Ciclesonide (Oral Inhalation)

(sye KLES oh nide)

Brand Names: U.S.

  • Alvesco

Brand Names: Canada

  • Alvesco®

What key warnings do I need to know about before giving this drug to my child?

  • When changing from an oral steroid to a breathed in one, there may be problems. Signs such as weakness, feeling tired, dizziness, upset stomach, throwing up, not thinking clearly, or low blood sugar may happen. Call your child's doctor right away if any of these signs happen. If your child has a bad crash and is hurt, has surgery, or any infection, he/she may need extra doses of oral steroids. These extra steroids will help your child's body deal with these extra stresses. Have your child wear medical alert ID (identification).

Is it safe for my child to take this drug?

  • Not if your child has an allergy to ciclesonide or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

Why does my child need this drug?

  • It is used to treat asthma.

How is this drug given?

  • For breathing in only by a puffer (inhaler) into the lungs.
  • Have your child rinse out mouth after each use.
  • Prime puffer (inhaler) before first use or if not used for more than 1 week by spraying it 3 times.
  • A spacer may be used with the puffer (inhaler) for easy use. Children younger than 8 years of age need to use a spacer.
  • Check your child's puffer (inhaler) use with the doctor at each visit. Read and follow facts on how to use the puffer. Make sure your child's uses the puffer the right way.
  • If your child is using a puffer (inhaler), wait 10 minutes before giving this drug.

How long does this drug take to work?

  • Your child may start feeling better a few days after starting this drug.
  • It may take a few weeks to see the full effect.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child's next dose, skip the missed dose and go back to your child's normal time.
  • Do not give 2 doses or extra doses.
  • Do not change the dose or stop your child's drug. Talk with your child's doctor.

What safety measures do I need to take when my child is using this drug?

  • Do not give this drug to treat an asthma attack.
  • Have your child wear disease medical alert ID (identification).
  • If your child has been taking this drug for many weeks, talk with your child's doctor before stopping. You may want to slowly stop this drug.
  • Avoid having your child near anyone with chickenpox or measles.
  • If your child is being treated for any infection, talk with the doctor.
  • If your child has high blood sugar (diabetes), talk with the doctor.
  • If your child has kidney disease, talk with the doctor.
  • If your child has liver disease, talk with the doctor.
  • If your child has seizures, talk with the doctor.
  • If your child has thyroid disease, talk with the doctor.
  • If your child has TB (tuberculosis), talk with your child's doctor.
  • Check all drugs your child is taking with your child's doctor. This drug may not mix well with some other drugs.
  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.

What are some side effects of this drug?

  • Headache.
  • Cough.
  • Sore throat.
  • Mouth infection. To avoid infection, have your child rinse his/her mouth with water and then spit water out.
  • Bad taste in your mouth. This most often goes back to normal.
  • Nose stuffiness.

When do I need to call my child's doctor?

  • If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
  • If your child shows signs of a very bad reaction, call your child's doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
  • If your child shows any signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color or sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
  • If your child is feeling very tired, weak, or touchy; is trembling; has a fast heartbeat, confusion, sweating, or dizziness if a dose was missed or the drug was recently stopped.
  • If your child has trouble breathing.
  • If your child uses a short-acting puffer (inhaler) more often.
  • If your child has more asthma attacks.
  • If your child has very bad mouth irritation.
  • If your child gets a rash.
  • If your child’s health problem does not get better or if you believe your child’s health problem is worse.

How do I store and/or throw out this drug?

  • Store at room temperature.

General drug facts

  • If your child has a very bad allergy, he/she needs to wear an allergy ID at all times.
  • You may get this drug by drug order only. If there are refills, call your pharmacy. If your child does not have refills left, you may need to call your child's doctor.
  • Get rid of this drug when your child no longer needs it or if the drug is outdated.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
  • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
  • Do not share your child's drug with others and do not give anyone else's drug to your child.
  • Keep all drugs out of the reach of children and pets.
  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
  • Talk with the doctor before giving your child any new drug, including OTC, natural products, or vitamins.
  • If you do not use a drug the right way, it may not be safe. Follow what your child’s doctor tells you.