Ciclesonide treats nasal symptoms associated with allergies. Can also control and prevent asthma.
Ciclesonide Cautionary Labels
Uses of Ciclesonide
Ciclesonide is a prescription medication used to treat nasal symptoms from seasonal and year-round allergies. It is also used for the control and prevention of asthma in adults and children 12 years of age and older.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Ciclesonide Brand Names
Ciclesonide may be found in some form under the following brand names:
Ciclesonide Drug Class
Ciclesonide is part of the drug class:
Side Effects of Ciclesonide
Common side effects with ciclesonide nasal spray include:
- nose bleeds
- stuffy nose
- ear pain
- sore throat
Common side effects with ciclesonide inhalation include:
- swelling of nose and throat
- swelling of the sinuses
- throat pain
- upper respiratory infection
- joint pain (arthralgia)
- nasal congestion
- pain in arms, legs, and back
See “Drug Precautions” section for other risks of using ciclesonide.
These are not all the possible side effects of ciclesonide. Tell your healthcare provider about any side effects that bother you or do not go away.
Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take ketoconazole (Nizoral).
Some serious side effects have occurred with ciclesonide nasal spray include:
- Nasal fungal infection.
- Slow healing of wounds. Do not use ciclesonide nasal spray until your nose has healed, if you have a sore in your nose, you have had surgery on your nose, or your nose has been injured.
- Eye problems, including glaucoma and cataracts. You should have regular eye exams. Tell your doctor if you notice a change in vision while using ciclesonide nasal spray.
- Immune system effects may increase your risk of infection. You should avoid being around people with Chicken Pox or Measles.
- Slow growth in children. A child taking ciclesonide should have his/her growth checked regularly.
Some serious side effects have occurred with ciclesonide inhalation include:
- feeling tired
- nausea that does not go away
- vomiting that does not go away
- Increased wheezing (bronchospasm) can happen right away after using ciclesonide inhalation. Stop using ciclesonide inhalation and use an inhaled fast-acting bronchodilator (rescue inhaler) right away. Tell your healthcare provider right away so that a new medicine can be prescribed to control your asthma.
- Decreased bone mass (bone mineral density). People who use inhaled steroid medicines for a long time may have an increased risk of decreased bone mass which can affect bone strength. Talk to your healthcare provider about any concerns you may have about bone health.
Ciclesonide Food Interactions
Medicines can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of ciclesonide there are no specific foods that you must exclude from your diet when receiving this medication.
Before receiving ciclesonide, tell your doctor about all of your medical conditions. Especially tell your doctor if you:
- are allergic to ciclesonide, or any other medication
- have or have ever had:
- untreated infection
- herpes infection
- are pregnant or plan to become pregnant
- are breastfeeding
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.
Ciclesonide and Pregnancy
Tell your doctor if you are pregnant or plan to become pregnant.
The FDA categorizes medications based on safety for use during pregnancy. Five categories – A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.
This medication falls into category C. In animal studies, pregnant animals were given this medication and had some babies born with problems. No well-controlled studies have been done in humans. Therefore, this medication may be used if the potential benefits to the mother outweigh the potential risks to the unborn child.
Ciclesonide and Lactation
Tell your doctor if you are breastfeeding or plan to breastfeed. It is not known if ciclesonide is excreted in human breast milk or if it will harm your nursing baby.
Use your nasal spray exactly as prescribed by your healthcare provider.
Seasonal allergy symptoms may improve over 1 to 2 weeks; year-round allergy symptoms may improve over 5 weeks. If your symptoms do not improve or get worse, call your healthcare provider.
Patient’s Instructions for Use
Ciclesonide nasal spray is supplied in an amber glass bottle in a protective plastic sleeve and should be handled with care.
Preparing For Use
Using the Spray
Each bottle of ciclesonide nasal spray contains enough medicine for you to spray medicine from the bottle 120 times. Do not use a bottle of ciclesonide nasal spray after 120 sprays (not counting the priming sprays) have been used or after the “discard by date” you wrote on the sticker when you opened the foil pouch. You may still see some medicine in the bottle. Talk with your healthcare provider before your supply of ciclesonide nasal spray runs out to see if you should get a refill of your medicine.
Applicator Cleaning Instructions
Wipe the applicator tip with a clean tissue and replace the dust cap, after you use your nasal spray each day.
If the applicator is clogged or needs more thorough cleaning, use the following cleaning instructions (Do not try to unblock the tiny spray hole on the applicator with a pin or other sharp object. Do not twist or try to remove the white plastic pump attached to the medicine bottle.):
Use your ciclesonide inhalation exactly as prescribed by your healthcare provider.
Priming your ciclesonide inhalation for use
- Remove your ciclesonide inhalation from its package.
- Before you useciclesonide inhalation for the first time or if you have not used your medicine for 10 days in a row, you will need to prime your unit.
- Remove the plastic cap.
- Hold the actuator upright. Spray 3 times into the air away from the face, by pressing down fully onto the center of the dose indicator button.
- Make sure the canister is firmly placed in the mouthpiece each time you use your ciclesonide inhalation.
- You do not need to shake your ciclesonide inhalation unit before you use it.
Using your ciclesonide inhalation
- When you have finished breathing in, hold your breath for about 10 seconds, or for as long as is comfortable.
- Note: It is normal to hear a soft click from the indicator as it counts down during use.
Ciclesonide nasal spray:
- Use 1 time each day, 2 sprays in each nostril.
- Do not use more than a total of 2 sprays in each nostril each day.
- Use inhaler twice daily, one or two inhalations at a time depending on the dose prescribed.
If you take too much ciclesonide call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.
If ciclesonide is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. However, if overdose is suspected, seek emergency medical attention.
Ciclesonide nasal spray: