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Alvesco is an FDA-approved inhaled corticosteroid used for maintenance asthma treatment. It contains ciclesonide as its main active ingredient, which reduces lung inflammation and makes breathing easier. It is available as an aerosol inhaler in two strengths, 80 mcg and 160 mcg. The doctor will customize the dose accordingly based on the condition and needs of the individual. It is not indicated for use in children under 12 years of age or for immediate relief from acute bronchospasm. For personalized advice and guidance, consult your doctor. Buy Alvesco (ciclesonide) online from the most trusted Canadian Pharmacy.  

Product Overview

Alvesco, an inhaled corticosteroid, contains ciclesonide as its main active ingredient, effectively reducing lung inflammation. It is designed for long-term asthma management in individuals 12 years and older, aiding in easier breathing by preventing airway swelling. Alvesco is available as an aerosol inhaler in two strengths, 80 mcg and 160 mcg, which should be used exactly as your healthcare provider prescribes. It is not suitable for children under 12 years of age or for immediate relief from acute bronchospasm.

When using Alvesco, it is essential to follow the prescribed regimen, typically starting with 80 mcg inhaled twice daily, with potential adjustments based on individual response and needs. The inhaler needs priming before first use or if unused for ten days. After inhalation, users should rinse their mouths to prevent infection and hoarseness. It is vital to note that Alvesco is for regular use and not for asthma attacks, for which a rapid-acting inhaler should be employed.

Common side effects include headache, dry mouth, sore throat, and voice changes. More severe side effects like worsening asthma symptoms or allergic reactions require immediate medical attention. Patients should avoid exposure to infections and consult their doctor if they experience unusual symptoms like tiredness or weight loss. Alvesco should be stored at room temperature, away from extreme heat and light. Missed doses should be taken as soon as remembered unless it is close to the time for the next dose. In cases of overdose, emergency medical help should be sought immediately. For any uncertainties regarding the use or storage of Alvesco, it is recommended to consult healthcare professionals.

Uses of Alvesco

  • It is used for maintenance treatment for asthma in adults and children more than 12 years of age. 

[Important Warning: Alveso is not indicated for use in children under 12 years and relief from acute bronchospasm.]

How to Use Alvesco?


Alvesco comes in the form of an aerosol inhaler that is available in the following forms: 

  • 80 mcg
  • 160 mcg

Recommended Dosage for Different Patients

For patients receiving bronchodilators or inhaled corticosteroids

  • Initially, the dosage is 80 mcg inhaled twice daily
  • Based on how your body responds to treatment and condition, the dosage may be increased to 160 mcg twice daily. 

For patients receiving oral corticosteroids

  • Initially, the dosage is 80 mcg inhaled twice daily
  • Based on how your body responds to treatment and condition, the dosage may be increased to 320 mcg twice daily

[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Take It?

  • You should use Alvesco exactly as prescribed by your doctor. 
  • Carefully read and follow the directions for use given on your prescription label. 
  • Do not use this medication in small or large quantities or for longer than recommended, as it may cause unwanted side effects. 
  • Do not use this medication during an asthma attack. Only use a rapid-acting inhaler for an asthma attack. 
  • Keep track of how frequently you use your quick-relief inhaler, and report to your doctor. 
  • Seek immediate medical attention if your quick-relief inhaler is not working as well as it used to, if you need to use more of it than usual for two or more days in a row, or if you need to use more than one full canister of it over two months.
  • Let your doctor know if you feel that your asthma medications are not working well. 
  • For safe and effective use of the medication and priming the inhaler, follow the instructions given in the patient information leaflet. 
  • If you have any queries or concerns regarding the use of medication, ask your doctor or pharmacist. 
  • Before using the inhaler, breathe out as you comfortably can. 
  • Alvesco is usually used twice daily, once in the morning and once in the evening. 
  • It should be primed before using the inhaler for the first time or if you use it after ten days or more. 
  • Place the inhaler into your mouth and close your lips tightly. 
  • Breathe in slowly and deeply. 
  • Pull down the canister with your finger. 
  • After using the inhaler, hold your breath for at least ten seconds to allow it to work properly. 
  • Rinse your mouth and spit the water without swallowing after using this inhaler each time to prevent hoarseness, dry mouth, and oral yeast infections. 
  • If your doctor has prescribed you to take two puffs or use another inhaler simultaneously, keep a gap of at least sixty seconds between both puffs. 
  • Clean Alvesco once weekly with a dry tissue. Do not wet it.
  • You may start to feel better within 24 hours of using this medication, but it may take 28 days or more before your symptoms improve. 
  • Continue using this medication even if you feel better, and let your doctor know if your condition does not improve or if it worsens. 
  • You may require a change in dosage if your body is under stress, if you are ill, if you recently had an asthma attack, or if you have surgery. 
  • Do not change your dose or schedule or stop taking the medication without consulting your doctor. 
  • Call your doctor immediately if you feel that Alvesco is making your condition worse. 
  • Do not stop taking this medication abruptly. Consult your doctor to know how you should taper the dose. 
  • Kep Alvesco at room temperature away from heat, light and moisture. Do not expose it to extreme heat, as it may explode if it gets too hot. 

