Alvesco Side Effects

Generic Name: ciclesonide

Note: This page contains information about the side effects of ciclesonide. Some of the dosage forms included on this document may not apply to the brand name Alvesco.

Not all side effects for Alvesco may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.

For the Consumer

Applies to ciclesonide: inhalation aerosol liquid

Along with its needed effects, ciclesonide (the active ingredient contained in Alvesco) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking ciclesonide:

More common
  • Body aches or pain
  • chills
  • cough
  • difficulty in breathing
  • ear congestion
  • fever
  • headache
  • loss of voice
  • muscle aches
  • nasal congestion
  • pain or tenderness around eyes and cheekbones
  • shortness of breath or troubled breathing
  • sneezing
  • sore throat
  • stuffy or runny nose
  • tightness of chest or wheezing
  • unusual tiredness or weakness
  • Sore mouth or tongue
  • white patches in mouth and/or on tongue
Incidence not known
  • Blindness
  • blurred vision
  • creamy white, curd-like patches in mouth or throat
  • darkening of skin
  • decreased vision
  • diarrhea
  • dizziness
  • eye pain
  • fainting
  • hoarseness
  • lack or slowing of normal growth in children
  • large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • loss of appetite
  • lower back or side pain
  • mental depression
  • nausea
  • pain when eating or swallowing
  • painful or difficult urination
  • skin rash
  • tearing
  • vomiting

Some side effects of ciclesonide may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common
  • Back pain
  • difficulty in moving
  • muscle pain or stiffness
  • pain in arms or legs
  • pain in joints
  • Chest discomfort
  • dry mouth or throat
  • voice changes

For Healthcare Professionals

Applies to ciclesonide: inhalation aerosol


Endocrine side effects have included adrenal suppression.


Musculoskeletal side effects have included decreases in bone mineral density, arthralgia, pain in extremity, and back pain.

Nervous system

Nervous system side effects have included headache and dizziness.


Ocular side effects have included cataracts, glaucoma, blurred vision, conjunctivitis, and increased intraocular pressure.


Respiratory side effects have included paradoxical bronchospasm, chest discomfort, cough, dysphonia, nasopharyngitis, sinusitis, pharyngolaryngeal pain, dry throat, sinusitis, hoarseness, influenza, pneumonia, upper respiratory infection, nasal congestion, and nasopharyngitis.


Gastrointestinal side effects have included oral candidiasis, nausea, dry mouth, gastroenteritis, and dry throat.


Dermatologic side effects have included urticaria.


Hypersensitivity side effects have included immediate or delayed hypersensitivity reactions such as angioedema with swelling of lips, tongue, and pharynx.


General side effects have included face edema and fatigue.

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