Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Asthma control: This medication is not for use as a "reliever" medication. If you start developing an asthma attack, be sure to use your "reliever" medication for rapid relief of your asthma symptoms. Contact your doctor immediately if you find you are using your "reliever" medications (e.g., salbutamol, terbutaline, formoterol) more often or if they are not working as well as they used to. This may mean your asthma is not controlled. Your doctor may want you to temporarily change the dose of ciclesonide or may start you on an oral corticosteroid.
Bone problems: When used for long periods of time, this medication may reduce bone density and increase the risk of developing osteoporosis. Your doctor may monitor for this periodically.
Breathing problems: If you experience wheezing or difficulty breathing right after using this medication, use your "reliever" medication (e.g., salbutamol, terbutaline, or formoterol) and stop using this medication and contact your doctor.
Eye problems: This medication may increase the risk of cataracts, increased pressure in the eye, and glaucoma when used for long periods of time. Your doctor will monitor you by checking your eyes periodically.
Infections: Infections such as chickenpox and measles can be more serious in people taking medications such as ciclesonide. If you are exposed to someone with chickenpox or measles, contact your doctor.
Liver problems: If you have severely impaired liver function or cirrhosis, your doctor may monitor you more closely for side effects.
Oral hygiene: Adequate oral hygiene, such as rinsing your mouth with water after using this medication, helps reduce the chances of developing a yeast infection of the mouth or throat ( called "thrush"). Using a spacer device with the inhaler can also reduce how much medication stays in your mouth. If you develop symptoms of thrush, such as white patches in your mouth, contact your doctor.
Steroid medication use: If you have taken or are still taking oral steroid medication during the last several months, consult your doctor before using this medication. In times of stress or during a severe asthma attack, your doctor may want you to start your steroid medication again.
Stopping medication: Do not stop this medication abruptly. When this medication is stopped, it should be stopped gradually, as directed by your doctor.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: It is not known if ciclesonide passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children under 6 years of age.