to report side effects directly contact the FDA at 1-800-FDA-1088.

Warnings

Inhaling clesonide will not be able to stop an asthma attack fast enough. Only use a quick-acting inhalation medication to treat an asthma attack. If your asthma medication doesn't seem to be working as well, tell your doctor.

Before you take this drug

Steroids can weaken the immune system and make it easier to contract an infection. They may also worsen an infection that you have already contracted or recently acquired. Inform your doctor of any illnesses or infections you've had in the last few weeks. If you have an allergy to ciclesonide, this medication should be avoided.

Tell your doctor about any of the following to ensure that you are safe when using ciclesonide.

  • Tuberculosis;
  • An infection of the mouth or throat, such as oral thrush
  • Glaucoma and cataracts are both glaucoma.
  • Herpes infection in the eyes
  • A personal or familial history of osteoporosis

FDA pregnancy class C There is no information on whether ciclesonide can harm a baby in utero. If you plan to get pregnant or are already pregnant, tell your doctor. There is no way to know if ciclesonide passes through breast milk or if it can harm a baby who is nursing. You should tell your doctor if you're breastfeeding a child. Inhaling ciclesonide can have an impact on growth in children. If you believe your child's growth isn't normal while on ciclesonide, talk to your doctor.

How to take Ciclesonide (inhalation)?

Do not alter the instructions on your prescription. Use this medication only as directed. Do not exceed the recommended dose or extend its use beyond what has been stipulated. Inhaling clesonide will not be able to stop an asthma attack fast enough. Only use a quick-acting inhalation medication to treat an asthma attack. If your asthma medication doesn't seem to be working as well, tell your doctor. The medication is accompanied by instructions on safe and effective usage, as well as directions for priming your inhaler. Please follow these instructions carefully. If you have questions, ask your doctor or pharmacist. Inhaling clesonide is usually done once a day, either in the morning or in the evening. Please follow your doctor's directions. Rinse out your mouth with water after using this medication. You must prime the inhaler before you use it for the first time or if you haven't used it in 10 days. Refer to the instructions that came with your medication for instructions on how you can prime the inhaler. Your symptoms may not improve for up to four weeks. Continue to take the medication according to instructions, and inform your doctor if you do not see improvement in your symptoms. You may need to adjust your dose if you are having surgery, ill, under stress, or have recently experienced an asthma attack. You should not alter your medication schedule or dose without consulting your doctor. If you think that inhaling ciclesonide is making your condition worse, call your doctor immediately. Do not abruptly stop using the inhalation of ciclesonide. You should follow your doctor's advice about reducing your dose. Store away from moisture and high heat at room temperature. Keep the canister of medicine away from heat or open flames, like in a car during a hot summer day. If the canister gets too warm, it may explode. You should not burn or puncture an empty inhaler.

What happens if I miss the dose?

If you forget to take a dose, use the medication as soon as you remember. Skip the missed dose if it's almost time for the next dose. You should not take extra medicine to compensate for a missed dose.

What happens if I overdose?

Call 1-800-222-1222 for poison help or seek immediate medical attention. It is unlikely that an overdose of inhaled ciclesonide will cause life-threatening symptoms. Long-term use of high doses of steroids can cause symptoms like thinning of the skin, easy bruises, changes in body fat distribution (especially on your neck, back, and waist), acne, facial hair growth, menstrual issues, impotence, or a loss of interest in sexual activity.

What should be avoided?

Avoid being around people who are ill or infected. If you have been exposed to measles or chicken pox, call your doctor immediately for treatment. These conditions are serious and can even be fatal for people taking steroid medications.

Interaction with other drug

Tell your doctor if you have any new or changed medications, including those that you started or stopped using during treatment with ciclesonide inhalation

  • An antibiotic—clarithromycin, erythromycin, telithromycin;
  • An antifungal medication—clotrimazole, itraconazole, ketoconazole, and voriconazole;
  • HIV/AIDS medicine: atazanavir, delavirdine, indinavir, nelfinavir, saquinavir, ritonavir (Norvir);
  • Antidepressants such as paroxetine and sertraline

This list is incomplete. There are other drugs that may interact with ciclesonide, such as prescription and non-prescription medicines, vitamins, and herbal remedies. This medication guide does not list all possible interactions.