Ciclesonide Nasal Dosage

Medically reviewed by Drugs.com. Last updated on Mar 12, 2025.

Usual Adult Dose for Allergic Rhinitis

Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)
Maximum dose: 200 mcg (2 sprays in each nostril once a day)

Nasal metered aerosol (37 mcg/actuation): 1 actuation in each nostril once a day (74 mcg)
Maximum dose: 74 mcg per day (1 actuation in each nostril once a day)

Use: Treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis

Usual Pediatric Dose for Allergic Rhinitis

Seasonal allergic rhinitis:
6 years and older:

• Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)

Maximum dose: 200 mcg (2 sprays in each nostril once a day)

Seasonal and perennial allergic rhinitis:
12 years and older:

• Nasal spray (50 mcg/spray): 2 sprays in each nostril once a day (200 mcg)

Maximum dose: 200 mcg (2 sprays in each nostril once a day)

• Nasal metered aerosol (37 mcg/actuation): 1 actuation in each nostril once a day (74 mcg)

Maximum dose: 74 mcg per day (1 actuation in each nostril once a day)

Use: Treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

No adjustment recommended

Precautions

• The safety and efficacy of the nasal spray for treatment of the symptoms of perennial allergic rhinitis in patients younger than 12 years and for seasonal allergic rhinitis in patients younger than 6 years have not been established.
• The safety and efficacy of the nasal metered aerosol for treatment of the symptoms of seasonal and perennial allergic rhinitis in patients younger than 12 years have not been established.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:

• This drug should be administered by intranasal route only.
• Spray: Gently shake prior to use and prime the pump by actuating eight times. If the spray is not used for four consecutive days, it should be gently shaken and reprimed with one spray or until a fine mist appears.
• Metered aerosol: Prior to initial use or if not used for ten consecutive days, the container should be primed by actuating three times.
• The manufacturer product information should be consulted for proper use.

Storage requirements:

• Consult the manufacturer product information.

General:
Spray:

• Do not freeze.

Metered aerosol:

• Do not puncture; do not use or store near heat or open flame.
• Exposure to temperatures above 49C (120F) may cause bursting.
• Do not throw canister into fire or incinerator.

Patient advice:

• Avoid spraying into the eyes or directly onto the nasal septum.

See also:

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer