{"id":56139,"date":"2024-02-07T05:54:17","date_gmt":"2024-02-07T05:54:17","guid":{"rendered":"https:\/\/medsname.com\/ciclohale\/"},"modified":"2026-04-30T10:24:40","modified_gmt":"2026-04-30T10:24:40","slug":"ciclohale","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/ciclohale\/","title":{"rendered":"Ciclohale"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Quick Answer \u2014 What is Ciclohale?<\/h3>\n<p><strong>Ciclohale<\/strong> \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03b5\u03b9 <strong>ciclesonide<\/strong>, an <strong>inhaled corticosteroid (ICS)<\/strong> that reduces airway inflammation in <strong>asthma<\/strong> and (selectively) in <strong>chronic obstructive pulmonary disease (COPD)<\/strong>. Ciclohale is a <strong>pressurised metered-dose inhaler (HFA pMDI)<\/strong> \u03b1\u03c0\u03cc <strong>Cipla<\/strong>, delivering <strong>80 mcg or 160 mcg per actuation<\/strong> per dose. Unlike a reliever inhaler (Asthalin, Levolin, Bonair), Ciclohale is a <strong>preventer (controller)<\/strong> \u2014 used <strong>twice daily, every day<\/strong>, even when you feel well. Maximum benefit takes 1\u20132 weeks. <strong>Rinse mouth<\/strong> and gargle with water after every dose to prevent oral thrush and hoarseness.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u0391\u03c5\u03c4\u03cc \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03bc\u03b5 \u03c4\u03b7\u03bd MedsBase:<\/strong> \u03a0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae\u03c2 WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u039a\u03c1\u03c5\u03c0\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03b7\u03bc\u03ad\u03bd\u03b7 \u039f\u03bb\u03bf\u03ba\u03bb\u03ae\u03c1\u03c9\u03c3\u03b7 \u0391\u03b3\u03bf\u03c1\u03ac\u03c2<\/strong> \u00b7 <strong>\ud83d\udcb3 \u0395\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf\u03c2 \u0395\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c2<\/strong> \u00b7 <strong>\ud83d\ude9a \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u0391\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae<\/strong> \u00b7 <strong>\u2b50 4.9\/5 \u03b1\u03c0\u03cc 1,400+ \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2<\/strong>\n<\/div>\n<h2>What Is Ciclohale?<\/h2>\n<p>Ciclohale is an Indian-manufactured generic <strong>pressurised metered-dose inhaler (HFA pMDI)<\/strong> \u03c4\u03bf\u03c5 <strong>ciclesonide<\/strong>, the same active drug used in international brand Alvesco. Each dose delivers <strong>80 mcg or 160 mcg per actuation<\/strong>. Cipla manufactures Ciclohale at WHO-GMP certified facilities to bioequivalence standards.<\/p>\n<h2>How Does Ciclohale Work?<\/h2>\n<p>ciclesonide is a <strong>topical glucocorticoid<\/strong> delivered directly to the bronchial mucosa. It binds intracellular glucocorticoid receptors, translocates to the nucleus, and:<\/p>\n<ul>\n<li><strong>Suppresses inflammatory gene transcription<\/strong> \u2014 reduces IL-4, IL-5, IL-13, TNF-\u03b1, eosinophil and lymphocyte recruitment<\/li>\n<li><strong>Stabilises airway epithelium<\/strong> \u2014 reduces vascular permeability and mucus hypersecretion<\/li>\n<li><strong>Restores \u03b22-adrenergic receptor responsiveness<\/strong> \u2014 reverses tachyphylaxis to relievers<\/li>\n<li><strong>Reduces airway hyperreactivity<\/strong> \u2014 fewer attacks triggered by exercise, cold air, allergens<\/li>\n<\/ul>\n<p>Effect builds over <strong>1\u20132 weeks of consistent twice-daily dosing<\/strong>. ciclesonide has high topical potency and undergoes extensive first-pass hepatic metabolism, minimising systemic glucocorticoid effects at standard doses.<\/p>\n<h2>\u03a7\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Persistent asthma<\/strong> \u2014 first-line preventer at all severity levels (GINA Step 1 onward)<\/li>\n<li><strong>Exercise-induced asthma<\/strong> \u2014 daily ICS reduces exercise-triggered bronchospasm<\/li>\n<li><strong>Cough-variant asthma<\/strong> \u03ba\u03b1\u03b9 <strong>eosinophilic bronchitis<\/strong><\/li>\n<li><strong>COPD with frequent exacerbations<\/strong> \u2014 added to LAMA + LABA when exacerbations recur (selective use; not for COPD without exacerbation history)<\/li>\n<li><strong>Allergic asthma triggered by pollen, dust, animal dander<\/strong> \u2014 daily prevention through allergy season<\/li>\n<\/ul>\n<h2>Ciclohale Dosage<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0391\u03c3\u03b8\u03b5\u03bd\u03ae\u03c2<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0394\u03cc\u03c3\u03b7<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 mild<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>80\u2013160 mcg\/day<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u039c\u03af\u03b1 \u03c6\u03bf\u03c1\u03ac \u03c4\u03b7\u03bd \u03b7\u03bc\u03ad\u03c1\u03b1<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 moderate<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>160\u2013320 mcg\/day<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Once or twice daily<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 severe<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>320\u2013640 mcg\/day<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">\u03a0\u03b1\u03b9\u03b4\u03b9\u03ac 6\u201312 \u03b5\u03c4\u03ce\u03bd<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>80\u2013160 mcg\/day<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u039c\u03af\u03b1 \u03c6\u03bf\u03c1\u03ac \u03c4\u03b7\u03bd \u03b7\u03bc\u03ad\u03c1\u03b1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How to Use Ciclohale Properly<\/h3>\n<ul>\n<li>Shake the inhaler; remove cap.