Why is this medication prescribed?

Alvesco is a brand name for ciclesonide, which is a corticosteroid medication used primarily for treating asthma. It works by reducing inflammation in the airways, making it easier to breathe and helping to control asthma symptoms. Alvesco is prescribed to help manage asthma symptoms and prevent asthma attacks. It is used as a maintenance therapy rather than a rescue medication.

How should this medicine be used?

Alvesco (ciclesonide) is an inhaled corticosteroid used to manage asthma. Here’s how to use it properly:

• Preparation: Shake the inhaler well before each use. If you’re using a new inhaler or haven’t used it in a while, you might need to prime it according to the instructions.
• Inhalation Technique: Breathe out gently to empty your lungs. Place the mouthpiece in your mouth and close your lips around it. Inhale deeply and slowly through your mouth while pressing down on the inhaler to release the medication. Hold your breath for about 10 seconds to allow the medication to reach your lungs. Exhale slowly.
• Cleaning: Clean the inhaler as directed, usually by wiping the mouthpiece with a dry cloth. Avoid washing it with water unless specifically instructed to do so.
• Rinsing Your Mouth: After using Alvesco, rinse your mouth with water and spit it out to help prevent oral thrush (a fungal infection in the mouth).
• Regular Use: Use Alvesco consistently as prescribed, even if you’re feeling well. It’s typically used once or twice a day.

Always follow your healthcare provider’s specific instructions for your dose and frequency. If you have any questions or experience any side effects, consult with your healthcare provider.

Other uses for this medicine

Alvesco (ciclesonide) is primarily used for managing asthma. However, its use for other conditions is generally off-label, and you should only use it for purposes other than asthma under the guidance of a healthcare provider.

What special precautions should I follow?

Special Precautions for Alvesco:

• Pre-existing Conditions: Inform your doctor if you have any infections, tuberculosis, or other conditions that could be worsened by corticosteroids.
• Eye Issues: Monitor for any vision changes, as inhaled corticosteroids can increase the risk of cataracts or glaucoma over time.
• Oral Health: Rinse your mouth after use to prevent oral thrush (a fungal infection in the mouth and throat).
• Infections: Be cautious if you have or are exposed to infections, as corticosteroids can suppress your immune system. Report any signs of infection to your healthcare provider.
• Growth in Children: If used in children, monitor growth regularly as inhaled corticosteroids can potentially affect growth.
• Interactions: Check with your healthcare provider about possible interactions with other medications you’re taking.
• Allergic Reactions: Watch for signs of allergic reactions, such as rash, itching, or swelling, and seek medical attention if these occur.
• Adherence: Use Alvesco regularly as prescribed, even if you feel well, to maintain control of asthma symptoms.

Always follow your healthcare provider’s advice and report any new or worsening symptoms.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Alvesco. However, maintaining a healthy diet can support overall respiratory health. It’s always a good idea to consult with your healthcare provider about any specific dietary needs or restrictions.

What should I do if I forget a dose?

• Missed Dose: If you miss a dose of Alvesco, take it as soon as you remember.
• Timing: If it’s almost time for your next dose, skip the missed dose. Do not double up on doses to make up for a missed one.
• Schedule: Continue with your regular dosing schedule.

What side effects can this medication cause?

Alvesco (ciclesonide) can cause side effects, though not everyone experiences them. Common and serious side effects include:

Common Side Effects:

• Throat Irritation: Mild irritation or dryness in the throat.
• Hoarseness: Changes in your voice or hoarseness.
• Oral Thrush: A fungal infection in the mouth or throat (which can be minimized by rinsing your mouth after use).
• Cough: Mild coughing.

Serious Side Effects:

• Allergic Reactions: Signs include rash, itching, swelling, severe dizziness, or trouble breathing.
• Eye Problems: Symptoms such as blurred vision, seeing halos around lights, or pain in the eyes, which could indicate cataracts or glaucoma.
• Signs of Infection: Increased susceptibility to infections, or symptoms like fever, chills, or unusual tiredness.
• Adrenal Insufficiency: Rare but serious, symptoms might include severe fatigue, muscle weakness, loss of appetite, or weight loss.

If you experience any severe or persistent side effects, contact your healthcare provider. They can help determine whether Alvesco is the right medication for you and adjust your treatment plan if necessary.

What should I know about storage and disposal of this medication?

Storage and Disposal of Alvesco:

• Storage:
  • Store Alvesco at room temperature, away from heat and moisture. Typically, this means keeping it between 59°F and 77°F (15°C to 25°C).
  • Do not freeze the inhaler.
  • Store it out of the reach of children.
• Disposal:
  • Dispose of expired or unused Alvesco according to your local regulations. Many areas have drug take-back programs or disposal sites.
  • Do not flush the inhaler down the toilet or pour it down the drain unless specifically instructed to do so.

In case of emergency/overdose

• Severe Symptoms: If you experience severe side effects or signs of an allergic reaction (such as difficulty breathing, swelling of the face or throat, or severe rash), seek immediate medical attention.
• Symptoms: An overdose of Alvesco is unlikely due to its localized action in the lungs, but using more than prescribed can increase the risk of side effects. Symptoms might include increased side effects like oral thrush or systemic effects such as adrenal insufficiency.
• Action: Contact your healthcare provider or call your local poison control center for guidance. If you’re instructed to go to the emergency room, bring the inhaler or packaging with you.

What other information should I know?

• Regular Monitoring: Regular check-ups with your healthcare provider are important to monitor the effectiveness of the medication and to adjust the dosage if necessary.
• Consistency: Use Alvesco consistently as prescribed to effectively manage asthma symptoms.
• Alternative Medications: If you experience significant side effects or have concerns about Alvesco, discuss alternative treatments with your healthcare provider.
• Follow-up: Keep track of any new or worsening symptoms and report them to your healthcare provider.

Always follow the specific instructions provided by your healthcare provider or included with the medication for the best outcomes.