Alvesco Aerosol

Generic Name: Ciclesonide (sye-KLES-oh-nide)Brand Name: Alvesco

Alvesco Aerosol is used for:

Preventing asthma symptoms.

Alvesco Aerosol is an inhaled corticosteroid. It works by decreasing irritation and swelling in the airways, which helps to control or prevent asthma symptoms.

Do NOT use Alvesco Aerosol if:

  • you are allergic to any ingredient in Alvesco Aerosol
  • you are having an acute asthma attack

Contact your doctor or health care provider right away if any of these apply to you.

Before using Alvesco Aerosol:

Some medical conditions may interact with Alvesco Aerosol. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a history of increased pressure in the eye, glaucoma, or cataracts
  • if you have a personal or family history of osteoporosis (weak bones) or you have risk factors for developing osteoporosis, including prolonged immobilization and long-term use of anticonvulsants (eg, carbamazepine) or corticosteroids (eg, prednisone)
  • if you have a herpes infection of the eye; a bacterial, fungal, or parasitic infection; or a viral infection (eg, chickenpox, measles, shingles)
  • if you have tuberculosis, have had a positive tuberculosis skin test, or have recently been vaccinated

Some MEDICINES MAY INTERACT with Alvesco Aerosol. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Azole antifungals (eg, ketoconazole), delavirdine, or HIV protease inhibitors (eg, ritonavir) because they may increase the risk of Alvesco Aerosol's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Alvesco Aerosol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Alvesco Aerosol:

Use Alvesco Aerosol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Alvesco Aerosol. Talk to your pharmacist if you have questions about this information.
  • Inhale Alvesco Aerosol through the mouth.
  • You will need to prime a new inhaler before you use it for the first time. To prime the inhaler, remove the plastic cap and make sure the dose indicator on the top of the inhaler is before the 60 inhalation mark. Spray the inhaler 3 times into the air away from your face and eyes.
  • You will need to prime the inhaler again if you go without using it for more than 10 days.
  • To use a dose, remove the plastic cap and breathe out slowly and completely. Place the mouthpiece between your lips and try to rest your tongue flat, unless your doctor has told you otherwise. As you start to take a slow deep breath, press the canister and mouthpiece together at exactly the same time. This will release a dose of Alvesco Aerosol. Continue breathing in slowly and deeply and hold for about 10 seconds or for as long as comfortable, then breathe out slowly through pursed lips or your nose. If more than 1 inhalation is to be used, wait a few minutes and repeat the above steps. Keep the spray away from your eyes.
  • Replace the mouthpiece cover after each use.
  • Clean the mouthpiece weekly with a clean, dry tissue or cloth.
  • Rinse your mouth with water after each use to help prevent mouth or throat infections. Do not swallow the rinse water. Spit it out.
  • Do not use near heat or an open flame.
  • Keep the inhaler clean and dry at all times. Do not wash the inhaler or put any part of it in water.
  • Alvesco Aerosol has a dose counter on the top of the canister to help you to keep track of how many doses are left in your inhaler. The dose counter will count down every time a dose is loaded; however, it is unlikely that you will see the dose counter move with each dose. You will be able to see that it is moving after intervals of about 10 doses. Throw Alvesco Aerosol away when the dose indicator display shows "0." It may no longer give the correct amount of medicine with each dose.
  • The dose counter may not work properly if the inhaler is dropped. Keep track of the number of sprays you use and subtract this number from the number of doses in the container. This will help you know when the container is becoming empty.
  • Continue to use Alvesco Aerosol even if you feel well. Do not miss any doses. Use Alvesco Aerosol on a regular schedule to get the most benefit from it.
  • If you miss a dose of Alvesco Aerosol, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Alvesco Aerosol.

Important safety information:

  • Alvesco Aerosol may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Alvesco Aerosol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Improvement in asthma control can occur within 24 hours of beginning treatment; the maximum effect of Alvesco Aerosol may take as long as 4 weeks, or longer. If symptoms do not improve within that period of time or if they become worse, contact your health care provider.
  • Do NOT use more than the recommended dose, use for longer than prescribed, decrease your dose, or stop using Alvesco Aerosol without checking with your doctor.
  • Use caution if you switch from an oral steroid (eg, prednisone) to Alvesco Aerosol. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur.
  • Tell your doctor at once if you switch from an oral corticosteroid to Alvesco Aerosol and you notice symptoms such as runny nose, red or irritated eyes, muscle and joint pain, exhaustion, depression, unusual weakness, or severe or persistent nausea or vomiting.
  • Alvesco Aerosol may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections.
  • Do not receive a live vaccine (eg, measles, mumps) while you are taking Alvesco Aerosol. Talk with your doctor before you receive any vaccine.
  • Tell your doctor or dentist that you take Alvesco Aerosol before you receive any medical or dental care, emergency care, or surgery.
  • Alvesco Aerosol will not stop an asthma attack once it has already started. Be sure to carry a short-acting bronchodilator with you at all times to treat any breathing problems that may occur between doses of Alvesco Aerosol (eg, severe or sudden onset of wheezing or shortness of breath). If you have any questions about which medicines stop asthma attacks, check with your doctor or pharmacist.
  • Tell your doctor at once if you notice that your short-acting bronchodilator inhaler does not work as well, if you need to use it often (eg, 4 or more times a day for more than 2 days in a row; more than 1 canister in 8 weeks), or if you have a decrease in your peak flow meter results.
  • Alvesco Aerosol may sometimes cause severe breathing problems right after you use a dose. If this happens, use your short-acting bronchodilator and seek medical care at once. Do not use any more doses of Alvesco Aerosol unless instructed by your doctor.
  • Lab tests, including lung function, adrenal function, bone density, and eye exams, may be performed while you use Alvesco Aerosol. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They should have regular growth checks while they use Alvesco Aerosol.
  • Alvesco Aerosol should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Alvesco Aerosol while you are pregnant. It is not known if Alvesco Aerosol is found in breast milk. If you are or will be breast-feeding while you use Alvesco Aerosol, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Alvesco Aerosol:

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; headache; nasal congestion; nose or throat irritation.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); back or joint pain; depression; ear pain or discharge; mental or mood changes; new or worsening asthma symptoms (eg, increased wheezing); severe or persistent diarrhea or stomach pain; shortness of breath after using Alvesco Aerosol; signs of infection (eg, fever, chills, or sore throat); vision changes (eg, cloudy vision, decreased vision); white patches in the mouth or throat.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (, or emergency room immediately.

Proper storage of Alvesco Aerosol:

Store Alvesco Aerosol at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat and direct sunlight. Do not puncture, break, or burn the canister even if it appears to be empty. Do not store in the bathroom. Keep Alvesco Aerosol out of the reach of children and away from pets.

General information:

  • If you have any questions about Alvesco Aerosol, please talk with your doctor, pharmacist, or other health care provider.
  • Alvesco Aerosol is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Alvesco Aerosol. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.