Alvesco Dosage

Generic name: CICLESONIDE 80ug
Dosage form: aerosol, metered
Drug class: Inhaled corticosteroids

Medically reviewed by Drugs.com. Last updated on Feb 6, 2025.

Administration Information

•: Administer ALVESCO by the orally inhaled route.
•: After administration, rinse the mouth with water and spit out without swallowing to help reduce the risk of oropharyngeal candidiasis.

Priming

Prime ALVESCO before using for the first time by actuating 3 times prior to using the first dose from a new canister or when the inhaler has not been used for more than 10 days.

Recommended Dosage

The recommended starting dosage and the highest recommended dosage of ALVESCO are listed in Table 1

Table 1: Recommended Dosages for Adults and Pediatric Patients 12 Years and Older
1 Prednisone should be reduced gradually, no faster than 2.5 mg/day on a weekly basis, beginning after at least 1 week of therapy with ALVESCO. Patients should be carefully monitored for signs of asthma instability, including monitoring of serial objective measures of airflow, and for signs of adrenal insufficiency during steroid taper and following discontinuation of oral corticosteroid therapy.
Previous Therapy	Recommended Starting Dosage	Highest Recommended Dosage
Patients ≥ 12 years who received bronchodilators alone	80 mcg twice daily	160 mcg twice daily
Patients ≥ 12 years who received inhaled corticosteroids	80 mcg twice daily	320 mcg twice daily
Patients ≥ 12 years who received oral corticosteroids1	320 mcg twice daily	320 mcg twice daily

General Dosing Recommendations

Individual patients will experience a variable time to onset and degree of symptom relief. Maximum benefit may not be achieved for four weeks or longer after initiation. After asthma stability has been achieved, it is desirable to titrate to the lowest effective dosage to reduce the possibility of side effects. For patients who do not respond adequately to the starting dose after 4 weeks of therapy, higher doses may provide additional asthma control. Patients should not exceed the highest recommended dosage per day.