Alvesco (Ciclesonide)

Description

Alvesco is an inhaled corticosteroid used to treat asthma. It works by reducing inflammation in the airways, making it easier to breathe. This medicine comes as a spray you use with a special inhaler device. Alvesco is used to prevent asthma symptoms like wheezing, tightness in the chest, and trouble breathing in people 12 years old and older. Regular use is important for best results. It is not intended to relieve sudden asthma attacks.

Directions

When using Alvesco, start by removing the inhaler's plastic cap. You do not need to shake the inhaler before use. For new or unused inhalers for more than 10 days, priming is needed by releasing 3 test sprays.

Hold the inhaler with the middle or index finger placed on top of the canister, and the thumb underneath the mouthpiece. Inhale the medication through the mouth, pressing down firmly on the canister to release the dose. The standard Alvesco dosage is 80 to 320 mcg twice daily, as directed by a healthcare provider. Hold your breath for a few seconds after inhalation to help the medication settle.

Replace the inhaler once the dose indicator shows zero. Always follow the prescribing doctor's instructions for use and dosage.

Ingredients

The active ingredient in Alvesco is ciclesonide.

Contraindications

Avoid using Alvesco if any of the following apply:

• Known hypersensitivity to ciclesonide or any ingredients in Alvesco
• Acute severe asthma

Cautions

• Before using Alvesco, you may want to consult a healthcare provider about the following:
• Any existing health conditions
• Any allergies
• A list of all medications you are currently taking
• Whether you are pregnant or breastfeeding

• Alvesco may cause a yeast infection called thrush in the mouth or throat. Symptoms include white patches, soreness, or a burning feeling. To help prevent this, rinse your mouth with water after each use.
• Alvesco is not a rescue inhaler. It does not work fast enough to treat sudden asthma symptoms or attacks. Always keep a fast-acting inhaler (like albuterol) on hand for emergencies.
• Because Alvesco contains a steroid, it may weaken your immune system. This can make it harder for your body to fight infections like chickenpox or measles. Let your doctor know if you’ve never had these illnesses or been vaccinated. Use with caution if you have tuberculosis, eye herpes, or other serious infections.
• If you’re switching from oral steroids to Alvesco, your body may take time to adjust. During this time, your body may not be able to handle stress well (like surgery or infection). You may need to go back on oral steroids temporarily during these situations. Always carry a medical ID card if you’re in this transition.
• Using Alvesco at high doses—or in people sensitive to steroids—can affect the body’s natural hormone balance. Your doctor may need to monitor you closely, especially during times of stress.
• Long-term use of inhaled steroids like Alvesco may reduce bone strength. If you’re at risk for osteoporosis or have been on steroids for a long time, your doctor may recommend bone density checks or supplements.
• Inhaled steroids may slow down growth in kids. Doctors will monitor a child’s height regularly. Alvesco is not approved for children under 12 years old.
• Some people using inhaled steroids have developed glaucoma or cataracts. If you have a history of eye problems or notice changes in your vision, talk to your doctor.
• Rarely, Alvesco may cause sudden wheezing or tightness in the chest right after use. If this happens, stop using Alvesco and use your rescue inhaler right away. Contact your doctor immediately.

Side Effects

The most common side effects of Alvesco include headache, nasal or throat swelling, sinus inflammation, and upper respiratory infections. Some people may also experience throat pain, joint pain, nasal congestion, or aches in the arms, legs, or back. These symptoms are generally mild but should be monitored if they persist or worsen over time.

Alvesco may cause serious side effects such as fungal infections in the mouth or throat, weakened immune response, or adrenal insufficiency—especially during transitions from oral steroids. Other risks include decreased bone density, slowed growth in children, and eye problems like glaucoma or cataracts. In rare cases, increased wheezing (bronchospasm) may occur right after using Alvesco, which requires immediate treatment with a rescue inhaler and follow-up care. Let your healthcare provider know about any unusual symptoms or concerns during use.

References

1. Alvesco (ciclesonide) Product Monograph. Zug, Switzerland: Covis Pharma; 2023.
2. Alvesco (ciclesonide) Drug Label Information. Zug, Switzerland: Covis Pharma; 2023.

About Dr. Gerardo Sison (Page Author)

An honors graduate of the University of Florida, Dr. Sison started his pharmacy career in a community setting, extending his services to hospitals and clinics over time. He has also worked in medication therapy management, advising patients on proper medication use for their chronic health conditions. Read More....