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The Alvesco inhaler is made up of ciclesonide, which is a corticosteroid. Alvesco is usually a red or brown inhaler and is used to prevent difficulty breathing, chest tightness, wheezing, and coughing. These are symptoms seen in people with asthma. We have Alvesco available in two doses; 160mcg (200mcg) and 80mcg (100mcg).

This medication works by preventing inflammation in the lungs, by doing this, it reduces the severity of future asthma attacks. Since it works by preventing symptoms from occuring and reducing the effect, it does not work for an asthma attack that has already started.

Make sure the inhaler isn’t cold or hot but room temperature

  • Remove cap from mouthpiece
  • Ensure canister is both firmly and fully on the actuator.

There is no need to shake before use If it’s been more than 10 days since you’ve used it, or if it’s your first time; prime the inhaler first by releasing 3 test sprays into the air Right before using, breath out through your nos Hold the inhaler facing you with the mouthpiece on the bottom. Place your thumb under the mouthpiece and your index finger on the center of the dose indicator at the top of the canister. Place the mouthpiece in your mouth and close your lips around it, keeping your tongue below it. Breathe deeply and slowly through your mouth. At the same time, press down firmly on the center of the dose indicator at the top of the canister with your index finger. Remove your index finger as soon as the spray is released. When you have breathed in fully, remove the inhaler from your mouth and close your mouth. Try to hold your breath for about 10 seconds, then breathe out gently. Put the cap back on the mouthpiece. Rinse your mouth with water and spit the water out. Do not swallow the water.


Tell your doctor about all medications you are currently taking including prescription, over-the-counter, vitamins, and herbal remedies.

It has not yet been shown to be effective or safe for children under the age of 12 years old.

It is unknown whether or not this medication passes into breast milk. Consult your doctor for more information.

This medication may weaken your immune system.

This medication may increase your chances of sores inside your mouth and throat.

This medication could stunt the growth in children. This includes a stunt in weight gain and height.

Tell your medical doctor or dentist that you are taking this medication before having any surgery.

Side Effects

Common side effects of Alvesco include:

headache, stuffy or runny nose sore or irritated throat swelling of nose, throat, and sinuses painful white patches in the mouth or throat hoarseness joint pain, pain in arms, back, and legs

What are the more serious side effects?

hives, rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs difficulty breathing or swallowing chest pain or tightness


What are the signs of an allergic reaction?

Common symptoms of an allergic reaction include:

sneezing and an itchy, runny or blocked nose (allergic rhinitis) itchy, red, watering eyes (conjunctivitis) wheezing, chest tightness, shortness of breath and a cough. a raised, itchy, red rash (hives) swollen lips, tongue, eyes or face.

What should I avoid while on Alvesco?

Here is a small list of medicines you should avoid while using this medication.

  • Bemiparin
  • Macimorelin
  • Nadroparin
  • Sargramostim

What is the average dose recommendation?

For preventing an asthma attack:

Adults and children 12 years and up -1 -2 puff per day. Your doctor may increase your dose if needed. Children younger than 12 years of age—Use and dose must be determined by your doctor

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