CICLESONIDE (INHALATION)

(sye KLES oh nide) Brand: Alvesco HFA

What is the most significant information I must know about ciclesonide?

Ciclesonide inhalation will not work quick satis to treat an asthma attack. Use only a quick acting inhalation medication for an asthma onslaught. Speak your doctor if it seems like your asthma medications do not work as well.

What is ciclesonide?

Ciclesonide is a corticosteroid. It prevents the release of substances in the body that reason inflammation.

Ciclesonide is used to prevent asthma attacks in adults and children who are at least 12 years.

Ciclesonide may also be used for purposes not listed in this medicine guide.

What must I discuss with my health care provider till using ciclesonide?

• Steroid medicine can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Speak your doctor about any diseases or infection you have had within the past different weeks.

• You must not use this medicine if you are allergic to ciclesonide.

• To create certain ciclesonide inhalation is safety for you, speak your doctor if you have:

· tuberculosis;

· an infection of your mouth or throat (such as oral thrush);

· glaucoma or history of cataracts;

· herpes infection of your eyes; or

· a private or family history of osteoporosis.

• FDA pregnancy category C. It is not known whether ciclesonide inhalation will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• It is not known whether ciclesonide inhalation passes into breast milk or if it could harm a nursing child. Speak your doctor if you are breast-feeding a baby.

Ciclesonide inhalation can affect growth in children. Conversation with your doctor if you think your baby is not growing at a usual course while using this medicine.

How must I use ciclesonide inhalation?

• Follow all directions on your prescription label. Do not use this medication in larger or less amounts or for longer than recommended.

Ciclesonide inhalation will not work quick satis to treat an asthma attack. Use only a quick acting inhalation medication for an asthma onslaught. Speak your doctor if it seems like your asthma medications do not work as well.

• This medicine comes with patient instructions for safety and effective use, and directions for priming the inhaler device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Ciclesonide inhalation is most often used once daily, in the morning or evening. Follow your doctor's instructions. Rinse your mouth after inhaling this medication.

• The inhaler device should be primed till your first use or any time you have not used the inhaler for 10 days or longer. For instructions on how to prime the inhaler, refer to the patient instructions provided with your medication.

• It may take up to 4 weeks till your symptoms improve. Hold using the medicine as directed and speak your doctor if your symptoms do not improve.

• Your doze needs may change if you have surgery, are ill, are under stress, or have recently had an asthma onslaught. Do not change your medicine doze or schedule without your doctor's advice.

• Call your doctor right away if you feel that ciclesonide inhalation makes your condition worse.

You must not stop using ciclesonide inhalation suddenly. Follow your doctor's instructions about tapering your dose.

• Store at room temperature away from moisture and heat. Hold the medication canister away from open flame or tall heat, such as in a machine on a hot day. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.

What happens if I miss a dose?

• Use the medicine as soon as you remember the missed doze. If it is nearly time for your following doze, skip the missed doze and use the medication at your following regularly scheduled time. Do not use extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• An overdose of ciclesonide inhalation is not expected to manufacture life threatening symptoms. However, long term use of tall steroid doses can lead to symptoms such as thinning skin, light bruising, changes in the shape or location of body thick (especially in your person, neck, back, and waist), heighten acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What must I avoid while using ciclesonide inhalation?

• Avoid being around people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

What are the possible side effects of ciclesonide inhalation?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have:

· wheezing, choking, or another breathing problems after using this medication;

· bronchospasm (wheezing, chest tightness, trouble breathing);

· sores or white patches in your mouth or throat;

· vision problems, such as tunnel vision or blurred vision; or

· worsening asthma symptoms.

• General side effects may include:

· unpleasant taste in your mouth;

· dry mouth, burning or irritation in your mouth;

· runny or stuffy nose, sore throat;

· hoarse voice;

· mild itching or skin rash;

· joint pain, back pain; or

· headache.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect ciclesonide inhalation?

• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with ciclesonide inhalation, especially:

· an antibiotic--clarithromycin, erythromycin, telithromycin;

· an antifungal medication--clotrimazole, itraconazole, ketoconazole, voriconazole;

· HIV/AIDS medicine--atazanavir, delavirdine, indinavir, nelfinavir, saquinavir, ritonavir (Norvir); or

· an antidepressant such as nefazodone, paroxetine, sertraline.

• This list is not complete. Another drugs may interact with ciclesonide inhalation, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.

Where can I get more information?

• Your pharmacist can provide more information about ciclesonide inhalation.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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