Ciclesonide 

Alvesco

Alvesco is an FDA-approved inhaled corticosteroid used for maintenance asthma treatment. It contains ciclesonide as its main active ingredient, which reduces lung inflammation and makes breathing easier. It is available as an aerosol inhaler in two strengths, 80 mcg and 160 mcg. The doctor will customize the dose accordingly based on the condition and needs of the individual. It is not indicated for use in children under 12 years of age or for immediate relief from acute bronchospasm. For personalized advice and guidance, consult your doctor. Buy Alvesco (ciclesonide) online from the most trusted Canadian Pharmacy.  

Product Overview

Alvesco, an inhaled corticosteroid, contains ciclesonide as its main active ingredient, effectively reducing lung inflammation. It is designed for long-term asthma management in individuals 12 years and older, aiding in easier breathing by preventing airway swelling. Alvesco is available as an aerosol inhaler in two strengths, 80 mcg and 160 mcg, which should be used exactly as your healthcare provider prescribes. It is not suitable for children under 12 years of age or for immediate relief from acute bronchospasm.

When using Alvesco ciclesonide inhaler, it is essential to follow the prescribed regimen, typically starting with 80 mcg inhaled twice daily, with potential adjustments based on individual response and needs. The inhaler needs priming before first use or if unused for ten days. After inhalation, users should rinse their mouths to prevent infection and hoarseness. It is vital to note that Alvesco 160 mcg inhaler is for regular use and not for asthma attacks, for which a rapid-acting inhaler should be employed.

Common side effects include headache, dry mouth, sore throat, and voice changes. More severe side effects like worsening asthma symptoms or allergic reactions require immediate medical attention. Patients should avoid exposure to infections and consult their doctor if they experience unusual symptoms like tiredness or weight loss. Alvesco should be stored at room temperature, away from extreme heat and light. Missed doses should be taken as soon as remembered unless it is close to the time for the next dose. In cases of overdose, emergency medical help should be sought immediately. For any uncertainties regarding the use or storage of Alvesco, it is recommended to consult healthcare professionals.

What is Alvesco Used For?

• It is used for maintenance treatment for asthma in adults and children more than 12 years of age. 

[Important Warning: Alveso is not indicated for use in children under 12 years and relief from acute bronchospasm.]

What Are the Forms & Strengths of Alvesco?

Alvesco comes in the form of an aerosol inhaler that is available in the following strengths: 

• 80 mcg
• 160 mcg

What Is the Recommended Dosage of Alvesco for Different Patients?

The recommended dosage of Alvesco can vary from patient to patient based on your age, how your body responds to the medication, and the condition being treated. The dosage schedule mentioned here is generalized, and if your doctor has prescribed you a dosage different than the one given, you should follow their instructions and do not make dosage adjustments without consulting them, as it can lead to undesirable side effects. 

For patients receiving bronchodilators or inhaled corticosteroids

• Initially, the dosage is 80 mcg inhaled twice daily
• Based on how your body responds to treatment and condition, the dosage may be increased to 160 mcg twice daily. 

For patients receiving oral corticosteroids

• Initially, the dosage is 80 mcg inhaled twice daily
• Based on how your body responds to treatment and condition, the dosage may be increased to 320 mcg twice daily

[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Take Alvesco?

Alvesco ciclesonide inhaler is used to prevent asthma attacks and is not recommended for use during an existing asthma attack. You should use a quick-relief inhaler for this purpose. Before using the inhaled ciclesonide, you should carefully read and follow the directions for use given on your prescription label. If you have any questions or are facing difficulty understanding any part of the leaflet, you should ask your doctor. If you are not sure how to properly use the inhaler, you should ask a licensed healthcare professional to demonstrate to you how to administer the inhaler for the first time. 

