Ciclesonide (Inhalation)

Used to manage the symptoms of asthma, Ciclesonide works by preventing swelling in the lungs.

Overview

When patients are diagnosed with asthma, it's important that an appropriate treatment plan is put in place as quickly as possible. Severe asthma attacks are not only physically debilitating and distressing for the patient, they can be fatal. Due to this, physicians will prescribe medications to help reduce the frequency and severity of attacks.

Ciclesonide is a corticosteroid and helps to prevent inflammation of the lungs. Used on a long-term basis, Ciclesonide helps to stop swelling occurring in the lungs and, as a result, it helps to prevent asthma attacks from occurring. In addition to this, ongoing use of the medication reduces the severity of asthma attacks when they do occur.

If the airways swell, patients will experience uncomfortable symptoms, such as tightness in the chest, difficulty breathing, coughing and wheezing. Patients with asthma may notice these symptoms on a daily basis and their lifestyle is often affected. When symptoms are exacerbated, an asthma attack occurs and patients may struggle to breathe at all. If left untreated, this can result in a loss of consciousness and may even prove to be fatal.

Ciclesonide will not reduce the intensity of an asthma attack once it is taking place but it can be used to manage the condition on a long-term basis. Due to this, Ciclesonide is often prescribed alongside other medications in order to manage the condition. Patients may be advised to use Ciclesonide on a daily basis, for example, and may be prescribed an additional medication to take at the onset of an acute attack.

As one of the most common respiratory conditions, asthma affects millions of people. With effective treatment, however, the symptoms of the condition can be managed and minimized. By prescribing Ciclesonide, physicians can ensure that patients suffer from fewer asthma attacks and that the symptoms they're experiencing are significantly reduced.

Conditions Treated:

  • Asthma

Type of Medicine:

  • Corticosteroid

Side Effects:

When patients are prescribed medication for any condition, they should be warned about the potential side-effects which could occur. Whilst many side-effects are tolerable, there may be some which require medical attention. If patients experience the following adverse effects when taking Ciclesonide, it is advisable to seek medical help:

  • Blindness
  • Chills
  • Blurred vision
  • Difficulty urinating
  • Creamy white patches in throat or mouth
  • Skin Darkening
  • Reduced vision
  • Diarrhea
  • Pain in eyes
  • Dizziness
  • Fainting
  • Lack of appetite
  • Hoarseness
  • Large swellings on eyelids, face, lips, throat, tongue, hands, feet, legs and/or sex organs
  • Pain in side
  • Depression
  • Pain in lower back
  • Nausea
  • Pain when swallowing
  • Painful urination
  • Rash on skin
  • Tearing
  • Pain when eating
  • Vomiting
  • Sore tongue or mouth
  • Body aches
  • Cough
  • Breathing difficulties
  • Head pain or headaches
  • Congestion in ears
  • Fever
  • Loss of voice
  • Aching muscles
  • Nasal congestion
  • Tenderness or discomfort around the cheekbones and eyes
  • Sneezing
  • Shortness of breath
  • Runny or stuffy nose
  • Chest tightness
  • Wheezing
  • Weakness and/or tiredness

Clearly, some of the side-effects listed above are more serious than others. Whilst some, severe side-effects may indicate that the patient's medication should be changed, this is not necessarily the case. By reporting side-effects to their physician, patients can confirm that the medication is working in the correct way and that it is not having a negative effect on their health.

There are some more common side-effects which can also occur when patients are taking Ciclesonide. In most cases, the following effects do not require medical treatment, unless they are prolonged or particularly severe:

  • Back pain
  • Changes in voice
  • Stiffness or pain in muscles
  • Difficulty when moving around
  • Pains in legs and/or arms
  • Joint pain
  • Chest discomfort
  • Dry throat and/or mouth

If patients are troubled by the presence of side-effects or they worsen over time, they should always seek medical help. In addition to this, patients can report side-effects to the Food and Drug Administration on 1-800-FDA-1088.

Dosage:

When patients are prescribed Ciclesonide, they will also be given an inhaler with which to administer the medicine. When the inhaler is first used, it may not give the correct dose of Ciclesonide. Patients should test the inhaler by spraying the medication into the air three times. Following this, the inhaler should work correctly and deliver the appropriate dose.

