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Alvesco (ciclesonide) 

Indications 

• Used to control and prevent asthma symptoms in adults and children aged 12 years and older. 
• It helps reduce swelling and inflammation in your airways, making it easier to breathe. 
• Aids in preventing asthma attacks when you use it regularly as prescribed. 

Dosage and Administration 

• Always use the inhaler as prescribed by your healthcare provider. 
• Use Alvesco daily, even if you are not experiencing symptoms, for the best results. 
• Shake the inhaler well before each use to ensure proper medication mixing. 
• Prime the inhaler before first use and if it hasn’t been used for more than 10 days. 
• Rinse your mouth with water after each use to prevent oral thrush. 
• Do not use more than the prescribed dose without consulting your doctor. 
• Do not spray the inhaler into your eyes. 
• Do not skip doses even if you feel well. 
• Do not stop using Alvesco abruptly without consulting your healthcare provider. 

Mechanism of Action 

Alvesco is a corticosteroid that works by reducing inflammation and swelling in your airways. You inhale it directly into your lungs where it is converted into its active form. This helps to decrease the frequency and severity of asthma symptoms by keeping the airways open and reducing irritation. 

Contraindications 

• Do not use if you are allergic to Ciclesonide or any other ingredients in Alvesco. 
• Not intended for relief of acute asthma symptoms or sudden breathing problems. 
• Avoid use if you have untreated fungal, bacterial, or viral infections. 

Side Effects 

Common Side Effects 

• Headache 
• Nasal congestion 
• Sore throat 
• Cough 
• Hoarseness 

Serious Side Effects 

• Difficulty breathing 
• Severe allergic reactions (rash, itching, swelling, severe dizziness) 
• White patches in mouth or throat (oral thrush) 
• Unusual tiredness or weakness 

Precautions 

• Have regular check-ups with your doctor to monitor your asthma control. 
• Tell your doctor about all other medications you are taking, including over-the-counter drugs and supplements. 
• Inform your doctor if you have or are exposed to infections like chickenpox or measles. 
• Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding. 
• Not recommended for children under 12 years of age without doctor’s advice. 
• Prolonged use can affect bone density, so discuss bone health with your doctor. 

Storage Instructions 

• Keep at a temperature between 59°F and 86°F (15°C and 30°C). 
• Keep away from excessive heat and direct sunlight. 
• Do not puncture or expose the canister to moisture. 
• Store in a safe place out of the reach of children. 
• Do not use past the expiration date on the packaging. 

References 

https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/021658s006lbl.pdf