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Alvesco Work?

Alvesco is an inhaled corticosteroid indicated for use in individuals aged 12 years or older for long-term treatment of asthma. It contains ciclesonide, an artificial corticosteroid that helps reduce lung inflammation and works directly on your esophagus. It makes breathing easier by preventing swelling in the airways. It may also help prevent asthma attacks and lead to less severe asthma attacks. It usually starts to work within 24 hours of taking the medication. However, to notice the full benefits, you should take it regularly for two to three weeks.  

Important Safety Information

Side Effects

Common side effects of Alvesco may include:  

  • Headache 
  • Dry mouth
  • Unpleasant taste in your mouth
  • Burning or irritation in your mouth 
  • Sore throat 
  • Hoarse voice
  • Itching 
  • Rash
  • Joint pain 
  • Back pain 

Mild side effects of Alvesco may include:

  • White patches or sores inside your mouth
  • Yeast infection 
  • Suppressed immune system 
  • Adrenal suppression 
  • Glaucoma 
  • Cataracts 
  • Growth effects 

Adverse side effects of Alvesco may include:

  • Worsening asthma symptoms
  • Choking 
  • Wheezing 
  • Chest tightness
  • Difficulty breathing
  • Certain other breathing problems after using this medication
  • Sores or white patches in your tongue, mouth, or throat
  • Severe allergic reaction
  • Blurred vision 
  • Tunnel vision

[Note: This list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]


  • Alvesco MDI 80 MCG should not be used during an asthma attack. Use only a fast-acting mouthpiece, and let your doctor know if your medications don’t work well. 
  • Corticosteroids may weaken your immune system, making you prone to frequent infections. It can also worsen an existing infection or reactivate an infection you had in the past. 
  • Let your doctor know about the infections and conditions you had in the recent past. 
  • Before starting to take this medication, let your doctor know if you have or have the following conditions:
    • Tuberculosis 
    • Herpes infection in your eyes
    • An infection in your mouth or throat
    • Cataract 
    • Glaucoma
    • A personal or family history of osteoporosis 
  • Do not stop using Alvesco abruptly, as it may cause bothersome withdrawal symptoms. Consult your doctor to discuss ways on how to taper the medication gradually. 
  • Call your doctor immediately if you feel that this medication is making your condition worse. 
  • If possible, avoid staying near people who have infections or illness. Call your doctor at once if you have been exposed to conditions such as measles or chickenpox, as these conditions may be severe and life-threatening for some people using steroid drugs. 


  • Do not use Alvesco if you have a known hypersensitivity to ciclesonide or other ingredients in the medication. 
  • It is unknown whether this medication is safe for use during pregnancy. Let your doctor know if you are pregnant, suspect a pregnancy, or plan to become pregnant while taking this medication. 
  • Use this medication during pregnancy only after discussing it with your doctor and knowing that the benefits outweigh the potential risks of Alvesco. 
  • It is unknown whether ciclesonide can pass into the nursing mother’s breast milk or cause harm to the infant. Let your doctor know if you plan to breastfeed a baby while taking Alvesco. 
  • Tell your doctor and healthcare provider about all the medications you are taking. This includes all prescription medications, over-the-counter drugs, and herbal supplements. 
  • Call your doctor immediately if you experience unusual or extreme tiredness and weight loss. 
  • This medication may slow the growth and development of pediatric patients when used for a long time. 


Alvesco is contraindicated:

  • In patients with a known hypersensitivity to Alvesco, ciclesonide, or any other ingredients present in the medication. 
  • When severe measures are required for the primary treatment of acute asthma episodes.

