Alvesco (Ciclesonide) Customer Reviews


Rx Prescription Required    RxFormulation : Inhaler

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Generic alternative for Alvesco


Rx Prescription Required    RxFormulation : Inhaler

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What is Alvesco? 

Alvesco is an inhaled corticosteroid with the generic name ciclesonide. It is used as a preventive therapy to avoid asthma attacks and relieve symptoms like wheezing, chest tightness, coughing, and shortness of breath. This medicine is given to individuals 12 years old and above and can be combined with other asthma meds.

How does Alveso work? 

Alvesco is a pro-drug, when used correctly and absorbed into the bloodstream, changes into its activated form called C21-desisobutyryl-ciclesonide (des-ciclesonide or RM1). 

This inhalation has anti-inflammatory and vasoconstrictive properties. It inhibits the release of inflammatory cells (mast cells, eosinophils, basophils, lymphocytes, macrophages, and neutrophils) as well as inflammatory mediators after inhalation (histamine, eicosanoids, leukotrienes, and cytokines). As a result, airway inflammation or swelling is reduced, and lung function is improved.

Dosage of Alvesco 

Alvesco dosage differs from person to person, based on the client’s health and age. It is available in two strengths: 80 mcg and 160 mcg. 

The recommended starting dose for people who have previously used bronchodilators is 80 mcg twice a day. Alvesco 160 mcg twice daily is the maximum dose. 

For patients who received inhaled corticosteroid, the recommended initial dose is 80 mcg twice a day, with the highest intake of 320 mcg. On the other hand, 320 mcg two times a day is given to patients who are taking oral corticosteroids.

How to use Alvesco? 

Before using ciclesonide, read all drug instructions and information carefully. Use the medication according to the directions on the prescription label or as prescribed by your doctor. You can ask your healthcare provider if you have any questions about how to use this drug or if you need medical assistance. 

This medicine is inhaled orally in the morning and evening.  

  1. Before using this medication, you need to shake the canister thoroughly each time you use it. If you’re using the inhaler for the first time or haven’t used it in 10 days, prime it three times. Check that the inhaler’s pointer is pointing before the 60-inhalation mark.
  2. Remove the cap and clean the mouthpiece to get started. Exhale deeply, then place the mouthpiece in your mouth and lock your lips around it while holding the actuator upright.
  3. To release the drug, inhale through your lips and press down the dose indicator until it stops moving. Hold your breath for at least 10 seconds to allow the medicine to absorb fully, and then slowly breathe out.
  4. If you need to use more than one puff, repeat these procedures. After each use, wipe the mouthpiece with a clean cloth or tissue and recap the inhaler. When the color turns to red, it suggests the number has dropped to 20, prompting you to have your medication refilled. 

To avoid fungal infection, gargle and rinse your mouth with plain water after inhaling the medication.

Alvesco Side Effects 

The following are the most common ciclesonide inhalation side effects that usually improve with time: 

  • Yeast infection in the mouth (oral thrush) 
  • Flu-like symptoms (sneezing, runny or stuffy nose, cough) 
  • Throat discomfort 
  • Dry mouth 
  • Headache
  • Hoarseness 

Notify your doctor immediately if any of these side effects worsen over time or if you develop any of the following adverse reactions: 

  • Breathing problems (increased wheezing) 
  • Visual problems (blurred vision, tunnel vision, and eye pain) 
  • White spots/patches (nose, tongue, mouth, or throat)
  • Persistent headache
  • Infection symptoms (fever, chills, pain, aches, etc.)
  • Weakness
  • Dizziness
  • Fatigue
  • Persistent nausea and vomiting 

Note that this is not a complete list of all of ciclesonide’s potential side effects. Other unwanted outcomes are possible to occur.


Ensure that you have fully disclosed your medical history before beginning this therapy to your doctor. Inform your physician if you have any type of infection or eye or bone problems, as this helps them determine if this drug is appropriate for you to use. 

Do not use this medication if you have a known allergy to ciclesonide or other components. 

When taking this drug, watch out for allergic reactions such as rashes, hives, swelling of the face and lips, tightening of the throat, or difficulty breathing. As soon as you notice these signs and symptoms, you should seek medical advice. 

This inhaled medication can make you more susceptible to infections. To avoid getting infections and aggravating your condition, avoid contact with people who have chickenpox, measles, or the flu. 

If you have or have had tuberculosis (TB), inform your doctor right away. 

Slow growth in children is associated when using this medication. Talk to your doctor and make sure the child is frequently monitored. 

Be aware not to stop taking this drug unless instructed by your doctor. Abrupt discontinuation of this medication may aggravate your condition. 

Always keep the inhalation in a cold, dry location. Make sure to keep it away from open flames or extreme heat, as it could explode if it becomes too hot.

Alvesco vs Qvar 

Both drugs are inhaled corticosteroids. The former contains ciclesonide, while the latter has an active ingredient of beclomethasone dipropionate. In terms of dosages, Alvesco comes in 80 mcg and 160 mcg, while Qvar is available in 50 mcg, and 100 mcg.  

Furthermore, Alvesco needs to be primed, while Qvar does not.

Alvesco vs Symbicort 

Both drugs are inhaled corticosteroids. The former contains ciclesonide, while the latter has two active ingredients; budesonide and formoterol. In terms of age, Alvesco is given for individuals aged 12 and up, while Symbicort is for patients aged six and up. Alvesco is used to treat or prevent asthma attacks, while Symbicort is prescribed for individuals with asthma and COPD.

How much does Alvesco cost? 

The price of the Alvesco inhaler is very reasonable. You can purchase this drug from our online pharmacy for a quick and easy transaction.

Frequently Asked Questions 

Can Alvesco be used in acute asthma attacks?  

No, Alvesco is not a rescue medicine for asthma episodes that have already started. Be sure to bring with you all the time a fast-acting bronchodilator to resolve acute attacks.

When is the best time to use Alvesco? 

Use Alvesco as prescribed by the doctor. It is best to take this drug at the same time each day for the best results. It may take up to four weeks or longer before you can feel its full therapeutic effect.

Is Alvesco safe for pregnant women? 

Alvesco falls in pregnancy category C. Consult your doctor before using this medication. Make sure to discuss and weigh its advantages and disadvantages. 




Additional information

Generic name:





80mcg, 160mcg

Quantities Available:

60doses, 120doses, 360doses

Can Drug Store has provided information from third parties intended to increase awareness and does not contain all the information about Alvesco (Ciclesonide). Talk to your doctor or a qualified medical practitioner for medical attention, advice, or if you have any concerns about Alvesco (Ciclesonide).