• You should use Alvesco exactly as prescribed by your doctor every day at regular intervals to prevent asthma attacks. 
• Do not use this medication in small or large quantities or for longer than recommended, as it may cause unwanted side effects. 
• Do not use Alvesco 80 mcg inhaler during an asthma attack. Only use a rapid-acting inhaler for an asthma attack. 
• Keep track of how frequently you use your quick-relief inhaler, and report to your doctor. 
• Seek immediate medical attention if your quick-relief inhaler is not working as well as it used to, if you need to use more of it than usual for two or more days in a row, or if you need to use more than one full canister of it over two months.
• Let your doctor know if you feel that your asthma medications are not working well. 
• For safe and effective use of the medication and priming the inhaler, follow the instructions given in the patient information leaflet. 
• If you have any queries or concerns regarding the use of medication, ask your doctor or pharmacist. 
• Before using the inhaler, breathe out as you comfortably can. 
• Alvesco is usually used twice daily, once in the morning and once in the evening. 
• It should be primed before using the inhaler for the first time or if you use it after ten days or more. 
• Place the inhaler into your mouth and close your lips tightly. 
• Breathe in slowly and deeply. 
• Pull down the canister with your finger. 
• After using the inhaler, hold your breath for at least ten seconds to allow it to work properly. 
• Rinse your mouth and spit the water without swallowing after using this inhaler each time to prevent hoarseness, dry mouth, and oral yeast infections. 
• If you have been recommended more than one dose, repeat the steps given above. 
• If your doctor has prescribed you to take two puffs or use another inhaler simultaneously, keep a gap of at least sixty seconds between both puffs. 
• Clean Alvesco once weekly with a dry tissue. Do not wet it.
• You may start to feel better within 24 hours of using this medication, but it may take 28 days or more before your symptoms improve. 
• Continue using this medication even if you feel better, and let your doctor know if your condition does not improve or if it worsens. 
• You may require a change in dosage if your body is under stress, if you are ill, if you recently had an asthma attack, or if you have surgery. 
• Do not change your dose or schedule or stop taking the medication without consulting your doctor. 
• Call your doctor immediately if you feel that Alvesco is making your condition worse. 
• Do not stop taking this medication abruptly. Consult your doctor to know how you should taper the dose. 
• Kep Alvesco at room temperature away from heat, light, and moisture. Do not expose it to extreme heat, as it may explode if it gets too hot. 

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Alvesco Work?

Alvesco is an inhaled corticosteroid indicated for use in individuals aged 12 years or older for long-term treatment of asthma. It contains ciclesonide, an artificial corticosteroid that helps reduce lung inflammation and works directly on your esophagus. It makes breathing easier by preventing swelling in the airways. It may also help prevent asthma attacks and lead to less severe asthma attacks. It usually starts to work within 24 hours of taking the medication. However, to notice the full benefits, you should take it regularly for two to three weeks.  

Important Safety Information for Using Alvesco

What Are the Side Effects of Alvesco?

Common side effects of Alvesco:  Like other medications, there may be certain risks associated with the use of Alveso. Usually, these side effects are temporary and disappear within a few days or weeks without any medical assistance as your body adjusts to the medication. If you are concerned about any side effects of this medication, you should consult your doctor or healthcare provider and discuss with them the ways to prevent and manage them. 

• Headache: Headaches are a common temporary side effect of Alvesco. The exact mechanism behind what causes headaches while receiving treatment with this medication is not completely understood, but it is thought to be related to ciclesonide’s effect on the body’s fluid balance and inflammatory response. 

• Dry mouth: This medication can reduce the amount of saliva produced, causing dryness in the mouth. This may be uncomfortable and affect your ability to swallow, speak, or eat. If you have a dry mouth while using Alvesco, you should drink plenty of water to stay hydrated, use a humidifier, and avoid caffeinated beverages, and alcohol. 

• Unpleasant taste in your mouth: Due to Alvesco’s effect on the mouth and throat, it is common for users to experience a metallic or bitter taste. If the side effect is bothersome, you can try rinsing your mouth with water after inhalation. However, if it persists, discuss with your doctor how to manage it.  

• Burning or irritation in your mouth: Users can experience this side effect due to the local effects of inhaled corticosteroids, including Alvesco, on the mucus membranes in their mouths and throats. Additionally, they may develop an oral thrush or fungal infection in their mouths, causing symptoms like burning, pain, and a white or yellow coating on the tongue and inner cheeks.   

