What is ciclesonide? What is ciclesonide used for?
Ciclesonide (Alvesco) is a man-made steroid for inhalation in the glucocorticoid family. It is related to the naturally-occurring steroid hormone, cortisol or hydrocortisone, produced by the adrenal glands. The body converts ciclesonide to des-ciclesonide, which is the active form of the drug. Glucocorticoid steroids have potent anti-inflammatory actions. When used as an inhaler, ciclesonide travels to the airways in the lung. In people with asthma, the suppression of inflammation within the airways reduces the spasm of muscle cells that surround the airways as well as the accumulation of fluid and cells that accompanies the inflammation which lead to narrowing of the airways. The narrowing makes it difficult to get air into and out of the lungs. When used in lower doses, very little ciclesonide is absorbed into the body. When higher doses are used, ciclesonide is absorbed and may cause side effects elsewhere in the body. The FDA approved ciclesonide in January 2010.
What brand names are available for ciclesonide?
Is ciclesonide available as a generic drug?
Do I need a prescription for ciclesonide?
What are the side effects of ciclesonide?
What is the dosage for ciclesonide?
The recommended dose is 80 to 320 mcg oral inhalation twice daily.
Which drugs or supplements interact with ciclesonide?
Some drugs (for example, ketoconazole [Nizoral, Extina, Xolegel, Kuric]) that reduce the activity of liver enzymes that breakdown drugs may increase the levels of des-ciclesonide, which is the active form of ciclesonide, and lead to increased exposure of the body to des-ciclesonide and more side effects.
Is ciclesonide safe to take if I'm pregnant or breastfeeding?
Use during pregnancy has not been adequately evaluated. Ciclesonide harmed the fetus in animal reproductive studies.
It is not known whether ciclesonide is secreted in breast milk. Other medications in this class are secreted into breast milk. It is not known whether the small amounts of ciclesonide that may appear in breast milk have an effect on the infant.
What else should I know about ciclesonide?
What preparations of ciclesonide are available?
Aerosol: 80, and 160 mcg per inhalation
How should I keep ciclesonide stored?
Ciclesonide should be stored at room temperature, between 15 C and 30 C (59 F and 86 F).
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Ciclesonide (Alvesco) is a prescription glucocorticoid drug used to treat asthma in individuals 12 years of age or older. Side effects, drug interactions, dosing, storage, and pregnancy and breastfeeding information should be reviewed before taking this medication.
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Asthma is a condition in which hyperreactive airways constrict and result in symptoms like wheezing, coughing, and shortness of breath. Causes of asthma include genetics, environmental factors, personal history of allergies, and other factors. Asthma is diagnosed by a physician based on a patient's family history and results from lung function tests and other exams. Inhaled corticosteroids (ICS) and long-acting bronchodilators (LABAs) are used in the treatment of asthma. Generally, the prognosis for a patient with asthma is good. Exposure to allergens found on farms may protect against asthma symptoms.
Asthma: Over the Counter Treatment
Patients who have infrequent, mild bouts of asthma attacks may use over-the-counter (OTC) medications to treat their asthma symptoms. OTC asthma medicines are limited to epinephrine and ephedrine. These OTC drugs are best used with the guidance of a physician, as there may be side effects and the drugs may not be very effective.
There are two types of asthma medications: long-term control with anti-inflammatory drugs and quick relief from bronchodilators. Asthma medicines may be inhaled using a metered-dose inhaler or nebulizer or they may be taken orally. People with high blood pressure, diabetes, thyroid disease, or heart disease shouldn't take OTC asthma drugs like Primatene Mist and Bronkaid.
There are many unusual symptoms of asthma, including sighing, difficulty sleeping, anxiety, chronic cough, recurrent walking pneumonia, and rapid breathing. These symptoms may vary from individual to individual. These asthma complexities make it difficult to accurately diagnose and treat asthma.
Asthma in Children
Asthma in children manifests with symptoms such as coughing and wheezing. Rates of asthma in children are increasing. Asthma in children is usually diagnosed based on the description of symptoms. Lung function tests may also be used. A variety of medications are used for the treatment of childhood asthma.
Adult-onset asthma is asthma that is diagnosed in people over 20 years of age. Symptoms include wheezing, coughing, shortness of breath and difficulty breathing. Treatment may involve anti-inflammatory medications or bronchodilators.
Occupational asthma is a type of asthma caused by exposure to a substance in the workplace. Symptoms and signs include wheezing, chest tightness, and shortness of breath. The usual treatment for occupational asthma involves removal from exposure and the use of bronchodilators and inhaled anti-inflammatory medicines.
Exercise-induced asthma is asthma triggered by vigorous exercise. Symptoms include coughing, shortness of breath, chest tightness, wheezing, and fatigue while exercising. Preventing exercise-induced asthma attacks involves using inhaled medicines before exercising, performing warm-up exercises and cooling down afterward, avoiding exercising outdoors when pollen counts are high, restricting exercise when you have a viral infection, and wearing a mask over your nose and mouth when exercising in cold weather.
Treatment & Diagnosis
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