The Brand Name CILVESCO Has Generic Salt :: CICLESONIDE 

CILVESCO  Is From Company German R. Priced :: Rs. 195

CILVESCO have CICLESONIDE is comes under Sub class Anti Allergics of  Main Class Immunology , Allergy

Main Medicine Class:: Immunology , Allergy  Sub Medicine Class :: Anti Allergics 

Indications for Drugs ::

Asthma, seasonal allergic rhinitis, perennial allergic rhinitis

Drug Dose ::

Inhalation Asthma Adult: Usual dose 160 mcg once daily, preferably in the evening from a metered-dose inhaler; reduced to 80 mcg once daily for maintenance. Child: >12 yr: Usual dose 160 mcg once daily, preferably in the evening from a metered-dose inhaler; reduced to 80 mcg once daily for maintenance. Nasal Spray: 1 spray (50 micrograms/spray) in each nostril once a day. The maximum total daily dosage should not exceed 2 sprays in each nostril (200 micrograms/day).

Contraindication ::

Not for status asthmaticus or severe acute asthma where intensive measures are needed. Ciclesonide nasal spray is contraindicated in patients with a hypersensitivity to any of its ingredients.

Drug Precautions ::

Active or quiescent pulmonary TB, fungal, viral or bacterial infections, unless adequately treated. Severe hepatic impairment. Monitor height of children and adolescents on long term treatment with inhaled corticosteroids; reduce dose if growth is slow. Pregnancy, lactation. Ciclesonide nasal spray should be used with caution in patients with active or quiescent tuberculosis infection of the respiratory tract or in patients with untreated fungal, bacterial or systemic viral infections or ocular herpes simplex. Rare instances of nasal septal perforation, cataract, and glaucoma have been reported following intranasal application. Development of localized infections of the nose and pharynx with Candida albcans has rarely occurred. Although systemic effects have been minimal with recommended doses of Ciclesonide nasal spray, potential risk increases with larger doses. Therefore, larger than recommended doses of Ciclesonide nasal spray should be avoided.

Drug Side Effects ::

Bad taste, hoarse voice, paradoxical bronchospasm, rash and eczema. Dryness, burning, inflammation and irritation at application site. Cough after inhalation. Systemic effects after prolonged use e.g. Cushing’s syndrome, Cushingoid features, adrenal suppression, growth retardation in children and adolescents, bone mineral density decrease, cataract, glaucoma. Ciclesonide nasal spray is absorbed less into the rest of the body; therefore fewer side effects are seen. However, few side-effects like headache, dizziness, nosebleed, stuffy nose, earache may occur.

Pregnancy category ::

3

Drug Mode of Action ::  

Ciclesonide, an inhaled corticosteriod, is converted by esterases in the lungs to the active metabolite, desisobutyryl-ciclesonide, which has anti-inflammatory activity.

Drug Interactions ::

Increased ciclesonide concentrations with concomitant ketoconazole, itraconazole, ritonavir, nelfinavir or other potent CYP3A4 inhibitors.