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Ciclesonide inhaler

Alvesco

Ciclesonide is a preventer inhaler and should be used regularly for maximum benefit.

Make sure you know how to use your inhaler properly.

It will not give you immediate relief if you are having an asthma attack. Your doctor will prescribe a reliever inhaler for you to use as a rescue treatment for if you get an asthma attack.

It is particularly important that your asthma is well controlled if you are pregnant. Make sure your doctor knows if you are expecting or trying for a baby.

At a glance

  • Ciclesonide is a corticosteroid inhaler used for asthma.

  • It is a preventer which reduces inflammation in the airways when used regularly.

  • Use it once daily, preferably in the evening, unless advised otherwise by your doctor.

  • Rinse your mouth with water and brush your teeth after use to help prevent a sore throat.

  • If your breathing worsens after using it, tell your doctor straightaway.

  • Do not stop using it abruptly.

  • Always keep your regular appointments so your doctor can review your treatment.

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About ciclesonide inhaler

Typ av medicin

A corticosteroid (steroid) inhaler

Används för

Astma

Även kallad

Alvesco®

Tillgänglig som

Aerosol inhaler

Inhalers are the main treatment for astma. The medicine inside the inhaler goes straight into your airways when you breathe in. This means that your airways and lungs are treated, but little of the medicine gets into the rest of your body.

Ciclesonide is a preventer inhaler. You must use it regularly every day to prevent your symptoms from developing. Steroids like ciclesonide work by reducing the inflammation in your airways. When the inflammation has gone, your airways are much less likely to become narrow and cause symptoms such as wheezing.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start using a ciclesonide inhaler it is important that your doctor knows:

  • If you are pregnant, trying for a baby or breastfeeding. This is because it is particularly important that your asthma should be well controlled if you are expecting a baby, and your doctor will want to advise you about your care.

  • If you have ever had pulmonary tuberculosis (TB).

  • Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

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  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack and any additional information you are given. These will give you more information about ciclesonide, and will also provide you with a full list of side-effects which you could experience from using the inhaler.

  • Use the inhaler once daily, preferably in the evening, unless you are told otherwise by your doctor. Your doctor will tell you how many puffs you should use each time. Try to use it at the same time each day, as this will help you to remember to use it regularly. Make sure you know how to use the inhaler properly. If you are not sure, ask your nurse, doctor or pharmacist to show you.

  • Some people using steroid inhalers find that the back of their throats can become sore. If you rinse your mouth with water and brush your teeth after using your inhaler, this is less likely to develop.

  • Your doctor may give you a spacer device to use, particularly if you struggle to co-ordinate breathing in and pressing the inhaler device. This helps to make sure that the medicine travels right into your lungs. Your doctor or pharmacist will be able to advise you on using the device.

  • Ciclesonide is a preventer inhaler which needs to be used regularly in order to have an effect. It takes a few days for the steroid in the inhaler to build up its effect. Preventer inhalers like ciclesonide do not give you immediate relief if you are having an asthma attack - you will need to use a reliever inhaler to ease the symptoms of an attack.

  • If after using the inhaler for the first time your breathing becomes worse or you suddenly start to wheeze, please let your doctor know straightaway. Your doctor will want to change the type of inhaler to one more suited to you.

  • It is helpful to remember the colour of your inhaler and the brand name. This might be important if you need to see a doctor who does not have your medical records (such as if you are on holiday or if it is outside the normal opening hours of your GP surgery).

  • Keep your regular appointments with your doctor and asthma clinic. This is so your doctor can review your treatment. If at any time you find that your asthma symptoms are getting worse or that you need to use a reliever inhaler more regularly, contact your doctor or nurse for advice straightaway.

  • Continue to use your ciclesonide inhaler regularly. Do not stop using it abruptly, as this can make you feel unwell and cause your symptoms to return suddenly.

  • Do not smoke. Smoking can cause severe irritation and damage to your lungs. It will make your condition worse and will reduce the beneficial effects of your inhalers.

Fortsätt läsa nedan

Along with their useful effects, inhalers like most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with ciclesonide. You will find a full list in the manufacturer's information leaflet supplied with your inhaler. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Ciclesonide inhaler side-effects (these affect fewer than 1 in 100 people)

Vad kan jag göra om jag upplever detta?

Oral thrush, changes to the way things taste, dry mouth, hoarse voice, cough

Ask your doctor or pharmacist to recommend a suitable preparation. Rinsing your mouth out with water or brushing your teeth after you use your inhalers can help prevent this

Huvudvärk

Drick mycket vatten och be din apotekare rekommendera en lämplig smärtstillande. Om huvudvärken fortsätter, informera din läkare

Känner dig illamående (nausea)

Eat simple foods - avoid rich or spicy meals

Skin rash

Om det är besvärligt, prata med din läkare

Using high doses of inhaled steroids over a long time may aggravate mental health problems and be a risk factor for other problems such as developing osteoporosis. Also, children who use an inhaled steroid over a long time should have their growth monitored. If you are concerned about any of these rare effects, you should discuss them with your doctor.

If you experience any other symptoms which you think may be due to the inhaler, speak with your doctor or pharmacist for further advice.

  • Förvara alla läkemedel utom räckhåll och synhåll för barn.

  • Förvara på en sval, torr plats, borta från direkt värme och ljus.

Viktig information om alla läkemedel

Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

Om du köper några läkemedel, kontrollera med en apotekare att de är lämpliga att ta tillsammans med dina andra läkemedel.

Om du ska genomgå en operation eller någon tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

Rapportera biverkningar av ett läkemedel eller vaccin

Om du upplever biverkningar kan du rapportera dem online via Yellow Card website.

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Vanliga frågor

What is the main purpose of a ciclesonide inhaler?

A ciclesonide inhaler is a preventer inhaler used for asthma. Its main purpose is to reduce inflammation in your airways and prevent asthma symptoms from developing. You need to use it regularly every day for it to be effective.

How long does it take for ciclesonide to start working?

It takes a few days for the steroid in the inhaler to build up its effect in your airways. Ciclesonide is a preventer and does not provide immediate relief during an asthma attack; for that, you would need to use a reliever inhaler.

What should I do if my breathing gets worse after using ciclesonide for the first time?

If your breathing becomes worse or you suddenly start to wheeze after using the inhaler for the first time, you should let your doctor know straightaway. Your doctor might need to change the type of inhaler to one that is better suited for you.

Can I stop using my ciclesonide inhaler once my asthma symptoms improve?

No, you should continue to use your ciclesonide inhaler regularly, even if your symptoms improve. Do not stop using it abruptly. Stopping suddenly can make you feel unwell and cause your asthma symptoms to return.

Are there any specific situations where I should tell my doctor about using ciclesonide?

Yes, it is important to inform your doctor, dentist, or anyone carrying out a medical procedure that you are using ciclesonide, especially if you are having an operation or any dental treatment. Also, if you buy any other medicines, you should check with a pharmacist to ensure they are suitable to take with ciclesonide.

Does smoking affect the effectiveness of my ciclesonide inhaler?

Yes, smoking can severely irritate and damage your lungs, making your asthma worse. It can also reduce the beneficial effects of your inhalers, including ciclesonide.

What should I do if I experience a dry mouth or sore throat from using the inhaler?

If you experience a dry mouth, sore throat, or hoarse voice, rinsing your mouth with water and brushing your teeth after using your inhaler can help prevent these symptoms. You can also ask your doctor or pharmacist to recommend a suitable preparation if the symptoms persist.

Vidare läsning och referenser

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About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • Next review due: 22 Feb 2028
  • 22 Feb 2025 | Senaste versionen

    Senast uppdaterad av

    Michael Stewart, MRPharmS

    Granskad av

    Sid Dajani
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