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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.

Överblick

  • Ciclesonide is a preventer inhaler used to treat asthma.

  • It reduces inflammation in your airways to stop asthma symptoms developing.

  • Use it regularly once a day, usually in the evening, as instructed by your doctor.

  • Rinse your mouth with water or brush your teeth after using the inhaler to help prevent a sore throat.

  • If your asthma symptoms worsen, contact your doctor or nurse straightaway.

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.

Before using a ciclesonide inhaler

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.

How to use a ciclesonide inhaler

  • 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.

Få ut det mesta av din behandling

  • 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.

Can ciclesonide inhalers cause problems?

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.

How to store ciclesonide inhalers

  • 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

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 webbplats.

symptomkontroll

Osäker på att blanda mediciner?

Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.

Vanliga frågor

Can I use ciclesonide if I'm trying to get pregnant or am currently breastfeeding?

If you are pregnant, trying for a baby, or breastfeeding, it's particularly important for your asthma to be well controlled. Your doctor needs to know this so they can advise you on the best care while using a ciclesonide inhaler.

What should I do if I find that my asthma symptoms are getting worse despite using my ciclesonide inhaler regularly?

If your asthma symptoms are worsening, or if you find yourself needing to use your reliever inhaler more frequently, you should contact your doctor or nurse for advice straightaway. They will review your treatment.

What should I do if I forget to use my ciclesonide inhaler one day?

The article states that you should use the inhaler once daily, preferably in the evening, and try to use it at the same time each day to help you remember. However, it does not specify what to do if a dose is missed. It also warns against stopping use abruptly. Check with your doctor or pharmacist if you're unsure how to manage a missed dose.

What should I do if I experience side effects that are not listed in the article or on the leaflet?

If you experience any other symptoms which you believe might be caused by the inhaler, you should speak with your doctor or pharmacist for further advice. You can also report side effects online through the Yellow Card website.

Are there any specific concerns for children using ciclesonide inhalers long-term?

Yes, children who use an inhaled steroid like ciclesonide over a long period should have their growth monitored. If you are concerned about this, you should discuss it with your doctor.

Can using ciclesonide inhalers affect my mental health or cause other long-term problems?

Using high doses of inhaled steroids over a long time may aggravate mental health problems and can be a risk factor for issues like developing osteoporosis. If you have concerns about these potential rare effects, you should discuss them with your doctor.

Is it safe to get dental treatment or have an operation while using a ciclesonide inhaler?

Yes, it is generally safe, but you must tell the person carrying out the treatment (dental or other medical procedures) which medicines you are taking, including your ciclesonide inhaler.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Michael Stewart, MRPharmS

Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare

BPharm (Hons), MRPharmS

Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.

Om recensenten

Författarbild

Sid Dajani

Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 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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