Generic Name: Ciclesonide

  • What is Alvesco?

    Alvesco is an inhaled corticosteroid used to treat asthma symptoms in adults and adolescents 12 years and older.
  • What is the most important information I should know about Alvesco?

    Alvesco is not a bronchodilator. You should not use Alvesco when you are having sudden shortness of breath. Use an inhaled, short-acting bronchodilator such as albuterol to relieve sudden symptoms of shortness of breath.
  • Who should not take Alvesco?

    Do not take Alvesco if you have status asthmaticus acute attacks of asthma, or if you are allergic to Alvesco or any of its ingredients. Do not use Alvesco if you are taking drugs that suppress the immune system, or if you have chickenpox or measles,
  • What should I tell my doctor before I take the first dose of Alvesco?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Alvesco. Also, talk to your doctor about your complete medical history, especially if you have a history of status asthmaticus, acute asthma attacks, or if you are pregnant or breastfeeding. Tell your doctor if you are taking drugs that suppress the immune system, or if you have chickenpox or measles, cataracts, or TB.
  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults and adolescents 12 years and older: The usual dosage for people who received bronchodilators alone or inhaled corticosteroids is 1 to 2 inhalations twice daily. People who received oral corticosteroids should take 1 to 4 inhalations twice daily.

  • How should I take Alvesco?

    Do not shake your Alvesco inhaler before use. Check the dose indicator before the first use after the test spray. Check that the dose indicator display window shows that there are either 60 or 120 inhalations left in the inhaler.

    Steps for inhalation:

    1. Remove the plastic cap.

    2. Breathe out as fully as you comfortably can. Hold the inhaler and close your lips around the mouthpiece, keeping your tongue below it.

    3. While breathing in deeply and slowly, press down on the center of the dose indicator with your finger. Fully depress the canister until it stops moving in the adapter while delivering your dose. When you have finished breathing in, hold your breath for about 10 seconds or for as long as is comfortable. Note: It is normal to hear a soft click from the indicator as it counts down during use.

    4. Take your finger completely off the center of the dose indicator and remove the inhaler from your mouth. Breathe out gently.

    5. After use, always replace the cap to keep the mouthpiece clean. Note: The mouthpiece of your inhaler should be cleaned weekly with a clean, dry tissue or cloth. Do not wash or put any part of your inhaler in water. Discard the inhaler when the dose indicator display window shows zero.

  • What should I avoid while taking Alvesco?

    People using corticosteroid drugs that weaken the immune system are more susceptible to infection; therefore, you should avoid exposure to chickenpox and/or measles.
  • What are possible food and drug interactions associated with Alvesco?

    If Alvesco is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before taking Alvesco if you are taking ketoconazole.
  • What are the possible side effects of Alvesco?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: joint pain, headache, nasopharyngitis, nasal congestion, pain in the extremities and back pain, sinusitis, upper respiratory infection

    When taking Alvesco, some people may develop more serious side effects, such as adrenal insufficiency (your adrenal gland cannot produce enough steroids). Tell your doctor about any symptoms such as weakness, nausea, vomiting or symptoms of low blood pressure. Another serious side effect is decreased bone mass. There is also possible increased risk of infections due to a weakened immune system. Bronchospasm (spasm of breathing tubes) can also occur with wheezing right after a dose of the medicine. Stop using Alvesco and use an inhaled, short-acting bronchodilator, such as albuterol.

  • Can I receive Alvesco if I am pregnant or breastfeeding?

    Alvesco is not recommended during pregnancy or breastfeeding. Talk with your doctor before taking Alvesco if you are pregnant, plan to become pregnant, or are breastfeeding.
  • What should I do if I miss a dose of Alvesco?

    Ask your doctor for advice.
  • How should I store Alvesco?

    Store at room temperature.