Most patients are advised to take one or two puffs of the inhaler on a daily basis. As Ciclesonide is used on an ongoing basis, patients will need to continue with treatment, unless they are advised otherwise by their physician.

Although this is a standard dose for adults and children over the age of 12, patients will be told how much Ciclesonide by their physician. Every patient requires different treatment, based on the severity of their condition, so individuals should follow their doctor's instructions when it comes to administering Ciclesonide or any other medications.

Ciclesonide should not be used if an asthma attack occurs or whilst an attack takes place. If patients are experiencing an acute asthma attack, they should have alternative medications available. If patients are prescribed Ciclesonide but not given an alternative medicine to take when an asthma attack occurs, they should query this with their doctor.

When administering Ciclesonide, patients will need to remove the cap of the inhaler and confirm that the mouthpiece is clean and in good working order. Patients should then breathe out and empty their lungs as much as possible. Following this, patients should place the mouthpiece over their tongue and arrange their lips around the mouthpiece itself. Whilst holding the inhaler upright, the patient should press down on the dose indicator on the inhaler and take a slow, deep breath.

Patients should then hold their breath for approximately ten seconds if it is possible to do so. This enables the Ciclesonide to reach the lungs and the airways. Patients can then release the dose indicator and remove the inhaler from their mouth. If more than one dose of Ciclesonide is required, patients should repeat the process as they have been instructed to do so.

After administering Ciclesonide with the inhaler, patients should rinse their mouth but not swallow this water. By rinsing with water and spitting the fluid out, patients can help to prevent infections from occurring.

If patients accidentally miss a dose of Ciclesonide, they should simply carry on with their treatment schedule as normal. They should not attempt to catch up with the missed dose and they should not administer double doses of Ciclesonide, even if they have missed one dose of the medication.

Potential Drug Interactions:

In some cases, it may not be appropriate for patients to use Ciclesonide if they are taking other medications. Ciclesonide and the following medicines are not normally prescribed together:

  • Pixantrone
  • Bemiparin
  • Nadroparin

In some situations, however, physicians may prescribe Ciclesonide alongside the medications listed above. If they feel the benefits of the medications outweigh the risk of possible interactions, it may be possible for patients to take the medicines in conjunction with one another. Often, modifying the dose or time the medication is taken will help to reduce the chance of interactions occurring.

Warnings:

Patients should not suddenly stop using Ciclesonide, unless they are instructed to do so by a doctor or an alternative medical professional. If patients suddenly stop using Ciclesonide, their symptoms are likely to become worse and they may experience more frequent and more severe asthma attacks.

Although patients can use a dry cloth or tissue to wipe the mouthpiece of the inhaler, they should not attempt to wash the inhaler. If the inhaler comes into contact with water, it could affect the medication. If this happens, patients should seek medical advice from a doctor or pharmacist.

Most inhalers indicate how many doses of the medication are left. This enables the patient to determine how much Ciclesonide they have left and when they need to obtain more medication. Patients should monitor the dose indicator so that they do not run out of medication. If the dose indicator does not appear to be working properly, patients should contact their pharmacist or doctor and obtain a new inhaler.

For Ciclesonide to be effective, it should be administered in evenly spaced doses, on a regular basis. The patient's doctor will tell them exactly when to use the inhaler and how often it should be administered.

Patients may not notice an improvement in their symptoms until at least four weeks have passed. Often, it takes approximately four weeks for Ciclesonide to take effect but patients should then experience a reduction in their symptoms. In some instances, it can take months for patients to get the full benefit of Ciclesonide.

If patients are advised to stop using Ciclesonide for a short amount of time, the inhaler may fail to produce the correct amount of medication once the patient begins using it again. To avoid this, patients should spray the inhaler into the air three times, as they do when first using a new inhaler. This will ensure that they receive the correct amount of Ciclesonide when it is administered.

Before using Ciclesonide, patients should discuss any other medications they take with their physician. This includes over-the-counter medications they purchase, along with any vitamins or supplements they take. Similarly, patients should seek medical advice before consuming any medications, vitamins and/or supplements when they are administering Ciclesonide on a regular basis.

If patients are pregnant, it is particularly important that their asthma is well-controlled as breathing difficulties may have an effect on an unborn fetus. Currently, the safety of Ciclesonide on pregnant patients is unknown. Patients should, therefore, discuss any potential risks with their physician before using Ciclesonide if they are pregnant.

