Information specific to: Ciclesonide 80micrograms/dose inhaler CFC free when used in Asthma.
Ciclesonide (Sik-les-so-nayd) is a medicine which is used in asthma.
The information in this Medicine Guide for Ciclesonide varies according to the condition being treated and the particular preparation used.
Your medicine
Ciclesonide belongs to a class of medicines called steroids. Steroids are used to help reduce inflammation. Ciclesonide works in the air passages of the lungs. It helps to reduce inflammation and keep the airways open. This makes it easier to breathe.
Ciclesonide helps to prevent attacks of breathlessness or asthma. It will not give you fast relief of your symptoms once an attack has started. You must use your fast-acting reliever inhaler (inhaled bronchodilator) to relieve an attack of breathlessness or asthma. Ask your prescriber or nurse for advice on what to do if you have an asthma attack or attack of breathlessness.
You must take Ciclesonide every day for it to work. Ciclesonide will only prevent attacks of breathlessness or asthma if it is taken regularly. You should continue to take Ciclesonide even if you feel that your condition is under control. It is a good idea to take it at the same time or times every day. You should make taking it at a regular time part of your daily routine.
Other information about Ciclesonide:
- your prescriber will try to find the lowest dose of your medicine which can control your condition
- if you are changing from an oralsteroid to Ciclesonide, your prescriber will take steps to manage the total dose of steroids that you are having. This will lead to a gradual reduction of the total steroiddose you are having
- if you have been given a steroid warning card, make sure you carry it with you at all times while you are taking corticosteroids. These cards are normally given to you by your prescriber or by your pharmacist. If you are currently taking corticosteroids, or have taken them in the last year, you must tell everyone involved in prescribing you medicines and giving you medical treatment. This includes your doctor, dentist, nurse and pharmacist. You must ensure that they all know about your corticosteroid treatment
Do not share your medicine with other people. It may not be suitable for them and may harm them.
The pharmacy label on your medicine tells you how much medicine you should have. It also tells you how often you should have your medicine. This is the dose that you and your prescriber have agreed you should have. You should not change the dose of your medicine unless you are told to do so by your prescriber.
If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.
Whether this medicine is suitable for you
Ciclesonide is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.
Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:
- are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
- have an infection
- have liver problems
- have or have had tuberculosis
Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child under 12 years of age.
As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:
- to check that this medicine is having the desired effect
- to check that this medicine is not having any undesired effects
Over time it is possible that Ciclesonide can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Ciclesonide has become unsuitable, it is important that the prescriber is contacted immediately.
Alcohol
Alcohol can interact with certain medicines.
In the case of Ciclesonide:
- there are no known interactions between alcohol and Ciclesonide
Diet
Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.
In the case of Ciclesonide:
- there are no specific foods that you must exclude from your diet when having Ciclesonide
Driving and operating machinery
When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.
In the case of Ciclesonide:
- this medicine is unlikely to affect driving ability or the ability to operate machinery
You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.
Family planning and pregnancy
Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.
In the case of Ciclesonide:
- you should only have this medicine during pregnancy if your doctor thinks that you need it
You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.
If the decision is that you should not have Ciclesonide, then you should discuss whether there is an alternative medicine that you could take during pregnancy.
Breast-feeding
Certain medicines can pass into breast milk and may reach your baby through breast-feeding.
In the case of Ciclesonide:
- you should only have this medicine while breast-feeding if your doctor thinks you need it
Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.
Taking other medicines
If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.
The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.
Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.
The following medicines may interact with Ciclesonide:
- itraconazole
- ketoconazole
- nelfinavir
- ritonavir
The following types of medicine may interact with Ciclesonide:
- cytochrome P450 enzyme inhibitors
If you are taking Ciclesonide and one of the above medicines or types of medicines, make sure your prescriber knows about it.
Complementary preparations and vitamins
Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.
If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Ciclesonide.
Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.
If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.
