Comprehensive medication guide to Alvesco including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.
Estimated Insurance Pricing
$15–$75/month
Estimated Cash Pricing
$275–$411/month
Medfinder Findability Score
60/100
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Alvesco (Ciclesonide) is an inhaled corticosteroid (ICS) used for the maintenance treatment of asthma in adults and children aged 12 and older. It is a preventive medication — meaning it is taken daily to control and prevent asthma symptoms, not as a rescue inhaler for sudden breathing difficulties. Alvesco is manufactured by Covis Pharma, which acquired the drug from AstraZeneca in 2018.
Ciclesonide is unique among inhaled corticosteroids because it is a prodrug — it only becomes fully active once it reaches the lungs, which may reduce side effects in the mouth and throat compared to other ICS medications.
80 mcg/actuation
metered-dose inhaler (MDI), 6.1 gm canister with 60 inhalations
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160 mcg/actuation
metered-dose inhaler (MDI), 6.1 gm canister with 60 inhalations
Serious but less common side effects include oropharyngeal candidiasis (oral thrush), adrenal suppression, increased risk of infections, paradoxical bronchospasm, reduced bone mineral density with long-term use, growth suppression in children, and glaucoma or cataracts. Always rinse your mouth after use and report any unusual symptoms to your doctor.
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Fluticasone Propionate HFA (generic Flovent)
a widely available generic inhaled corticosteroid MDI, often the most affordable ICS option since Flovent was discontinued in 2024
Qvar RediHaler (Beclomethasone)
another ICS metered-dose inhaler for asthma maintenance; also available as generic Beclomethasone
Pulmicort Flexhaler (Budesonide)
a dry powder inhaled corticosteroid; generic Budesonide inhalation suspension is available and widely used
Asmanex Twisthaler (Mometasone)
a dry powder ICS with a once-daily dosing option; also available as Asmanex HFA
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Strong CYP3A4 inhibitors (avoid or use caution):
moderateKetoconazole (increases des-Ciclesonide exposure by ~3.6x), Itraconazole, Ritonavir, Cobicistat, Clarithromycin, Nefazodone
Moderate CYP3A4 inhibitors (use caution):
moderateErythromycin, Fluconazole, Diltiazem, Verapamil
Other inhaled corticosteroids:
moderateUsing multiple ICS medications together increases risk of systemic steroid side effects
Immunosuppressants:
moderateCombined use may further increase infection risk
Grapefruit juice:
moderateMay increase Ciclesonide levels as a CYP3A4 inhibitor
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