Alvesco Medication Information:

Alvesco medication comes in several different strengths; click on the strength you need to view prices from pharmacies competing to earn your business.

Alvesco 100 mcg
Alvesco 160 mcg
Alvesco 200 mcg

About Alvesco

What Alvesco is used for

Alvesco is used to help breathing problems in asthmatic patients 6 years of age and older.

Asthma is a chronic inflammatory disease of the lungs. People with asthma have episodes of difficulty in breathing. The airways in their lungs are very sensitive. During an asthma attack, the airways get smaller, making it difficult for air to flow in and out of the lungs.

Control of asthma requires avoiding irritants that cause asthma attacks and taking the appropriate medications. For example patients should avoid exposure to house dust mites, mould, pets, tobacco smoke and pollens.

What Alvesco does

Alvesco is an inhaled (breathed in) medicine. Alvesco is a corticosteroid that can help ease breathing problems. It relieves swelling and irritation in the small air passages in the lungs.

When Alvesco should not be used

  • Do not use this medication if you are allergic to any of the ingredients used in Alvesco.

  • Do not use this medication to treat a sudden attack of breathlessness. You will probably need a different kind of medicine (i.e. a fast acting relief medication) in a different colour puffer than may already have been given to you. If you have more than one medicine, be careful not to confuse them.

  • Do not use this medication if you have an untreated fungal, bacterial or tuberculosis infection in the respiratory tract.

What the medicinal ingredient is

Alvesco contains the medicinal ingredient ciclesonide.

What the important nonmedicinal ingredients for Alvesco are

Alvesco contains ethanol and HFA-134a (a propellant).

What dosage forms Alvesco comes in

Alvesco comes in two strengths: per spray 100 micrograms, 200 micrograms.

Warnings and Precautions

If you notice the following warning signs, you should contact your physician as soon as possible or go to the nearest hospital:

  • A sudden worsening of your shortness of breath and wheezing shortly after using your fast-acting relief medication or after using Alvesco inhalation aerosol.

  • You do not feel relief within 10 minutes after using your fast-acting medication or the relief does not last for at least 3 hours.

  • Measurement from your peak flow meter indicates a value less than 60 percent of predicted or personal best.

  • You are breathless at rest.

  • Your pulse is more than 120 beats per minute.

The following warning signs indicate that your asthma is getting worse and that your treatment needs to be reassessed by your physician:

  • A change in your symptoms such as more coughing, attacks of wheezing, chest tightness, or an unusual increase in the severity of the breathlessness.

  • You wake up at night with chest tightness, wheezing or shortness of breath.

  • You use increasing amounts of your fast-acting relief medication.

  • Measurement from your peak flow meter indicates a value between 60 and 80 percent of predicted or personal best.


Do not use this medication if you are pregnant, plan to become pregnant or are breastfeeding without first discussing with your doctor.

BEFORE you use Alvesco talk to your doctor or pharmacist

  • About all health problems you have now or have had in the past

  • If you are suffering from any chest infection (e.g. cold, bronchitis)

  • About all the medicines you take, including ones you can get without a prescription

  • If you ever had to stop taking other medicines for asthma because you were allergic to them or had other problems with them

  • If you have a history of tuberculosis (TB) infections

  • If you are taking or have previously taken other steroid medicine by mouth or by inhalation (breathing in)

  • If you ever had thrush in your mouth

  • If you are taking drugs that suppress the immune system

  • If you have thyroid abnormalities (hypothyroidism)

  • If you have glaucoma or are at risk of developing glaucoma

  • If you have cirrhosis (liver disease)

  • If you are taking oral corticosteroids. In rare cases, the withdrawal of oral corticosteroid therapy following the beginning of an inhaled corticosteroid such as Alvesco, has led to serious hematologic conditions

  • If you have hypoprothrombinemia and are taking acetylsalicylic acid

Interactions with Alvesco

Drugs containing ketoconazole (an azole antifungal) have been shown to interact with Alvesco.

Drugs containing itraconazole (an azole antifungal), or ritonavir and nelfinavir (medicines used to treat HIV infection or AIDS) may interact with Alvesco.

Proper Use of Alvesco

Usual dose

Your doctor has explained when and how to take Alvesco. Follow your doctor's directions carefully.

Adults and Adolescents 12 Years of Age and Older

The usual dosage for Alvesco ranges from 100 to 400 micrograms per day. Alvesco can be taken as 1 or 2 puffs once daily either in the morning or evening.

Some patients with more severe asthma will require 800 micrograms daily, administered as 400 micrograms twice daily.

Children 6-11 Years of Age

The recommended dose range is 100 to 200 micrograms per day taken as 1 or 2 puffs once daily either in the morning or evening.

Your doctor will tell you how much Alvesco to take and how often to take it. You should take Alvesco daily.

It is very important that you use your medicine regularly to control your asthma. You should continue to take Alvesco regularly even when you don’t have symptoms.

Do not take more doses or use your inhaler more often than your doctor advises.

Do not adjust your dosage without talking to your doctor, even if you think your asthma is under control.

Contact your doctor immediately if your asthma symptoms get worse, or if you need to use your rescue medication more often.

If your doctor decides to stop your treatment, do not keep any leftover medicine unless your doctor tells you to.

Your asthma symptoms can start to improve within 24 hours of starting to use Alvesco. If your symptoms do not improve within 1-2 weeks, you should talk to your doctor. You should continue to take Alvesco regularly even when you don't have symptoms. Do not stop taking Alvesco suddenly—even if you feel better. Your doctor can provide you with information about how to slowly stop the medication if necessary.

How to Use Alvesco Properly

(See package insert for illustrations.)

If your inhaler is new, or if it has not been used for one week or more, you should release three puffs into the air to ensure that it works properly.

You do not need to shake Alvesco before you use it.

  1. Remove the mouthpiece cover.

  2. Place the inhaler in your mouth and close your lips around the mouthpiece.

  3. Start to breathe in slowly and deeply through your mouth.

  4. As you breathe in through your mouth, press down on the top of the inhaler.

  5. Move the inhaler away from your mouth and hold your breath for about 10 seconds or as long as is comfortable.

  6. Breathe out slowly. Replace the mouthpiece cover. Do not breathe out into the inhaler.

Clean the mouthpiece once a week with a dry tissue, both inside and out. Using a dry, folded tissue, wipe over the front of the small hole where the medicine comes out. Do not use water or any other liquids.


This medicine is only for you. Only a doctor can prescribe it for you. Never give it to someone else. It may harm them even if their symptoms are the same as yours.


If you accidentally take more than the maximum recommended daily dose, call your doctor right away or contact the nearest hospital emergency department or poison center.

Missed dose

It is very important that you use Alvesco daily. However, if you miss one dose, do not worry—just take the next dose when it is due.


Technical Information