Alvesco (Ciclesonide)

Rx Prescription Required

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Medically reviewed by Dr. Samuel Maaiah, PharmD

Last updated: February 9, 2022

Medically Reviewed by Pharmacist Samuel Maaiah, PharmD

Dr. Maaiah is a PharmD graduate who has practiced both in pharmaceutical consulting and retail pharmacy. His interests include consulting and the development and approval of new therapeutics. He currently works as a Medical Information Consultant (MIC) and as a retail pharmacist. As a MIC he helps pharmaceutical companies with projects and by consulting as a medical information expert.

When Dr. Maaiah is not working, he enjoys spending time with his family and friends, doing outdoor activities, working out, and reading.

Order Online

How to buy Alvesco (Ciclesonide) online?

Alvesco can be ordered online through or by calling 1-800-828-4489 and speaking to customer support. The chat feature can also be used for support. For more information please visit the “How to Order” page.

Is a prescription required?

Yes, a valid prescription from your doctor is required to process your order. Alvesco is a prescription medication and can only be sold with a prescription.

To process your order, you will need to submit a prescription. The prescription can be emailed ([email protected]), faxed (1-800-416-8019), or uploaded. Alternatively, we can reach out to your doctor to attain a valid prescription if you would like.

What is the maximum amount that can be ordered?

A 3-month supply (90 days) is the maximum amount that can be ordered at one time. Refills are kept on file for future orders. The amount that can be ordered will be based on the directions and quantity indicated on the prescription from your doctor.

Is it safe to order Alvesco (Ciclesonide) from our online pharmacy?

Absolutely. All our partner pharmacies are fully licensed and certified in their respective countries. We ensure that your shopping experience is safe and secure with our Norton Shopping Guarantee. We operate just like your local pharmacy would, with our main priority being to provide you access to safe and affordable prescription medication.

Alvesco Cost

How much does Alvesco (Ciclesonide) cost?

Only the brand version of Alvesco is provided on our website, which is $303.00 for a 90-day supply. This comes out to be $0.84 per dose.

Alvesco 160mcg – (360 doses = 3 inhalers)

  • Average US retail price: $987.10
  • Our price: $303.00

What is the lowest price of Alvesco (Ciclesonide) per unit?

Lowest Price Per Unit: $0.84/unit for Alvesco (Ciclesonide) 160mcg inhalers

Is this price for Alvesco (Ciclesonide) without insurance?

These prices available above are without insurance. Unfortunately, we do not accept insurance. However, we will give you an official receipt which you can use to apply for reimbursement with your insurer. We are unable to adjudicate with US insurance providers.

Why is Alvesco (Ciclesonide) cheaper from Canada than from the United States?

The cost of medications ordered from Canada are internally regulated and determined by their respective government. The US is a free market economy which is why the price differs since pharmaceutical suppliers can charge what they consider appropriate for the medication. As a result, we can offer lower prices to our patients as we utilize medications from these countries.

Alvesco Coupon

Is there an Alvesco coupon available?

Sorry, we do not have a Alvesco (Ciclesonide) coupon at the moment, please check back later.

Alvesco Generic

Is there a generic alternative to Alvesco?

There currently is no generic option for Alvesco inhaler available on the market.

How much cheaper is generic Alvesco (Ciclesonide)?

There is currently no generic alternative to Alvesco (Ciclesonide).

What is the difference between brand and generic Alvesco (Ciclesonide)?

Once available on the market, there will be no difference between generic and brand Alvesco (Ciclesonide). Generic formulations of medications contain the same active ingredients and meet the same quality, strength, and purity standards as the brand formulation.


Is shipping available to the United States?

Yes. Alvesco will be shipped from Australia to the U.S. within 10 to 18 business days. An email notification will be sent to you once the item has been shipped. There are no shipping charges.

Is express shipping available?

Express shipping is available if a medication sourced from Canada is available for ordering. You have the option at the checkout page to select the express shipping option ($25).

How much does shipping cost?

Standard shipping is free.

Refill Rx

How to refill a prescription?

Refilling your prescription is made easy with Canadian Pharmacy Online. You can sign into your online account and view your previous orders and see which prescriptions we have on file. Placing a refill order online is made simple by accessing the reorder section in your account.
You can also call us and speak to customer support to place a refill. Our live chat is also a great place to connect with us to place a refill order while you are on the go.

Are prescriptions automatically refilled?

We do not automatically refill prescriptions as there can be cases where you are no longer taking the medication, your doctor has changed your dose, etc. However, we provide a friendly refill reminder service. We will kindly notify you by phone or email as to the best time to place a refill order based on your prescription history.

Drug Information

About Alvesco

What is Alvesco? 

Alvesco is a prescription medication that is classified as an inhaled corticosteroid.


What is Alvesco used for?

It is used as a prophylactic maintenance therapy for the treatment of asthma in patients 12 years of age and up. 

How does it work?

The exact mechanism of how this medication treats asthma is unknown but as a corticosteroid, it reduces inflammation which is the typical cause of asthma exacerbations.


How do I use Alvesco (Ciclesonide)?

Step 1: If your Alvesco is new or it has been 10 or more consecutive days since use, you will need to prime your inhaler. Priming consists of releasing 3 puffs away from the face after removing the plastic cap and ensuring that the indicator display window is before the “60” inhalation mark. 

Step 2: The actuator should be held upright, between your thumb, middle finger, and forefinger, with the mouthpiece facing you.

