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Daniel More, MD

Alvesco - An Inhaled Steroid Without the Side Effects?

By , About.com GuideAugust 2, 2008

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Many people are hesitant to take inhaled steroids for their asthma based on concern for inhaled steroid side effects. So, if a new inhaled steroid became available, which didn't cause the major side effects of other inhaled steroids, more asthmatics would be more likely to take it.

Alvesco (ciclesonide), is the inhaled version of Omnaris, a new medication that has minimal steroid effects until it is turned into its active form within the respiratory tract. As a result, it acts only as a steroid where it should (the lungs), and doesn't where it shouldn't. And, for people who are prone to developing thrush from inhaled steroids, Alvesco could be just what the doctor ordered.

Comments
August 23, 2008 at 12:00 am
(1) Kathy says:

What about people who are allergic to inhaled steroids.Could this one work and is it available in Canada.???

September 8, 2008 at 3:22 pm
(2) salmonfishpie says:

I am on my first Alvesco inhaler and I have a question as to how I could tell when the inhaler is empty.
I use Symbicort before and at least there is an indicator on the bottle.

October 9, 2008 at 5:27 pm
(3) salmonfishpie says:

Will Alvesco or other inhaled corticosteroid cause fatty liver? I heard that corticosteroid affect the deposition of fat in the body, is that true?

November 7, 2008 at 8:59 pm
(4) Nancy says:

Thanks for the info- on non-allergic rhinitis. Please advise wher my 21 years old son cah get help? (NY area). He is suffering for over 2 years with morning snizzing, running nose, and allergies have been ruled out.
Thank you very much.
Nancy

August 8, 2009 at 12:13 am
(5) Claire Plewinski says:

I believe Alevesco caused a major problem for me..a stinging sensation that plagued me ahortly after I I started to use it until I stopped. It did however, relieve my psoriasis. Given the pain of the stinging versus the clearing of the psoriasis, I would have to choose to stay with the psoriasis.
Claire

August 10, 2009 at 1:47 am
(6) allergies says:

Alvesco is indicated for the treatment of asthma — it has nothing to do with psoriasis.

January 4, 2010 at 10:25 pm
(7) shaza says:

Hi salmonfishpie,
1. Try shaking the container. You should be able to gage how much or little is there. If not, when you get a new one, every time you shake it, take a listen. There is a difference when it gets low.

Also, try the following:
Take out the can out of the plastic container.
Fill a cup with water.
Put the metal container in water. if the whole container floats, it’s done. If it sinks, then it’s full. If some of the contiainer floats down, ie if it’s not level when it’s in the water, then it’s got some left.
Dry the container off, take off the cap on the plastic thing and put it back into the plastic holder—squeeze down to let one puff out.

Hope this helps

January 7, 2010 at 10:59 pm
(8) allergies says:

Floating the new HFA inhalers is not an accurate method of determing how much medication remains. – Dr More

June 4, 2010 at 7:55 pm
(9) Reenie says:

I have been on it for 5 years and desperatley want to get off it. I have recently been prescribed Alvesco to replace Prednisone. I will be tapered off prednisone very slowly while taking Alvesco. Has anyone else been able to get off Prednisone?

September 10, 2010 at 2:28 pm
(10) ellen says:

There is a dose indicator on the top of your canister. When the canister is getting low the number indicator turns red and is out when the number reaches zero.

December 15, 2010 at 1:31 pm
(11) ALS says:

Does anyone have a child younger than 12 yrs. old who uses the Alvesco inhaler twice a day? Do they have any side effects and what is the long term outcome of using Alvesco? Our allergy/asthma doctor just recommended Alvesco for our 4 yr. old daughter after trying Flovent (side effects) and Qvar (no relief from asperations).

January 31, 2011 at 1:26 pm
(12) Ellie_Minton says:

I have a 7YO on Alvesco – twice a day on top of symbicort. We are stopping however because of headaches, cough, malaise, and possibly stomach cramps that seem to be associated with it.

February 10, 2011 at 9:30 am
(13) lindsey says:

My son is 4 years old and seeing a pediatric pulmonologist and my he has been taking the Alvesco for about six months now and I have seen a dramatic improvemt. I only give it to him once a day.

May 19, 2011 at 5:17 pm
(14) trey says:

My 3 year old daughter has just been prescribed Alvesco (160mcg). She will be 4 in 5 weeks and takes 2 puffs twice daily (640 total mcg daily.) She apparently has a form of asthma that is drug resistant. In 4 weeks the dose will gradually be reduced to a manageable level. I’m worried about giving my 4/5 year old such a potent medicine. Should I be worried, even if its only for 4 weeks?

May 14, 2012 at 6:31 am
(15) Yolanda says:

My daughter get allergy-induced asthma two months of the year. This year she was given Alvesco and it actually made her worse! She found it even harder to breathe after taking it and it gave her a headache. Tried it twice while she was really bad, in case the first time was a coincidence. Then tried it when the asthma had improved and she had a bad attack one night, but again, she found it even harder to breathe AFTER the Alvesco.

Doctor was also surprised, but three times is not a coincidence, especially when there is no reaction with the salbutamol.

So it is not risk-free for everyone.

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