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Alvesco

Alvesco is a type of inhaler used for asthma. It’s a preventer inhaler, and it should be used at least once a day (your doctor might increase this depending on the severity of your asthma).


Alvesco contains a corticosteroid, ciclesonide, which when inhaled, relieves inflammation in the lungs and airways. This helps you to breathe more easily and reduces the risk of experiencing an asthma attack due to inflammation.


Alvesco is used like any other asthma inhaler, but you should also make sure that you have a reliever on you at all times in case you experience an asthma attack and need immediate relief. Unfortunately, Alvesco can’t help in this situation.



Alvesco Patient Information Leaflet

Last Patient Information Leaflet Review: 16/01/2020



1
2
  • Allergy to ciclesonide
  • Current tuberculosis or history of tuberculosis
  • Fungal infection
  • Viral infection
  • Bacterial infection
3

Please use a minimum of 1 words.

4
  • Ketoconazole
  • Itraconazole
  • Ritonavir
  • Nelfinavir
5

Please use a minimum of 1 words.

6
  • Ciclesonide should be used daily, and isn't suitable to take in the event of an asthma attack. If you experience an acute asthma attack, you should use a reliever inhaler rather than ciclesonide.
  • You should use your ciclesonide inhaler even when you don't have any symptoms of asthma
7
  • You have an allergy to ciclesonide
  • You've used this treatment before and suffered from serious side effects
  • You're already using ciclesonide in another medicinal form or to treat another condition
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What is Alvesco?

Alvesco is a type of prevention inhaler for the symptoms of asthma in adults. It contains the medicine ciclesonide, a corticosteroid that helps to relieve inflammation. As this medicine is inhaled, the corticosteroid relieves inflammation in the lungs and airways, making it easier to breathe and preventing future asthma attacks.

Can I take Alvesco?

Most people with persistent asthma are able to use Alvesco to control the condition, but there are just a few groups that should talk to their GP about the suitability of the treatment. These include people who:

  • Are allergic to Alvesco or any of its ingredients
  • Are currently being or have previously been treated for tuberculosis
  • Are being treated for a fungal, bacterial or viral infection

You should also ask your doctor if it’s safe for you to use Alvesco if you’re pregnant or breastfeeding. Some GPs will encourage you to try other treatments, whilst some might find the benefits of using the medication for the mother outweigh the potential risks for the unborn child.

If none of the above apply to you, it should be safe for you to use Alvesco.

Does Alvesco interact with any other medicines?

Alvesco interacts with certain medicines that are used to treat some infections (often fungal infections). The medicines included in the list of interactions are:

  • Ketoconazole
  • Itraconazole
  • Ritonavir
  • Nelfinavir

Some of these medicines are also used to treat the human immunodeficiency virus (HIV), so if you’ve been diagnosed with this and are considering using Alvesco, please talk to your doctor and ask them whether it’s a viable option for you or whether you should try other medications to control your asthma.

What are the side effects of taking Alvesco?

The side effects experienced with Alvesco are usually mild, but they can still affect patients. It’s important to know all of the potential side effects so you know whether you need to seek urgent help or not. The entire list of symptoms associated with Alvesco is available in the patient information leaflet. It’s important that you read this cover to cover and understand all of the information before using the inhaler. If you have any concerns or aren’t sure what something means, you can ask your local pharmacist to explain it to you.

The most critical side effects that can occur while using Alvesco include:

  • Severe allergic reaction (anaphylaxis)
    • If you experience anaphylaxis, you should call 999 immediately and state that you’re having a severe allergic reaction to a medication.

      Other critical side effects include:

      • Allergic reactions that affect the skin
      • Cough/wheezing that worsens after taking Alvesco.

      You can either go to your nearest A&E department if you’re affected by these or call 111 and explain your symptoms and the fact you’ve taken Alvesco.

      The more common and often less worrying side effects reported with Alvesco are:

      • Hoarseness
      • Irritation of mouth or throat
      • Oral thrush
      • Headache
      • Bad taste in mouth
      • Dry mouth
      • Nausea
      • Vomiting
      • Palpitations
      • Abdominal pain
      • High blood pressure
      • Sleep disturbances

      If you experience any of the above, you should inform your doctor and ask about how to deal with them. If you’re particularly bothered by any symptoms, you might be able to change the type of prevention inhaler that you use.

      You can gargle and rinse your mouth with water after use to avoid developing a sore mouth or throat.

      How do you use Alvesco?

      Alvesco is an inhaler, so it should be used the same as any other asthma inhaler. Full instructions including diagrams are available in the patient information leaflet that comes with your order, but we’ll also briefly explain how this prevention inhaler should be used.

      • Remove the mouthpiece cover from the inhaler
      • Breathe out as much as is comfortable for you
      • Place the mouthpiece between your lips and make sure that no air can escape.
      • Breathe in and press down on the canister within the inhaler. Keep breathing in
      • Remove the inhaler and hold your breath for as long as you can, but ideally at least for 10 seconds if possible
      • Breathe out slowly, and not into the inhaler
      • Repeat the process if your doctor has advised two inhalations. Wait around 30 seconds between each puff.
      • Replace the mouthpiece cover to make sure that the inhaler stays as clean as possible

      You should clean your inhaler once a week, using a clean, dry tissue over the mouthpiece area. Don’t use any water to clean the device.

      How long does Alvesco take to work?

      Some patients feel an improvement in as little as 24 hours, but for others, it takes longer. The full effect of the medication should have reached its full potential within a few weeks, and by this time you should already be finding it easier to breathe.

Dosage Instructions
The recommended dose of Alvesco is 160 micrograms once daily.
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Alvesco Dosage Quantity Cost Including Consultation
Alvesco 80mcg (120 doses) 1 Inhaler £49.99
Alvesco 160mcg (120 doses) 1 Inhaler £59.99
Alvesco 80mcg (120 doses) 2 Inhalers £94.99
Alvesco 160mcg (120 doses) 2 Inhalers £114.99
Alvesco 80mcg (120 doses) 3 Inhalers £139.99
Alvesco 160mcg (120 doses) 3 Inhalers £169.99

Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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