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are expecting ciclesonide (Inhalation route) sye-KLES-oh-nide Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Commonly used brand name(s) In the U.S. Alvesco Available Dosage Forms: Aerosol Liquid Therapeutic Class: Anti-Inflammatory Pharmacologic Class: Adrenal Glucocorticoid Slideshow It's In The Genes - Record Your Family Health History Uses For ciclesonide Ciclesonide is used to help prevent the symptoms of asthma. When used regularly every day, inhaled ciclesonide decreases the number and severity of asthma attacks. However, it will not relieve an asthma attack that has already started . Ciclesonide is a corticosteroid or steroid (cortisone-like medicine). It works by preventing inflammation (swelling) in the lungs, which makes the asthma attack less severe . ciclesonide is available only with your doctor's prescription . Before Using ciclesonide In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For ciclesonide, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to ciclesonide or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies have not been performed on the relationship of age to the effects of ciclesonide in children below 12 years of age. Safety and efficacy have not been established . Geriatric Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of ciclesonide in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution in patients receiving ciclesonide . Pregnancy Pregnancy Category Explanation All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. Breast Feeding There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking ciclesonide, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using ciclesonide with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Desmopressin Using ciclesonide with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Bemiparin Nadroparin Pixantrone Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Other Medical Problems The presence of other medical problems may affect the use of ciclesonide. Make sure you tell your doctor if you have any other medical problems, especially: Asthma attack, acute Should not be used in patients with this condition . Cataracts, history of or Glaucoma, history of May make these conditions worse. Regular eye examinations are suggested . Chickenpox (including recent exposure) or Herpes simplex (virus) infection of the eye or Infections, active or untreated (fungus, bacteria, virus, or parasite) or Measles (including recent exposure) or Tuberculosis, active or history of ciclesonide can reduce the body's ability to fight these infections . Gastroenteritis (inflamed stomach or intestine with diarrhea or vomiting) or Stress or Surgery or Trauma Oral steroids may be needed . Osteoporosis (bone disease) High doses may make this condition worse . Proper Use of ciclesonide Inhaled ciclesonide is used to prevent asthma attacks. It is not used for an attack that has already started. You should use another medicine for an acute asthma attack. If you do not have another medicine to use or if you have any questions about this, check with your doctor . ciclesonide is used with a special inhaler and usually comes with patient directions. Read the directions carefully before using ciclesonide. If you do not understand the directions or you are not sure how to use the inhaler, check with your doctor or pharmacist . In order for ciclesonide to help prevent asthma attacks, it must be used every day in regularly spaced doses, as ordered by your doctor. Up to 4 weeks may pass before you begin to notice improvement in your condition. It may take several months before you feel the full effects of ciclesonide . When you use the inhaler for the first time, or if you have not used it for 10 days or longer, it may not deliver the right amount of medicine with the first puff. Therefore, before using the inhaler, test or prime it by spraying the medicine three times into the air away from the face. Check the dose indicator on top of the inhaler if it shows that there are either 60 or 120 puffs left. If the dose indicator is not working correctly, do not use the inhaler and return it to your pharmacy or doctor . To use the inhaler: Remove the cap and look at the mouthpiece to make sure it is clean. Breathe out fully, trying to get as much air out of the lungs as possible. Do not blow or breathe into the inhaler. Hold the inhaler in the upright position. Put the mouthpiece into your mouth over your tongue and close your lips around it. Breathe in through your mouth slowly and deeply, and at the same time firmly press down on the center of the dose indicator with your finger. Hold your breath as long as you can up to 10 seconds. This gives the medicine time to settle in your airways and lungs. Take your finger off the center of the dose indicator. Remove the inhaler from your mouth, then breathe out slowly. Repeat these steps if more than one dose is needed. Replace the cap after each use to keep the mouthpiece clean. When you have finished all your doses, rinse your mouth with water and spit it out. Do not swallow. This will help prevent infections in your mouth or throat . Wipe the mouthpiece with a clean, dry tissue or cloth at least once a week. Do not wash or put any part of your inhaler in water . Do not interrupt or stop taking ciclesonide without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping it completely. Some conditions may become worse when the medicine is stopped suddenly, which can be dangerous . Dosing The dose of ciclesonide will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of ciclesonide. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For inhalation aerosol: For preventing an asthma attack: Adults and children 12 years of age and older At first, one or two puffs two times a day. Your doctor may increase your dose if needed. Children younger than 12 years of age Use and dose must be determined by your doctor . Missed Dose If you miss a dose of ciclesonide, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Storage Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep ciclesonide inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Discard the inhaler when all doses have been used. The number zero will appear in the dose indicator window . Precautions While Using ciclesonide It is very important that your doctor check your progress at regular visits to make sure ciclesonide is working properly and to check for unwanted effects . ciclesonide may weaken your immune system. Avoid being around people who are sick or have infections such as chickenpox or measles. Tell your doctor right away if you think you have been exposed to chickenpox or measles . ciclesonide may also increase your risk of having infections or sores in your mouth or throat. Check with your doctor right away if you notice any signs of a throat infection . ciclesonide may cause children to grow more slowly than normal. This would cause a child not to gain weight or get taller. Talk with your doctor if you think this is a problem . ciclesonide may increase your risk of having an adrenal gland that is less active than normal. The adrenal gland makes steroids for your body. This is more likely for people who use steroids for a long time or use high doses. Check with your doctor right away if you have more than one of the following symptoms: darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting. Rarely, menstrual cycle changes, acne, pimples, or weight gain (fat deposits) around the face, neck, and trunk may occur while taking ciclesonide . Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor) . Before you have any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are using ciclesonide . If your symptoms do not improve within four weeks, or if they become worse, check with your doctor . ciclesonide Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: More common Body aches or pain chills cough difficulty in breathing ear congestion fever headache loss of voice muscle aches nasal congestion pain or tenderness around eyes and cheekbones shortness of breath or troubled breathing sneezing sore throat stuffy or runny nose tightness of chest or wheezing unusual tiredness or weakness Rare Sore mouth or tongue white patches in mouth and/or on tongue Incidence not known Blindness blurred vision creamy white, curd-like patches in mouth or throat darkening of skin decreased vision diarrhea dizziness eye pain fainting hoarseness lack or slowing of normal growth in children large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs loss of appetite lower back or side pain mental depression nausea pain when eating or swallowing painful or difficult urination skin rash tearing vomiting Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Less common Back pain difficulty in moving muscle pain or stiffness pain in arms or legs pain in joints Rare Chest discomfort dry mouth or throat voice changes Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about ciclesonide Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group En Español 15 Reviews Add your own review/rating Drug class: inhaled corticosteroids Consumer resources Ciclesonide inhalation Ciclesonide (Oral Inhalation) Other brands: Alvesco Professional resources Ciclesonide (Systemic, Oral Inhalation) (AHFS Monograph) Ciclesonide (Oral Inhalation) (Wolters Kluwer) Related treatment guides Asthma Asthma, Maintenance} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Drug Class Inhaled corticosteroids Related Drugs Asthma, Maintenance Symbicort , albuterol , fluticasone , montelukast , ProAir HFA , Singulair , Advair Diskus , budesonide , Breo Ellipta , Ventolin , Medrol , methylprednisolone , More... Asthma prednisone , triamcinolone , montelukast , Singulair , ipratropium , Breo Ellipta , Medrol , dexamethasone , methylprednisolone , Dulera , Medrol Dosepak , Xopenex , More... Ciclesonide Rating 15 User Reviews 7.4 /10 15 User Reviews 7.4 Rate it! Related Questions & Answers How much alcohol should be consumed with daily doses of ciclesonide? Read more questions} } possibly


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