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Ciclesonide Oral Inhalation

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Why is this medication prescribed?

Ciclesonide oral inhalation is used to treat asthma in adults and children 12 years of age and older by preventing symptoms like coughing, wheezing, tightness in the chest, and difficulty breathing. The drug clesonide belongs to the corticosteroid drug class. It facilitates easier breathing by reducing inflammation and swelling in the airways.

How should this medicine be used?

When using an inhaler, one should inhale clesonide by mouth as an aerosol. Most people inhale clesonide twice daily. Use ciclesonide every day at roughly the same time. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. As instructed, use ciclesonide inhalation. Use it only as directed by your doctor, neither more nor less often.

As part of your therapy with ciclesonide inhalation, discuss with your doctor how you should utilise the other oral and inhaled asthma drugs that you are already taking. Ask your doctor if you should use any other inhaled medications for a specific period of time before and after taking ciclesonide inhalation if you currently use any other inhaled medications. Your doctor may decide to gradually reduce the dosage of any oral steroids you were taking, such as dexamethasone, methylprednisolone (Medrol), or prednisone (Rayos), starting at least one week after you start using ciclesonide inhalation.

While an asthma attack that has already begun cannot be stopped, clesonide inhalation aids in preventing asthma attacks (sudden episodes of breathlessness, wheezing, and coughing). Acute asthma attacks should not be treated with ciclesonide inhalation. An asthma attack short-acting inhaler will be recommended by your doctor.

With ciclesonide inhalation, your doctor will likely start you off on a typical dosage. If your symptoms don’t go away after at least 4 weeks, your doctor might up the dosage; if your symptoms do go away, they might then lower it.

Inhaling clesonide manages asthma but does not cure it. Before you experience the full benefits of the medicine, it could take up to four weeks. Even if you feel good, keep using ciclesonide inhalation. Avoid stopping ciclesonide inhalation therapy without first consulting your physician.

If your asthma gets worse while you’re receiving therapy, tell your doctor. If an asthma attack doesn’t end after you take your fast-acting asthma medicine or if you need to take more of your fast-acting medication than normal, call your doctor.

Just a canister of ciclesonide aerosol should be used with the inhaler that comes with it. Never inhale any other drug via it, and never inhale ciclesonide through any other inhaler.

A ciclesonide aerosol canister is intended to last 60 inhalations. Further inhalations could not contain the prescribed dosage of medication if the labelled number of inhalations has been reached. Every time 10 sprays are used, the linked counter on your inhaler updates. Call your doctor or pharmacist to request a prescription refill when the number displayed on the counter is 020. You shouldn’t use the canister any longer if the counter reading is 000. To determine the precise number of sprays left in your inhaler, you should also keep track of how many inhalations you use each day. Even though the canister still has some liquid and continues to spray when squeezed, you should discard it once you have utilised the indicated number of inhalations. Do not estimate how many sprays are still in your inhaler if it is dropped by the number on the counter.

The written instructions that come with your ciclesonide aerosol inhaler should be read before you use it for the first time. Make sure you understand the inhaler’s component parts by carefully studying the diagrams. You can get instructions on how to use it from your physician, pharmacist, or respiratory therapist.

Inhaling ciclesonide should never be done close to a heat source or an open flame. Experiencing really high temperatures could cause the inhaler to blow up.

Follow these procedures to use the aerosol:

  • Check to see if the inhaler is warm to the touch.
  • Take off the mouthpiece’s cap.
  • Make that the actuator has received the canister securely and completely. Your inhaler does not need to be shaken before each use.
  • Release 3 test sprays into the air, away from your face, to prime the inhaler if you’re using it for the first time or if it has been more than 10 days since your last usage. Avoid spraying the drug in your face or eyes.
  • Use your mouth to exhale.
  • Hold the inhaler with the mouthpiece on the bottom, facing you. Put your index finger on the centre of the dose indicator at the top of the canister and your thumb under the mouthpiece. Your tongue should remain underneath the mouthpiece as you place it in your mouth and seal your lips around it.
  • Take a long, steady breath in through your mouth. At the same time, firmly press down with your index finger on the centre of the dose indicator located at the top of the canister. Immediately after the spray is released, take off your index finger.
  • Close your mouth after removing the inhaler from your mouth and taking a thorough breath.
  • Try to hold your breath for ten seconds or so, then slowly exhale.
  • Put the mouthpiece’s cap back on.
  • Spit out the water after rinsing your mouth with it. Don’t ingest the water.

