CICLESONIDE

(Alvesco)

Standard Prescription

ciclesonide ___mcg/puff inhaler: __puff(s) inh __(frequency)

Dosages

Low dose: 100-200 mcg/dose inhaled once daily

Medium dose: >200-400 mcg/dose inhaled once daily

High dose: 400 mcg/dose inhaled once to twice daily

Mechanism of Action

Inhaled corticosteroid

Forms Supplied

MDI inhaler:
100 mcg/puff (120doses/canister).
200mcg/puff (30 doses/canister).

Comments

Use with valved holding chamber (e.g. Aerochamber) recommended.

Significant improvements may be seen within 4-7 days.

Dose depends upon severity and response. Titrate to lowest effective dose.

High dose may be associated with significant side effects - refer to asthma specialists.

Side effects: dysphonia, hoarseness and oral thrush may be present but less prevalent than other inhaled corticosteroids. Rinse mouth after inhalation.

100 mcg ciclesonide= 125 mcg fluticasone = 100 mcg beclomethasone dipropionate = 200 mcg budesonide

Health Canada approved age of use is >6 years old

References

127, 189, 197, 198

Last Edited

2022-06-17 04:15:29