Step 3: The canister should be firmly placed in the mouthpiece with each use. Do not shake your Alvesco before use. Breathe out fully as comfortably as you can. Close your lips around the mouthpiece and keep your tongue below it. 

Step 4: Press down on the center of the dose indicator using your finger while breathing in slowly and deeply. Be sure to press down fully on the canister until it stops moving in the actuator. Hold your breath for 10 seconds or as long as comfortable, once you have finished breathing in.

Step 5: Remove your finger completely off the center of the dose indicator. Remove your inhaler from your mouth while gently breathing out.

Step 6: Put the cap back on the mouthpiece. This is to keep the mouthpiece clean.

Step 7: Rinse out your mouth with water and spit it out. Do not swallow.

What dosages are available?

Alvesco is available as an aerosol inhalation solution in 80 mcg/actuation (6.1 g) and 160 mcg/actuation (6.1 g). Alvesco 6.1 g canisters contain 60 inhalations. Dosing varies and is based on previous asthma therapy and severity.

What is the recommended dosage?

 It is typically dosed as an 80 mcg inhalation twice daily but take as directed by your doctor.  

What is the maximum dosage?

The maximum recommended dosage is 320 mcg inhalation twice daily.

What if you miss a dose?

If a dose of this medicine is missed, skip the missed dose and go back to your regular schedule. Do not double the doses.

Warnings & Precautions

What should you know before you take Alvesco?

Adrenal suppression can occur, particularly in young children or those receiving high doses for a prolonged period of time, which can lead to adrenal crisis. The corticosteroid should be tapered slowly and carefully if withdrawing or discontinuing the medication. 

Long-term use of corticosteroids can cause immunosuppression, increasing the risk of infection, prolong/exacerbate viral infections, or decrease response to a vaccine. Avoid if possible, use in patients with ocular herpes, active or quiescent respiratory tuberculosis, untreated bacterial, viral, parasitic, or fungal systemic infections. 

Long-term use of an inhaled corticosteroid can cause a decrease in bone mineral density. Use with caution in those with major risk factors for a low bone mineral count. 

Use with caution in those with ocular diseases, such as cataracts and/or glaucoma. Long-term use of corticosteroids can cause blurred vision, increased intraocular pressure, cataracts, and glaucoma.

Due to reports of systemic corticosteroid withdrawal, a gradual tapering of dose may be necessary prior to discontinuation of therapy.

Side Effects

What are the side effects of Alvesco?

The most common side effects of Alvesco include:

  • Headache 
  • Nasopharyngitis 
  • Sinusitis 
  • Oral candidiasis 
  • Pharyngolaryngeal pain 
  • Upper respiratory infection
  • Arthralgia
  • Nasal congestion
  • Pain in extremity and back pain 

Speak to your doctor for a full list of side effects that apply to you if you are taking Alvesco.


Does this medication interact with other drugs, foods, or alcohol?

Corticosteroids may decrease the antineoplastic effect of Aldesleukin and combination use should be avoided (Category X).

Inhaled corticosteroids may increase the hyponatremic effect of Desmopressin and combination use should be avoided (Category X).

Agents used to treat airway disease can enhance the toxic/adverse effect of Loxapine. This is specific to the Adasuve brand of loxapine which is an inhaled formulation and does not apply to the non-inhaled formulations. Combination use should be avoided (Category X).

Inhaled corticosteroids may decrease the diagnostic effect of Cosyntropin and therapy should be monitored (Category C).

Strong CYP3A4 inhibitors may increase the active metabolite(s) of Ciclesonide (Inhalation) and therapy should be monitored (Category C).

Smoked tobacco may decrease the therapeutic effect of inhaled corticosteroids and therapy should be monitored (Category C).


How should this medication be stored?

Alvesco should be stored at room temperature between 15°C to 30°C (59°F to 86°C) away from direct light and heat. Do not freeze your inhaler. 

Do not puncture your Alvesco canister. Do not store your Alvesco canister near heat or flame. Do not freeze your Alvesco inhaler. Keep your Alvesco clean and dry at all times.

When your medication is expired or no longer needed, safely throw away the medication. 

Keep out of reach of children.

Pharmacist Tips

  • Your inhaler must be primed before the first use (releasing 3 puffs away from the face) or when the inhaler has not been used for 10 consecutive days or more.
  •  Do not shake the inhaler before use.
  • Rinse mouth with water and spit out after each use to decrease risk of oral candidiasis from occurring.
  • Do not wash your inhaler or place it in water. You should clean your inhaler weekly with a dry cloth or tissue.
  • Be sure to discard after the “discard by” date or when the dose indicator display window reads “0”, even if the canister is not empty.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Alvesco FAQ

Can Alvesco cause weight gain?

Weight gain can occur but is rare, and is <1%, seen in postmarketing, and/or case reports.

How long should you take Alvesco?

Alvesco is a maintenance therapy medication for the treatment of asthma and will need to be taken chronically.

Does Alvesco contain steroids?

Yes. Alvesco is a corticosteroid.

What are the side effects of Alvesco?

There are many possible, but uncommon, side effects of Alvesco. The most common side effects include headache, nasopharyngitis, sinusitis, oral candidiasis, pharyngolaryngeal pain, upper respiratory infection, arthralgia, nasal congestion, and pain in extremity and back pain.

Does Alvesco lower the immune system?

It can. Alvesco is a corticosteroid, and any corticosteroid when used long-term, can cause immunosuppression.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.