Drug Detail:Ciclesonide nasal (Ciclesonide nasal [ sik-le-son-ide ])
Drug Class: Nasal steroids
Usual Adult Dose for Allergic Rhinitis
Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)
Maximum dose: 200 mcg (2 sprays in each nostril once a day)
Nasal metered aerosol (37 mcg/actuation): 1 actuation in each nostril once a day (74 mcg)
Maximum dose: 74 mcg per day (1 actuation in each nostril once a day)
Use: Treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis
Usual Pediatric Dose for Allergic Rhinitis
Seasonal allergic rhinitis:
6 years and older:
- Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)
Seasonal and perennial allergic rhinitis:
12 years and older:
- Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)
- Nasal metered aerosol (37 mcg/actuation): 1 actuation in each nostril once a day (74 mcg)
Use: Treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
No adjustment recommended
Precautions
- The safety and efficacy of the nasal spray for treatment of the symptoms of perennial allergic rhinitis in patients younger than 12 years and for seasonal allergic rhinitis in patients younger than 6 years have not been established.
- The safety and efficacy of the nasal metered aerosol for treatment of the symptoms of seasonal and perennial allergic rhinitis in patients younger than 12 years have not been established.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- This drug should be administered by intranasal route only.
- Spray: Gently shake prior to use and prime the pump by actuating eight times. If the spray is not used for four consecutive days, it should be gently shaken and reprimed with one spray or until a fine mist appears.
- Metered aerosol: Prior to initial use or if not used for ten consecutive days, the container should be primed by actuating three times.
- The manufacturer product information should be consulted for proper use.
Storage requirements:
- Consult the manufacturer product information.
General:
Spray:
- Do not freeze.
Metered aerosol:
- Do not puncture; do not use or store near heat or open flame.
- Exposure to temperatures above 49C (120F) may cause bursting.
- Do not throw canister into fire or incinerator.
Patient advice:
- Avoid spraying into the eyes or directly onto the nasal septum.