Meds and you

Updated 11 February 2013

Ciclesonide

Ciclesonide is an orally-inhaled corticosteroid indicated for preventing the occurrence of acute asthma attacks in patients with chronic with asthma.

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Ciclesonide is the active ingredient of Alvesco.

General Information

Ciclesonide is an orally-inhaled corticosteroid indicated for preventing the occurrence of acute asthma attacks in patients with chronic with asthma. It can be safely used in patients 12 years of age and older.

Ciclesonide is typically prescribed for the treatment of asthma when a bronchodilator does not fully control the symptoms of asthma. It is important to note that once an asthma attack has started, ciclesonide does not relieve any symptoms.

To achieve the maximum preventative benefit, ciclesonide needs to be used regularly. It may take up to 14 days to achieve the full benefit of this drug.

How does ciclesonide work?

Asthma is associated with reversible attacks of inflammation of the airways. Ciclesonide controls and prevents symptoms of asthma by reducing inflammation of the airways.

Fast facts

Drug schedule: schedule 4

Available as: ciclesonide is available as oral inhaler

What does it do? ciclesonide has anti-asthma effects

Overdose risk: low

Dependence risk: low

Is ciclesonide available as a generic ? no

Is ciclesonide available on prescription only? yes

User information

Onset of effect: within 24 hours

Duration of action: up to 24 hours

Dietary advice: It is advised to rinse mouth and drink some water after use to prevent hoarseness, bad taste and cough.

Stopping this medicine: Do not stop treatment with ciclesonide suddenly, or before the prescribed course has been completed. Symptoms may recur. This medication should be withdrawn as directed by your doctor over a period of time.

Prolonged use: Risks with prolonged use are little if the medication is used as recommended.

Special precautions

Consult your doctor before using this drug if:

  • You have a lung disease such as tuberculosis (TB)
  • You have any infection of the mouth, nose, sinus cavities, throat or lungs
  • You have any untreated bacterial or fungal infections
  • You are taking any other medication

Pregnancy: Avoid. It is unknown how this medication may affect your baby. Consult your doctor before using this drug, or if you are planning to fall pregnant.

Breastfeeding: Avoid. It is unknown how this medication may affect your baby. Consult your doctor before use.

Porphyria: Avoid. It is unknown how this medication may affect your condition. Consult your doctor before use.

Infants and children: Safety and efficacy of this medication has not been established for children under the age of 12.

Elderly: There is no need to adjust the dose in elderly patients or those with hepatic or renal impairment.

Driving and hazardous work: No special precautions need to be taken.

Alcohol: No special precautions need to be taken.

Possible side effects

Side effect

Frequency

Consult your doctor

Common

Rare

Only if severe

In all cases

bad taste

x

x

local burning, inflammation, and irritation;

x

x

cough

x

x

sore or dry throat/ hoarseness

x

x

rash/ itchy skin

x

x

weight gain/ swelling

x

x

Interactions

Drug interactions

ketoconazole

increased risk of increased levels of ciclesonide in body

itraconazole

increased risk of increased levels of ciclesonide in body

ritonavir

increased risk of increased levels of ciclesonide in body

nelfinavir

increased risk of increased levels of ciclesonide in body

Disease interactions

Consult your doctor before using this drug if you have a lung disease such as tuberculosis (TB), or if you have any viral, bacterial or fungal infection of the mouth, nose, sinus cavities, throat or lungs.

Overdose action

A small overdose is no cause for concern. In case of an intentional large overdose seek emergency medical attention.

Recommended dosage

The recommended dose of Ciclesonide is 160 micrograms once daily, which leads to asthma control in the majority of patients. Dose reduction to 80 micrograms once daily may be an effective maintenance dose for some patients. Ciclesonide should preferably be administered in the evening although morning dosing of ciclesonide has also been shown to be effective.

This material is not intended to substitute medical advice, but is for informational purposes only. Please consult a physician for specific treatment and recommendations.

 

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