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Alvesco Side Effects

Generic Name: ciclesonide

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

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


The most commonly reported adverse reactions have included headache, nasopharyngitis, sinusitis, pharyngolaryngeal pain, upper respiratory infection, arthralgia, nasal congestion, and back pain.[Ref]


Uncommon (0.1% to 1%): Application site reaction, application site dryness[Ref]


Cough, dysphonia, and dry throat were reported in less than 1% of patients and at a greater incidence than with placebo. Paradoxical bronchospasm may be related to the drug, the excipient, or evaporation cooling in the case of metered dose inhalers.[Ref]

Common (1% to 10%): Nasopharyngitis, sinusitis, pharyngolaryngeal pain, upper respiratory infection, nasal congestion, hoarseness, pneumonia, bronchitis, tonsillitis
Uncommon (0.1% to 1%): Laryngitis
Frequency not reported: Cough, dysphonia, dry throat, paradoxical bronchospasm[Ref]


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


Common (1% to 10%): Oral candidiasis, gastroenteritis, vomiting, upper abdominal pain, diarrhea, toothache
Uncommon (0.1% to 1%): Bad taste
Frequency not reported: Dry mouth, nausea[Ref]

During clinical trials, Candida albicans infections of the mouth and pharynx occurred 32 of 3038 patients (1%); the majority of infections occurred in patients receiving 320 mcg per day. Most cases were mild to moderate. Dry mouth and nausea were reported in less than 1% of patients and at a greater incidence than with placebo.[Ref]

Nervous system

Very common (10% or more): Headache (up to 11%)
Common (1% to 10%): Dizziness[Ref]


Common (1% to 10%): Conjunctivitis
Frequency not reported: Glaucoma, increased intraocular pressure, cataracts[Ref]


Common (1% to 10%): Urticaria
Uncommon (0.1% to 1%): Eczema, rash[Ref]


Common (1% to 10%): Extremity pain, back pain[Ref]


Chest discomfort was reported in less than 1% of patients and at a greater incidence than with placebo. Palpitations were mostly observed in patients taking concomitant medication known to have cardiac effects.[Ref]

Rare (0.01% to 0.1%): Palpitations, hypertension
Frequency not reported: Chest discomfort[Ref]


Very rare (less than 0.01%): Agitation, insomnia, depression, anxiety, behavioral changes[Ref]


1. Cerner Multum, Inc. "Australian Product Information." O 0

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

3. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

Some side effects of Alvesco may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

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.