• When switching from an oral steroid to an inhaled one, there can be problems. Symptoms such as weakness, feeling tired, dizziness, nausea, vomiting, inability to think clearly, or low blood sugar may occur. Call healthcare provider right away if you have any of these symptoms. If you have a serious accident and are injured, have surgery, or any type of infection, you may need extra doses of oral steroids. These extra steroids will help your body deal with these stresses. Carry a warning card saying that you may need extra steroids at certain times.
• If you have an allergy to ciclesonide or any other part of this medicine.
• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
• If you are having a breathing attack.
• If you have a severe infection.
• For inhaling (puffing) only.
• Shake aerosol well before use.
• Rinse out mouth after each use.
• A spacer can be used with the inhaler for easier delivery. Children younger than 8 years of age should use a spacer.
• If you are using an inhaled bronchodilator, wait 10 minutes before using this medicine.
• Check spray use with healthcare provider at each visit. Read and follow all instructions provided with spray. Using the spray the right way is very important.
• Use a missed dose as soon as possible.
• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
• Do not use a double dose or extra doses.
• Do not change dose or stop medicine. Talk with healthcare provider.
• Change in condition being treated. Is it better, worse, or about the same?
• Number of asthma attacks.
• Follow up with healthcare provider.
Created: 2009-10-12 13:08:49.0
Modified: 2010-03-25 14:08:35.0
Lexi-PALS TM © (1977)-(2007) Lexi-Comp, Inc. All rights reserved.
• If you have a life-threatening allergy, wear allergy identification at all times.
• Do not share your medicine with others and do not take anyone else's medicine.
• Keep all medicine out of the reach of children and pets.
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.
• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.
• Do not use this medicine to treat an asthma attack.
• Wear disease medical alert identification.
• If you have been taking this medicine for several weeks, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine.
• Avoid exposure to chickenpox and measles.
• If you have glaucoma or cataracts, talk with healthcare provider.
• If you have kidney disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have osteoporosis, talk with healthcare provider.
• If you have seizures, talk with healthcare provider.
• If you have thyroid disease, talk with healthcare provider.
• If you have tuberculosis, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
• Headache.
• Cough.
• Nasal congestion.
• Sore throat.
• Mouth infection.
• Abnormal taste. This is usually reversible.
• Cataracts or glaucoma with long-term use.
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Signs or symptoms of infection. These include a fever of 100.5 degrees or higher, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, or anal itching or pain.
• Feeling extremely tired, weak, or irritable; trembling; having a fast heartbeat, confusion, sweating, or dizziness if you missed a dose or recently stopped this medicine.
• Difficulty breathing.
• Severe mouth irritation.
• Increased use of short-acting inhaler.
• Any rash.
• No improvement in condition or feeling worse.