• Sore throat: A sore throat can cause soreness & discomfort, which can affect your ability to speak, swallow, or eat. If this persists, contact your doctor and discuss how to manage such symptoms effectively. 

• Hoarse voice: Alvesco can irritate the vocal cords and throats, causing inflammation that further leads to changes in voice. To manage this, you should rinse your mouth after inhalation, stay hydrated, and use a humidifier to soothe your throat. 

• Itching: This is a commonly occurring side effect of Alvesco, which can cause mild irritation or rash. If the itching extends to other parts of the body, you should apply a soothing lotion or cream to the affected area. If the itching persists or becomes bothersome, talk to your doctor.  

• Rash: This can occur due to an allergic reaction or other side effects of this medication. It may manifest as red, itchy, or swollen patches on the skin. Contact your doctor if it gets serious. 

• Joint and back pain: This medication, like other inhaled corticosteroids, can cause muscle pain or stiffness, including in the joints and back. If you experience pain in the back or joint while receiving treatment with Alvesco 160 mcg inhaler, you should discuss it with your doctor. They will make dosage adjustments or recommend other ways to manage this side effect.  

Tell your doctor if any of these side effects become worse or persist. You should also report any new or bothersome side effects to your doctor, even if they are not serious. 

Mild side effects of Alvesco may include: Inhaled corticosteroids, including Alvescoo, can cause certain side effects in some people. These side effects are not serious and go away within a couple of days. However, if they become troublesome, you should talk to your physician or healthcare provider & ask them how you can manage them. Mild side effects include:  

• Yeast infection: A yeast infection may develop in the mouth or other parts of the body. It happens because o fthe suppression of the immune system by corticosteroids including Alvesco. To prevent this, you should follow good hygiene practices. 

• Suppressed immune system: Alvesco can make your immune system weak, making you more susceptible to infections, including serious infections. If this becomes serious, you should talk to your doctor. 

• Adrenal suppression: Long-term use of corticosteroids such as Alvesco can affect the adrenal glands, leading to adrenal suppression.
• Glaucoma: Corticosteroids, including Alvesco, can increase ocular pressure, which can lead to glaucoma, a condition that damages the optic nerve & can result in vision loss. 

Adverse side effects of Alvesco: In rare cases, Alvesco can cause serious side effects in some individuals. These side effects require immediate medical assistance and lead to life-threatening complications if left untreated. Your doctor has prescribed you this medication because they have determined that Alvesco’s benefits outweigh its risks. You should get prompt medical assistance if you are having any of the side effects given below. You should call your doctor or 911.

• Serious allergic Reactions: Alvesco may trigger serious allergic reactions, which can become life-threatening if not properly treated. Discontinue using Alvesco and seek immediate medical attention if you experience symptoms such as breathing difficulties, wheezing, racing heart, fever, swollen lymph nodes, swelling of the face, lips, mouth, tongue, or throat, trouble swallowing, throat tightness, skin itching, rash, hives, nausea, vomiting, dizziness, fainting, stomach cramps, or joint pain.
• Oral Thrush: Use of Alvesco can lead to oral thrush or oral candidiasis, a fungal infection in the mouth and throat. To reduce the risk of oral thrush, you should properly rinse your mouth with water and spit it out after each dose. Contact your medical provider if you have mouth sores, loss of taste, or patches in the mouth or throat.
• Sudden Breathing Problems: Alvesco can cause bronchospasm, where the airway muscles tighten immediately after use instead of relaxing the muscles. In some cases, this can be serious. If you experience worsening breathing right after using Alvesco, stop use and seek medical assistance.
• Eye Problems: Alvesco may increase eye pressure and worsen or cause glaucoma or cataracts, which may lead to blindness. Regular eye exams are important while using this medication. Report any changes in vision or discomfort in the eye to your medical provider immediately. Tell your doctor or healthcare provider if you experience symptoms like loss of vision, eye pain, redness, severe headache, cloudy or blurry vision, and seeing halos around lights. 
• Reduced Adrenal Function: Long-term use of Alvesco can lead to adrenal insufficiency, especially if transitioning from oral corticosteroids like prednisone. Symptoms include nausea, vomiting, weakness, fatigue, and dizziness. Notify your healthcare provider if these occur. Adrenal insufficiency can worsen if your body is under stress due to trauma, fever, or surgery. 
• Infection: Alvesco can weaken the immune system, increasing your susceptibility to infections, including a serious infection. Let your healthcare provider know if you experience fever, chills, fatigue, body aches, or have been exposed to infectious diseases like chickenpox or measles.
• Weak Bones: Long-term use of Alvesco may lead to decreased bone density or osteoporosis. Discuss any personal or family history of bone issues with your healthcare provider. They may monitor your bone health or recommend preventive measures. Tell your doctor immediately if you break a bone. 
• Slow Growth in Children: Alvesco ciclesonide inhaler may slow growth in children and adolescents who are still at a growth age. Monitor growth regularly and discuss any concerns about how your child is growing with your healthcare provider.
• Immune System Reaction: Rarely, Alvesco can trigger immune system reactions such as Churg-Strauss Syndrome or eosinophilic granulomatosis with polyangiitis, characterized by high eosinophil levels and vasculitis. Symptoms include rash, worsening breathing issues, and pain or numbness in limbs. Consult your healthcare provider if these symptoms appear. You have an increased risk of developing an immune system reaction if you have been using oral corticosteroids such as prednisone and you discontinue using it and switch to Alvesco. 

[Note: This list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Are There Any Warnings for Using Alvesco? 

There are certain warnings that you should consider while using Alvesco (ciclesonide) to control and prevent asthma symptoms in adults & children aged 12 and older. While it can be effective in managing your asthma, you should not use it for immediate relief during an asthma attack. Here are some other warnings:  

• Corticosteroids may weaken your immune system, making you prone to frequent infections. It can also worsen an existing infection or reactivate an infection you had in the past. 
• Let your doctor know about the infections and conditions you had in the recent past. 
• Alvesco MDI 80 MCG should not be used during an asthma attack. Use only a fast-acting mouthpiece, and let your doctor know if your medications don’t work well. 
• Before starting to take this medication, let your doctor know if you have or have the following conditions:
  • Tuberculosis 
  • Herpes infection in your eyes
  • An infection in your mouth or throat
  • Cataract 
  • Glaucoma
  • A personal or family history of osteoporosis 
• Do not stop using Alvesco abruptly, as it may cause bothersome withdrawal symptoms. Consult your doctor to discuss ways on how to taper the medication gradually. 
• Call your doctor immediately if you feel that this medication is making your condition worse. 
• If possible, avoid staying near people who have infections or illness. Call your doctor at once if you have been exposed to conditions such as measles or chickenpox, as these conditions may be severe and life-threatening for some people using steroid drugs. 

What Are the Precautions for Alvesco?

Before starting treatment with Alvesco, patients should be aware of several important precautions to ensure safe and effective use. You should share your complete medical history with your doctor, particularly if you have any current or past respiratory infections, immune system problems, or eye problems, as these factors may affect the medication use. You should also tell them about all the medications you use. 

• Do not use Alvesco if you have a known hypersensitivity to ciclesonide or other ingredients in the medication. 
• It is unknown whether this medication is safe for use during pregnancy. Let your doctor know if you are pregnant, suspect a pregnancy, or plan to become pregnant while taking this medication. 
• Use this medication during pregnancy only after discussing it with your doctor and knowing that the benefits outweigh the potential risks of Alvesco. 
• It is unknown whether ciclesonide can pass into the nursing mother’s breast milk or cause harm to the infant. Let your doctor know if you plan to breastfeed a baby while taking Alvesco. 
• Tell your doctor and healthcare provider about all the medications you are taking. This includes all prescription medications, over-the-counter drugs, and herbal supplements. 
• Call your doctor immediately if you experience unusual or extreme tiredness and weight loss. 
• This medication may slow the growth and development of pediatric patients when used for a long time. 

What Is the Contraindication of Alvesco? 

Alvesco is contraindicated for use:

• In patients with a known hypersensitivity to Alvesco, ciclesonide, or any other ingredients present in the medication. 
• When severe measures are required for the primary treatment of acute asthma episodes.

What Happens If You Miss a Dose of Alvesco? 