If patients become pregnant whilst using Ciclesonide, they should seek medical advice.

To date, it has not been confirmed whether Ciclesonide can be passed to a nursing child via breastfeeding. If patients are currently breastfeeding or plan to breastfeed, they should discuss this with their physician before using Ciclesonide.

Although Ciclesonide can be prescribed to children, their dose may vary from the standard dosing regime. In some cases, Ciclesonide can affect a child's growth. If parents are concerned that their child has not experienced growth at a normal rate whilst receiving treatment with Ciclesonide, they should discuss this with the relevant medical practitioner.

The presence of other medical conditions may prevent Ciclesonide from being prescribed to the patient. If patients have a bone disease, such as osteoporosis, and/or glaucoma, the use of Ciclesonide may make their conditions worse.

In addition to this, caution should be exercised if patients have suffered from the following conditions:

  • Cataracts
  • Chickenpox (Recently)
  • Inflamed stomach or intestine, with diarrhea and/or vomiting (gastroenteritis)
  • Herpes simplex infection in the eye
  • Measles
  • Bacterial, viral, fungal and/or parasitic infections
  • Tuberculosis
  • Stress

If the patient has recently undergone surgery or has experienced trauma, oral steroids may be more appropriate than treatment with Ciclesonide.

Although the above conditions can be contra-indicators for treatment with Ciclesonide, they don't automatically mean that the medication won't be prescribed. Exposure to measles may prevent Ciclesonide from being used, for example, but if the exposure occurred some time ago, doctors may be willing to provide treatment with Ciclesonide.

Before embarking on any treatment, patients should discuss their medical history with their physician. This will ensure that they are able to obtain the safest and most effective treatment for asthma or other respiratory conditions.

Ciclesonide can be prescribed to older patients but their ability to process the medication must be taken into account. Often, geriatric patients have age-related conditions, such as liver and/or kidney disease. These can reduce their ability to metabolize medications and may mean that they require a lower dose of corticosteroids, such as Ciclesonide.

Before using Ciclesonide, patients should inform their physician if they suffer from any allergies. Similarly, patients should check the ingredients of the medication before they use it, to confirm that they are not allergic to anything Ciclesonide contains.

Although rare, people can sometimes develop an allergic reaction when using Ciclesonide. If they develop swelling of the face, lips and/or throat, their breathing worsens or they develop hives and/or itching, the possibility of an allergic reaction should be considered. If the patient does exhibit an allergy to Ciclesonide, it should be treated as an emergency and they should seek urgent medical help.

Storage

As patients are normally required to use Ciclesonide on a daily basis, they will be prescribed the medication for home-use. In most cases, a Ciclesonide inhaler should be stored at room temperature and should be kept away from direct light, heat and moisture.

If patients plan to take their medication out of the home, they should be mindful where it is stored. Ciclesonide inhalers should not be placed in a location where they could be exposed to heat or cold, such as in a car or van.

In addition to this, patients must ensure that their medication is kept in a location which cannot be accessed by children and/or animals.

If patients are advised to stop using Ciclesonide, they will need to dispose of the medication. Similarly, empty inhalers should be disposed of carefully. Under no circumstances should inhalers be placed in a fire or furnace. Instead, patients should seek help from their physician and/or pharmacist so that the inhaler can be disposed of carefully.

Summary

Although asthma is a common condition, it can be life-threatening if it is left untreated. Whilst patients may experience ongoing symptoms, such as chest tightness, an acute asthma attack could leave them unable to breathe.

In addition to using medications to reduce the effects of acute asthma attacks, patients are often advised to use corticosteroids, such as Ciclesonide, in order to manage their condition. When Ciclesonide is used on a long-term basis, it should reduce the number of attacks the patients suffers. As well as this, Ciclesonide should lessen the intensity of asthma attacks when they do occur.

Often, a range of medications are prescribed to patients with symptomatic asthma and Ciclesonide can play a crucial role in managing their condition. As well as improving their physical health, the efficacy of Ciclesonide can have a positive effect on the anxiety many asthmatic patients deal with.

Once Ciclesonide has been prescribed, patients should have regular check-ups and report any concerns to their physician. In some cases, moderating the dose of Ciclesonide can increase the effects of the medication and provide more relief from the symptoms of asthma.

Resources
Last Reviewed:
December 23, 2017
Last Updated:
April 03, 2018
Content Source: