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Ciclesonide (Oral Inhalation) (sye KLES oh nide)

Pediatric Medication

Brand Names: U.S.

Alvesco

Brand Names: Canada

Alvesco

Warning

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

What is this drug used for?

  • It is used to treat asthma.

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.

What are some things I need to know or do while my child takes 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 that I need to call my child’s doctor about right away?

  • 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 think your child’s health problem is worse.

What are some other 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.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.
  • 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.

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.

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

  • Store at room temperature.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • 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.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.