Ciclesonide inhaler
Alvesco
נבדק על ידי Sid Dajaniעודכן לאחרונה על ידי Michael Stewart, MRPharmSLast updated 22 Feb 2025
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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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המשך לקרוא למטה
About ciclesonide inhaler
סוג התרופה | A corticosteroid (steroid) inhaler |
שימוש עבור | אסתמה |
נקרא גם | Alvesco® |
זמין כ | Aerosol inhaler |
Inhalers are the main treatment for אסתמה. 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
חזרה לתוכןSome 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).
אם אתה נוטל או משתמש בתרופות אחרות כלשהן. זה כולל כל תרופה שאתה נוטל שניתן לרכוש ללא מרשם, כמו גם תרופות צמחיות ומשלימות.
אם אי פעם הייתה לך תגובה אלרגית לתרופה.
המשך לקרוא למטה
How to use a ciclesonide inhaler
חזרה לתוכןBefore 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.
להפיק את המרב מהטיפול שלך
חזרה לתוכןCiclesonide 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.
המשך לקרוא למטה
Can ciclesonide inhalers cause problems?
חזרה לתוכןAlong 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) | מה אני יכול לעשות אם אני חווה את זה? |
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 |
כאב ראש | שתו הרבה מים ובקשו מהרוקח שלכם להמליץ על משכך כאבים מתאים. אם הכאבי ראש נמשכים, הודיעו לרופא שלכם |
תחושת בחילה (נוזאה) | Eat simple foods - avoid rich or spicy meals |
פריחה בעור | אם יש בעיה, דבר עם הרופא שלך |
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
חזרה לתוכןשמור את כל התרופות מחוץ להישג ידם וראייתם של ילדים.
יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.
מידע חשוב על כל התרופות
חזרה לתוכןמידע חשוב על כל התרופות
לעולם אל תיקח יותר מהמינון שנקבע. אם אתה חושד שאתה או מישהו אחר אולי לקח מנת יתר של תרופה זו, פנה למחלקת תאונות וחירום בבית החולים המקומי שלך. קח את המיכל איתך, אפילו אם הוא ריק.
תרופה זו מיועדת עבורך. לעולם אל תיתן אותה לאנשים אחרים, גם אם מצבם נראה דומה לשלך.
אם אתה קונה תרופות כלשהן, בדוק עם רוקח שהן מתאימות לשימוש עם התרופות האחרות שלך.
אם אתה עובר ניתוח או טיפול שיניים כלשהו, אמור לאדם שמבצע את הטיפול אילו תרופות אתה נוטל.
אל תשמרו תרופות שפג תוקפן או שאינן רצויות. קחו אותן לבית המרקחת המקומי שלכם שיטפל בהן עבורכם.
אם יש לך שאלות לגבי התרופה הזו, שאל את הרוקח שלך.
דווח על תופעות לוואי לתרופה או חיסון
אם אתה חווה תופעות לוואי, תוכל לדווח עליהן באינטרנט דרך ה Yellow Card website.

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שאלות נפוצות
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.
קריאה נוספת והפניות
- Manufacturer's PIL, Ciclesonide Advanz Pharma 80 mcg and 160 mcg per metered dose pressurised inhalation, solution; ADVANZ Pharma, The electronic Medicines Compendium. Dated December 2024.
- תרופות מלאות BNF מהדורה 89; האגודה הרפואית הבריטית והחברה המלכותית לפרמקולוגיה של בריטניה הגדולה, לונדון.
המשך לקרוא למטה
About the authorView full bio

מייקל סטיוארט, 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

סיד דג'אני
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.
היסטוריית המאמר
המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.
Next review due: 22 Feb 2028
22 Feb 2025 | הגרסה האחרונה

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