Once every week, clean the inhaler. Make use of a dry, clean tissue or cloth to clean your inhaler. No portion of your inhaler should be washed or submerged in water.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using ciclesonide inhalation,

  • If you have any allergies, including to ciclesonide, other drugs, or any of the chemicals in ciclesonide inhalation, let your doctor and pharmacist know right away. Get a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Incorporate any of the following: medicines for seizures; oral steroids such dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos); and the antifungal ketoconazole (Nizoral). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects. Tell your doctor about all of the medications you are taking, even any not on this list, since many other drugs may also interact with ciclesonide inhalation.
  • Whenever you have an asthma attack, avoid taking ciclesonide. To be used during asthma attacks, your doctor will prescribe a short-acting inhaler. If an asthma attack persists despite your use of a fast-acting asthma medicine or if you need to take more of the fast-acting medication than usual, contact your doctor right once.
  • Inform your doctor if you have had prolonged bed rest or immobility as well as if anyone in your family currently has or has previously had osteoporosis (a condition in which the bones become thin and weak and break easily). Inform your doctor if you have cataracts (clouding of the lens of the eye), glaucoma, or TB (a type of lung infection) (an eye disease). Moreover, let your doctor know if you have herpes in your eyes or any other untreated infections anywhere on your body (a type of infection that causes a sore on the eyelid or eye surface).
  • Inform your physician if you are nursing a baby, intend to get pregnant, or are already pregnant. Call your doctor if you become pregnant while using ciclesonide inhalation.
  • Inform the surgeon or dentist that you are using ciclesonide inhalation if you are having surgery, including dental surgery.
  • Your other health issues, such asthma, arthritis, or eczema (a skin problem), could get worse if your oral steroid dosage is cut back. If this occurs or if you encounter any of the following symptoms at this time, let your doctor know right away: Extreme fatigue, muscle weakness, or pain, sudden pain in the stomach, lower body, or legs, appetite loss, weight loss, upset stomach, vomiting, diarrhoea, dizziness, fainting, depression, irritability, and skin darkening are all symptoms that might occur. During this time, your body can be less able to handle stressors like surgery, illness, severe asthma attacks, or injuries. If you become ill, call your doctor right away, and make sure that all medical professionals who care for you are aware that you recently switched from an oral steroid to ciclesonide inhalation. Keep a card with you or wear a medical identification bracelet to alert emergency responders to the possibility that you will require steroid treatment.
  • If you have never had chickenpox or measles and you have not received a vaccination against these diseases, let your doctor know. Avoid sick people, especially those who have the measles or chickenpox. Call your doctor right once if you are exposed to one of these infections or if you start to exhibit signs of one of these infections. To keep yourself safe from certain infections, you might need therapy.
  • You should be aware that shortly after inhaling ciclesonide, wheezing and breathing difficulties might occasionally occur. Use your fast-acting (rescue) asthma medicine as soon as possible and call your doctor if this occurs. Unless your doctor advises you to, refrain from using ciclesonide inhalation again.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

Continue with your regular dosing plan and skip the missed dose. Never take two doses to make up for one that was missed.

What side effects can this medication cause?

Inhaling clesonide may have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Headache
  • Runny or congested nose
  • Throat pain or irritation
  • Sinuses, throat, and nose swelling
  • White patches that hurt in the mouth or throat
  • Hoarseness
  • Joints hurt
  • Back, leg, and arm pain

Some adverse effects may be severe. Call your doctor right away or seek emergency medical attention if you notice any of the following symptoms or those listed in the SPECIAL PRECAUTIONS section:

  • Hives
  • Rash
  • Itching
  • Edoema of the hands, feet, ankles, lower legs, cheeks, neck, tongue, lips, and eyes
  • Breathing or swallowing challenges
  • Stiffness or pain in the chest

Children’s growth may be slowed down by inhaling clesonide. While using ciclesonide inhalation, your child’s doctor will closely monitor your child’s growth. The hazards of giving your child this medication should be discussed with your child’s doctor.

Rarely, long-term ciclesonide inhalation users may experience glaucoma or cataract development. As part of your therapy, ask your doctor how frequently you should have your eyes checked and any potential hazards associated with using ciclesonide inhalation.

Inhaling clesonide may make you more likely to get osteoporosis. Discuss the dangers of using this drug with your doctor.

Further adverse reactions from inhaling clesonide are possible. If you experience any strange issues while taking this drug, call your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

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

Keep your ciclesonide inhaler at room temperature, out of children’s reach, and away from excess heat and moisture (not in the bathroom). Keep the inhaler away from heat sources and open flames when storing it. Keep the inhaler out of the sun and the cold. Avoid puncturing the aerosol container and burning it when discarding it.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at for additional information.

Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

What other information should I know?

Keep all of your doctor’s appointments.

Do not share your medication with anybody else. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Alvesco®
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