50mcg Spray, Metered Dose
Prescription required. Product of Canada. Shipped from Canada.
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
(sye kles' oh nide)
- Be sure that the inhaler is at room temperature.
- Remove the cap from the mouthpiece.
- Be sure the canister is fully and firmly inserted in the actuator. You do not need to shake your inhaler before each use.
- If you are using the inhaler for the first time or if you have not used the inhaler in more than 10 days, prime it by releasing 3 test sprays into the air, away from your face. Be careful not to spray the medication into your eyes or face.
- Breathe out through your mouth.
- Hold the inhaler facing you with the mouthpiece on the bottom. Place your thumb under the mouthpiece and your index finger on the center of the dose indicator at the top of the canister. Place the mouthpiece in your mouth and close your lips around it, keeping your tongue below it.
- Breathe in deeply and slowly through your mouth. At the same time, press down firmly on the center of the dose indicator at the top of the canister with your index finger. Remove your index finger as soon as the spray is released.
- When you have breathed in fully, remove the inhaler from your mouth and close your mouth.
- Try to hold your breath for about 10 seconds, then breathe out gently.
- Put the cap back on the mouthpiece.
- Rinse your mouth with water and spit the water out. Do not swallow the water.
Before using ciclesonide inhalation,
- tell your doctor and pharmacist if you are allergic to ciclesonide, any other medications, or any of the ingredients in ciclesonide inhalation. Ask your pharmacist for a list of the ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: ketoconazole (Nizoral); oral steroids such as dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos); and medications for seizures. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with ciclesonide inhalation, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.
- do not use ciclesonide during an asthma attack. Your doctor will prescribe a short-acting inhaler to use during asthma attacks. Call your doctor if you have an asthma attack that does not stop when using the fast-acting asthma medication, or if you need to use more of the fast-acting medication than usual.
- tell your doctor if you have been on bedrest or unable to move around for a long time, or if you or anyone in your family has or has ever had osteoporosis (a condition in which the bones become thin and weak and break easily). Tell your doctor if you have or have ever had tuberculosis (TB: a type of lung infection), cataracts (clouding of the lens of the eye), or glaucoma (an eye disease). Also tell your doctor if you have any type of untreated infection anywhere in your body or a herpes eye infection (a type of infection that causes a sore on the eyelid or eye surface).
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using ciclesonide inhalation, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are using ciclesonide inhalation.
- if you have any other medical conditions, such as asthma, arthritis, or eczema (a skin disease), they may worsen when your oral steroid dose is decreased. Tell your doctor if this happens or if you experience any of the following symptoms during this time: extreme tiredness, muscle weakness, or pain; sudden pain in stomach, lower body, or legs; loss of appetite; weight loss; upset stomach; vomiting; diarrhea; dizziness; fainting; depression; irritability; and darkening of skin. Your body may be less able to cope with stress such as surgery, illness, severe asthma attack, or injury during this time. Call your doctor right away if you get sick and be sure that all healthcare providers who treat you know that you recently replaced your oral steroid with ciclesonide inhalation. Carry a card or wear a medical identification bracelet to let emergency personnel know that you may need to be treated with steroids in an emergency.
- tell your doctor if you have never had chickenpox or measles and you have not been vaccinated against these infections. Stay away from people who are sick, especially people who have chickenpox or measles. If you are exposed to one of these infections or if you develop symptoms of one of these infections, call your doctor right away. You may need treatment to protect you from these infections.
- you should know that ciclesonide inhalation sometimes causes wheezing and difficulty breathing immediately after it is inhaled. If this happens, use your fast-acting (rescue) asthma medication right away and call your doctor. Do not use ciclesonide inhalation again unless your doctor tells you that you should.
- stuffy or runny nose
- sore or irritated throat
- swelling of nose, throat, and sinuses
- painful white patches in the mouth or throat
- joint pain
- pain in arms, back, and legs
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
- chest pain or tightness