For the best results, it is recommended to maintain consistency in dosage and take the medication around the same time every day. 

• If you missed a dose of Alvesco, take it as soon as you remember. 
• However, if it is almost time to take your next dose, you may omit the missed dose and continue as per your regular dosing schedule. 
• Do not take two doses of the same medication to compensate for the missed dose. 
• To prevent missing dosage in the future, you can set a reminder on your phone.  

[Note: If you have missed a medication dose and are unsure when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Take Too Much Alvesco?

You should not take Alvesco MDI 100 MCG more than recommended as it may cause life-threatening side effects. Long-term use of corticosteroids can lead to easy bruising, thinning skin, changes in body shape, increased facial hair or acne, menstrual problems, disinterest in sex, and impotence. If someone has overdosed on the medication and is having serious symptoms such as difficulty breathing or passing out, and if they can’t be woken up, seek immediate medical assistance. You can call 911 or head to the nearest emergency room. 

[Note: If you consumed more than the recommended dose, get medical help immediately or call the Poison Help line at 1-800-222-1222.]

How Do You Store Alvesco?

To maintain the effectiveness and ensure safe use throughout the shelf life of Alvesco, you should follow proper storage guidelines. You should keep it at room temperature. Proper storage of Alvesco includes: 

• Store Alvesco at a controlled room temperature. 
• Keep all medications, including Alvesco, in a safe place, away from the sight and reach of children and pets. 
• Keep the medication away from direct light, excess heat, and open flames. 
• Clean Alvesco once weekly with a dry tissue. Do not wet it.
• When exposed to extreme temperatures, the medicine canister may explode. 
• Do not burn or puncture an empty medicine canister. 
• Do not use medication that is outdated or no longer needed. 
• Do not flush the medication unless directed. 
• Do not throw the unwanted medications in wastewater or household garbage bin. 
• For more information on how to dispose of unwanted medications, contact your pharmacist or local waste disposal company.

[Note: Discuss with your healthcare professional the proper disposal of unused medicine and any questions you may have regarding its storage.]

What Are the Drug Interactions of Alvesco? 

Certain medications can interact with Alvesco and reduce its effectiveness or cause unwanted side effects. You should tell your doctor or healthcare provider about all the medications you are currently using or plan to use alongside Alvesco, including all prescription medicines, over-the-counter drugs, herbs, and vitamin supplements. This information helps you and your doctor identify and manage potential drug interactions with Alvesco 160 mcg inhaler. Some of the interactions of Alvesco include: 

• Apalutamide 
• Lonafarnib 
• Saquinavir 
• Tucatinib 
• Atazanavir 
• Cenobamate  
• Ceritinib 
• Clarithromycin 
• Cobicistat 
• Crizotinib 
• Darunavir 
• Elvitegravir
• Cobicistat 
• Emtricitabine 
• Tenofovir DF
• Fedratinib 
• Fosamprenavir 
• Idelalisib 
• Indinavir 
• Itraconazole 
• Ketoconazole  
• Lenacapavir 
• Levoketoconazole 
• Lopinavir 
• Mifepristone 
• Nefazodone  
• Nelfinavir 
• Nrmatrelvir
• Ritonavir 
• Posaconazole 
• Ritonavir 
• Rucaparib 
• Stiripentol 
• Tazemetostat 
• Voriconazole 
• Acetazolamide 
• Anastrozole 
• Cyclophosphamide 
• Danazol 
• Drospirenone 
• Larotrectinib 
• Ribociclib 

[Note: This isn’t a complete list, and there could be other drugs that interact with Alvesco. Tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

What Are the Other Alvesco Interactions? 

Certain herbs, food items, beverages & supplements may also interact with Alvesco. These can affect its safety and efficacy. To prevent such interactions, your doctor may recommend you make certain dietary and lifestyle changes while using Alvesco for asthma management. It includes: 

• St. John’s Wort 
• Ginseng 
• Grapefruit juice 
• Caffeine 
• Alcohol   

Apart from this, there are certain conditions that require special attention. 

