Drug Detail:Alvesco hfa (inhalation) (Ciclesonide (inhalation) [ sye-kles-oh-nide ])
Generic Name: CICLESONIDE 80ug
Dosage Form: aerosol, metered
Drug Class: Inhaled corticosteroids
Drug Detail:Alvesco hfa (inhalation) (Ciclesonide (inhalation) [ sye-kles-oh-nide ])
Generic Name: CICLESONIDE 80ug
Dosage Form: aerosol, metered
Drug Class: Inhaled corticosteroids
Priming
Prime ALVESCO before using for the first time by actuating 3 times prior to using the first dose from a new canister or when the inhaler has not been used for more than 10 days.
The recommended starting dosage and the highest recommended dosage of ALVESCO are listed in Table 1
1 Prednisone should be reduced gradually, no faster than 2.5 mg/day on a weekly basis, beginning after at least 1 week of therapy with ALVESCO. Patients should be carefully monitored for signs of asthma instability, including monitoring of serial objective measures of airflow, and for signs of adrenal insufficiency during steroid taper and following discontinuation of oral corticosteroid therapy [see Warnings and Precautions (5.1)]. | ||
Previous Therapy |
Recommended Starting Dosage |
Highest Recommended Dosage |
Patients ≥ 12 years who received bronchodilators alone |
80 mcg twice daily |
160 mcg twice daily |
Patients ≥ 12 years who received inhaled corticosteroids |
80 mcg twice daily |
320 mcg twice daily |
Patients ≥ 12 years who received oral corticosteroids1 |
320 mcg twice daily |
320 mcg twice daily |
General Dosing Recommendations
Individual patients will experience a variable time to onset and degree of symptom relief. Maximum benefit may not be achieved for four weeks or longer after initiation. After asthma stability has been achieved, it is desirable to titrate to the lowest effective dosage to reduce the possibility of side effects. For patients who do not respond adequately to the starting dose after 4 weeks of therapy, higher doses may provide additional asthma control. Patients should not exceed the highest recommended dosage per day.