ciclesonide (inhalation)

What is the most important information I should know about ciclesonide?

Ciclesonide inhalation will not work fast enough to treat an asthma attack. Use only a fast acting inhalation medicine for an asthma attack. Tell your doctor if it seems like your asthma medications don't work as well.

What is ciclesonide?

Ciclesonide is a corticosteroid. It prevents the release of substances in the body that cause inflammation.

Ciclesonide is used to prevent asthma attacks in adults and children who are at least 12 years.

Ciclesonide may also be used for purposes not listed in this medication guide.

What should I discuss with my health care provider before using ciclesonide?

Steroid medication can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Tell your doctor about any illness or infection you have had within the past several weeks.

To make sure ciclesonide inhalation is safe for you, tell your doctor if you have:

• tuberculosis;
• an infection of your mouth or throat (such as oral thrush);
• glaucoma or history of cataracts;
• herpes infection of your eyes; or
• a personal or family history of osteoporosis.

Ciclesonide inhalation can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medicine.

How should I use ciclesonide inhalation?

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Ciclesonide inhalation will not work fast enough to treat an asthma attack. Use only a fast acting inhalation medicine for an asthma attack. Tell your doctor if it seems like your asthma medications don't work as well.

This medication comes with patient instructions for safe and effective use, and directions for priming the inhaler device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Ciclesonide inhalation is most often used once daily, in the morning or evening. Follow your doctor's instructions. Rinse your mouth after inhaling this medication.

The inhaler device must be primed before your first use or any time you have not used the inhaler for 10 days or longer. For instructions on how to prime the inhaler, refer to the patient instructions provided with your medication.

It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.

Your dose needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Do not change your medication dose or schedule without your doctor's advice.

You should not stop using ciclesonide inhalation suddenly. Follow your doctor's instructions about tapering your dose.

What happens if I miss a dose?

Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

An overdose of ciclesonide inhalation is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using ciclesonide inhalation?

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

What are the possible side effects of ciclesonide inhalation?

• wheezing, choking, or other breathing problems after using this medication;
• bronchospasm (wheezing, chest tightness, trouble breathing);
• sores or white patches in your mouth or throat;
• vision problems, such as tunnel vision or blurred vision; or
• worsening asthma symptoms.

Common side effects may include:

• unpleasant taste in your mouth;
• dry mouth, burning or irritation in your mouth;
• runny or stuffy nose, sore throat;
• hoarse voice;
• mild itching or skin rash;
• joint pain, back pain; or
• headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect ciclesonide inhalation?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with ciclesonide inhalation, especially:

• an antibiotic--clarithromycin, erythromycin, telithromycin;
• an antifungal medication--clotrimazole, itraconazole, ketoconazole, voriconazole;
• HIV/AIDS medicine--atazanavir, delavirdine, indinavir, nelfinavir, saquinavir, ritonavir (Norvir); or
• an antidepressant such as nefazodone, paroxetine, sertraline.

This list is not complete. Other drugs may interact with ciclesonide inhalation, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

Your pharmacist can provide more information about ciclesonide inhalation.