• Fungal infections 
• Immune system disorders such as HIV/AIDS, autoimmune conditions, and recent 
• Osteoporosis
• Glaucoma 
• Cataracts 
• Liver disease 
• Diabetes 
• Hyperthyroidism 
• Bronchiectasis 
• Adrenal insufficiency 

What Are the Alvesco Alternatives? 

While Alvesco 80 mcg inhaler is an effective medication used for asthma management, it may not be suitable for everyone, may fail to provide desired results, or may be expensive. In such cases, people look for alternatives to Alvesco. If you are considering to buy Alvesco online or its alternatives, you can access coupons to get a low Alvesco 160 mcg inhaler price. There are many popular alternatives to Alvesco asthma inhaler present on the market, you should not use them without consulting with a licensed healthcare professional. If you plan to change or start a new medication, talk to your doctor. Based on multiple factors, such as condition, age & needs, they will help you determine the medication that works best for you. This list includes some of the Alvesco alternatives:  

• Flovent (fluticasone propionate)
• Xhance (fluticasone propionate)
• Arnuity Ellipta (fluticasone furoate)
• Qvar (beclomethasone)
• Asmanex (mometasone)
• Pulmicort (budesonide)
• Rhinocort (budesonide)
• Proventil (albuterol)
• Xopenex (levalbuterol)
• Spiriva (tiotropium)
• Incruse Ellipta (umeclidinium bromide)
• Atrovent HFA (ipratropium)
• Advair HFA (fluticasone)
• Dulera (formoterol)
• Singulair (montelukast)
• Theochron (theophylline )
• Rayos (prednisone)
• Medrol (methylprednisolone)
• Decadron (dexamethasone)
• Accolate (zafirlukast)

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.] 

Alvesco Cost & Coupons 

Price of Alvesco 80 mcg inhaler is based on factors such as health insurance coverage, chosen pharmacy, and prescription dosage. It can become an out-of-pocket expense for individuals without insurance or for whom Alvesco isn’t covered. In the U.S., many patients find it challenging to afford inhaled corticosteroids like Alvesco, leading some to explore options or discounts. Some also turn to buying Alvesco through sites and services such as Polar Bear Meds, which are sourced from Canada at a reduced price for American customers. Additionally, new customers can use the coupon code WELCOMEPB10 at Polar Bear Meds to receive a 10% discount on their first order, providing a further way to save.

Frequently Asked Questions

How long does it take for Alvesco to start working?

Alvesco typically begins to take effect within 24 hours of use. However, it might take two to three weeks of regular use before asthma symptoms noticeably improve. Patients should continue using Alvesco as prescribed, even if they do not feel immediate relief, as the medication’s full benefits are best observed over a consistent period.

What should I do if I miss a dose of Alvesco?

If you missed a dose of Alvesco, you should take it as soon as you remember. However, if it is nearly time to take your next scheduled dose, you may omit the missed dose and continue as per your usual dosing schedule. Do not take an extra dose to make up for the missed one. To help manage your dosing schedule, consider setting reminders on your phone or using a medication-tracking app.

Can Alvesco be used during a sudden asthma attack?

No, Alvesco is not designed for relief during an acute asthma attack. It is a maintenance medication intended for long-term control of asthma. For sudden asthma symptoms or attacks, you should use a quick-relief inhaler (rescue inhaler). Always have your rescue inhaler with you to address acute symptoms.

Are there any specific conditions or medications that interact with Alvesco?

Alvesco can interact with certain conditions and medications, potentially altering its effectiveness or increasing side effects. Inform your doctor if you have a history of tuberculosis, herpes infection in the eyes, or any infections in your mouth or throat. Drugs such as Ketoconazole, Ritonavir, and certain other corticosteroids may interact with Alvesco. To ensure safe and effective use, talk to your doctor and healthcare provider about your current medications and medical conditions.

Can you take Alvesco every day?

Yes, you can use Alvesco asthma inhaler every day as a maintenance/preventive inhaler for asthma. You should use it exactly as your doctor prescribes. You should not discontinue using it without consulting your doctor, even if you feel well. It is also important to note that Alvesco should not be used as a quick-relief inhaler for sudden asthma attacks. You should use a rescue inhaler for this purpose. Ask your pharmacist or doctor if you do not have one.

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