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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.

For the Consumer

Applies to ciclesonide: inhalation aerosol liquid

In addition to its needed effects, some unwanted effects may be caused by ciclesonide (the active ingredient contained in Alvesco). In the event that any of these side effects do occur, they may require medical attention.

Severity: Major

You should check with your doctor immediately if any of these side effects occur when 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

Severity: Minor

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

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.[Ref]


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

Nervous system

Nervous system side effects have included headache and dizziness.[Ref]


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


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.[Ref]


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


Dermatologic side effects have included urticaria.[Ref]


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


General side effects have included face edema and fatigue.[Ref]


1. "Product Information. Alvesco (ciclesonide)." Nycomed USA, Florham Park, NJ.

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.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.