Missed Dose

  • For the best results, it is recommended to maintain consistency in dosage and take the medication around the same time every day. 
  • If you missed a dose of Alvesco, take it as soon as you remember. 
  • However, if it is almost time to take your next dose, you may omit the missed dose and continue as per your regular dosing schedule. 
  • Do not take two doses of the same medication to compensate for the missed dose. 
  • To prevent missing dosage in the future, you can set a reminder on your phone.  

[Note: If you have missed a medication dose and are unsure when to take the next one, immediately consult your doctor or pharmacist.]


You should not take Alvesco MDI 100 MCG more than recommended as it may cause life-threatening side effects. Long-term use of corticosteroids can lead to easy bruising, thinning skin, changes in body shape, increased facial hair or acne, menstrual problems, disinterest in sex, and impotence. If someone has overdosed on the medication and is having serious symptoms such as difficulty breathing or passing out, and if they can’t be woken up, seek immediate medical assistance. You can call 911 or head to the nearest emergency room. 

[Note: If you consumed more than the recommended dose, get medical help immediately or call the Poison Help line at 1-800-222-1222.]


  • Store Alvesco at a controlled room temperature. 
  • Keep all medications, including Alvesco, in a safe place, away from the sight and reach of children and pets. 
  • Keep the medication away from direct light, excess heat, and open flames. 
  • Clean Alvesco once weekly with a dry tissue. Do not wet it.
  • When exposed to extreme temperatures, the medicine canister may explode. 
  • Do not burn or puncture an empty medicine canister. 
  • Do not use medication that is outdated or no longer needed. 
  • Do not flush the medication unless directed. 
  • Do not throw the unwanted medications in wastewater or household garbage bin. 
  • For more information on how to dispose of unwanted medications, contact your pharmacist or local waste disposal company.

[Note: Discuss with your healthcare professional the proper disposal of unused medicine and any questions you may have regarding its storage.]

Alvesco Interactions

  • Apalutamide 
  • Lonafarnib 
  • Saquinavir 
  • Tucatinib 
  • Atazanavir 
  • Cenobamate  
  • Ceritinib 
  • Clarithromycin 
  • Cobicistat 
  • Crizotinib 
  • Darunavir 
  • Elvitegravir
  • Cobicistat 
  • Emtricitabine 
  • Tenofovir DF
  • Fedratinib 
  • Fosamprenavir 
  • Idelalisib 
  • Indinavir 
  • Itraconazole 
  • Ketoconazole  
  • Lenacapavir 
  • Levoketoconazole 
  • Lopinavir 
  • Mifepristone 
  • Nefazodone  
  • Nelfinavir 
  • Nrmatrelvir
  • Ritonavir 
  • Posaconazole 
  • Ritonavir 
  • Rucaparib 
  • Stiripentol 
  • Tazemetostat 
  • Voriconazole 
  • Acetazolamide 
  • Anastrozole 
  • Cyclophosphamide 
  • Danazol 
  • Drospirenone 
  • Larotrectinib 
  • Ribociclib 

[Note: This isn’t a complete list, and there could be other drugs that interact with Alvesco. Tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

Alvesco Alternatives

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.] 

Frequently Asked Questions

How long does it take for Alvesco to start working?

Alvesco typically begins to take effect within 24 hours of use. However, it might take two to three weeks of regular use before asthma symptoms noticeably improve. Patients should continue using Alvesco as prescribed, even if they do not feel immediate relief, as the medication’s full benefits are best observed over a consistent period.

What should I do if I miss a dose of Alvesco?

If you missed a dose of Alvesco, you should take it as soon as you remember. However, if it is nearly time to take your next scheduled dose, you may omit the missed dose and continue as per your usual dosing schedule. Do not take an extra dose to make up for the missed one. To help manage your dosing schedule, consider setting reminders on your phone or using a medication-tracking app.

Can Alvesco be used during a sudden asthma attack?

No, Alvesco is not designed for relief during an acute asthma attack. It is a maintenance medication intended for long-term control of asthma. For sudden asthma symptoms or attacks, you should use a quick-relief inhaler (rescue inhaler). Always have your rescue inhaler with you to address acute symptoms.

Are there any specific conditions or medications that interact with Alvesco?

Alvesco can interact with certain conditions and medications, potentially altering its effectiveness or increasing side effects. Inform your doctor if you have a history of tuberculosis, herpes infection in the eyes, or any infections in your mouth or throat. Drugs such as Ketoconazole, Ritonavir, and certain other corticosteroids may interact with Alvesco. To ensure safe and effective use, talk to your doctor and healthcare provider about your current medications and medical conditions.

Our Guarantee

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