Alvesco is taken every day, twice a day. To determine the best dosage for your specific situation, your healthcare provider will first need to know about any other medications you are taking. For example, people taking bronchodilators alone generally start with a dose of Alvesco 80 mcg inhaled twice. People who take an oral steroid usually require a higher amount.
An Introduction to Your Dosage of AlvescoThe dose of Alvesco® (ciclesonide inhaler) your healthcare provider recommends will vary, depending on a number of factors, including:
- How you respond to Alvesco
- Other medications you are taking
- Other medical conditions you may have.
As is always the case, do not adjust your dosage unless your healthcare provider specifically tells you to do so.
Alvesco Dosing for AsthmaFor asthma treatment in adults and adolescents at least 12 years old, the recommended Alvesco dosage varies, depending upon what type of asthma medications were previously taken.
For people taking bronchodilators alone, the starting amount is two inhalations of Alvesco 80 mcg twice daily. The maximum dose in these situations is Alvesco 160 mcg twice daily. Bronchodilators include:
- Albuterol (Proventil HFA®, Ventolin HFA®, Proair HFA®, Vospire ER®)
- Arformoterol (Brovana®)
- Formoterol (Foradil®, Perforomist™)
- Levalbuterol (Xopenex®, Xopenex HFA®)
- Ipratropium (Atrovent®, Atrovent® HFA)
- Ipratropium and albuterol (Combivent®, DuoNeb®)
- Isoproterenol (Isuprel®)
- Metaproterenol (Alupent®)
- Pirbuterol (Maxair®)
- Salmeterol (Serevent®)
- Terbutaline (Brethine®)
- Theophylline (Uniphyl®, Theochron®, TheoCap®, Theo-24®, Elixophyllin®)
- Tiotropium (Spiriva®).
For people who are taking an inhaled steroid (with or without a bronchodilator), the starting dosage is two inhalations of Alvesco 80 mcg twice daily. The maximum dose is two inhalations of Alvesco 320 mcg twice daily (two puffs of the 160-mcg strength twice daily, since Alvesco does not come in a 320-mcg strength).
Inhaled steroids include:
- Beclomethasone (Qvar®)
- Budesonide (Pulmicort®)
- Budesonide and formoterol (Symbicort®)
- Flunisolide (Aerobid®)
- Fluticasone (Flovent®)
- Fluticasone and salmeterol (Advair®)
- Mometasone (Asmanex®)
- Triamcinolone (Azmacort®).
For people taking an oral steroid (with or without a bronchodilator and/or an inhaled steroid), the starting and maximum Alvesco dosages are 320 mcg twice daily (two puffs of the 160-mcg strength twice daily). After you have been taking Alvesco for a week, your healthcare provider should attempt to slowly decrease the amount of your oral steroid.