<\/li>\n<li>Breathe out fully away from device.<\/li>\n<li>Seal lips around mouthpiece.<\/li>\n<li>Press canister at start of slow deep breath (3\u20135 seconds).<\/li>\n<li>Hold breath 10 seconds; breathe out gently.<\/li>\n<li><strong>Rinse mouth, gargle, spit<\/strong> \u2014 though ciclesonide produces noticeably less oropharyngeal deposition than older ICS.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Rinse mouth after every dose.<\/strong> Spit out the rinse \u2014 do not swallow. This prevents <strong>oropharyngeal candidiasis (oral thrush)<\/strong> \u03ba\u03b1\u03b9 <strong>dysphonia (hoarse voice)<\/strong>, the two commonest local side effects of inhaled corticosteroids.<\/div>\n<h2>Side Effects of Ciclohale<\/h2>\n<p><strong>Common (local, dose-related):<\/strong><\/p>\n<ul>\n<li>Oral thrush (white candidal plaques in the mouth or throat)<\/li>\n<li>Hoarse voice \/ dysphonia<\/li>\n<li>Sore throat, mild cough on inhalation<\/li>\n<li>Occasional dry mouth<\/li>\n<\/ul>\n<p><strong>\u039b\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2:<\/strong><\/p>\n<ul>\n<li>Slight reduction in growth velocity in children at higher doses (catch-up growth occurs; final adult height largely unaffected)<\/li>\n<li>Easy bruising of skin at high cumulative doses<\/li>\n<li>Possible adrenal suppression with high doses or strong CYP3A4 inhibitor co-prescription<\/li>\n<li>Cataracts and glaucoma at very high cumulative inhaled doses (rare)<\/li>\n<li>Mild weight gain (much less than with oral steroid)<\/li>\n<\/ul>\n<p><strong>Serious (stop and seek emergency help):<\/strong><\/p>\n<ul>\n<li>Severe allergic reaction \/ angio-oedema<\/li>\n<li>Paradoxical bronchospasm immediately after inhalation<\/li>\n<li>Adrenal crisis during illness or surgery (rare, with high-dose long-term use)<\/li>\n<li>Pneumonia signs in COPD users (fever, productive cough, breathlessness change) \u2014 ICS slightly raises pneumonia risk in COPD<\/li>\n<\/ul>\n<h2>\u03a0\u03c1\u03bf\u03b5\u03b9\u03b4\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>{$brand} is a preventer, not a reliever.<\/strong> Do not use during an acute attack \u2014 use a SABA (Asthalin, Levolin) instead.<\/li>\n<li><strong>Take it every day, even when you feel well.<\/strong> Effect builds over 1\u20132 weeks; it wears off if you skip doses.<\/li>\n<li><strong>Rinse mouth and brush teeth<\/strong> after every dose to prevent thrush and hoarseness.<\/li>\n<li><strong>\u0399\u03c3\u03c7\u03c5\u03c1\u03bf\u03af \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 CYP3A4<\/strong> (ritonavir, ketoconazole, itraconazole, clarithromycin) raise systemic ICS exposure \u2014 seek alternative or monitor for Cushing-like effects.<\/li>\n<li><strong>Do not stop suddenly<\/strong> after months of high-dose use \u2014 taper down to allow HPA-axis recovery.<\/li>\n<li><strong>\u0395\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03b8\u03b7\u03bb\u03b1\u03c3\u03bc\u03cc\u03c2:<\/strong> ciclesonide is the most data-supported ICS in pregnancy (especially budesonide). Inhaled at standard doses is far safer than uncontrolled asthma.<\/li>\n<li><strong>COPD users:<\/strong> ICS slightly raises pneumonia risk \u2014 ensure ICS adds value (eosinophilic phenotype, frequent exacerbations).<\/li>\n<\/ul>\n<h2>\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>Known hypersensitivity to ciclesonide or any formulation excipient<\/li>\n<li>Untreated active fungal, bacterial, mycobacterial (TB), or viral respiratory infection \u2014 treat infection first<\/li>\n<li>Use with caution in active or quiescent pulmonary tuberculosis<\/li>\n<\/ul>\n<h2>\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03a6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03b1\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7\u03c2<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a4\u03b9 \u03bd\u03b1 \u03ba\u03ac\u03bd\u03b5\u03c4\u03b5<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Strong CYP3A4 inhibitors (ritonavir, ketoconazole, itraconazole, clarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Increase systemic ICS exposure \u2192 adrenal suppression \/ Cushing risk<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid prolonged co-use; monitor cortisol if essential<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Other inhaled or systemic corticosteroids<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive HPA-axis suppression<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Use lowest effective dose; monitor for systemic steroid effects<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Live vaccines<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduced immune response if high-dose ICS<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Inactivated vaccines preferred during high-dose use<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h2>\n<ul>\n<li>\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7 \u03ba\u03ac\u03c4\u03c9 \u03b1\u03c0\u03cc <strong>25\u00b0C<\/strong>, \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c4\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf \u03b1\u03c0\u03cc \u03ac\u03bc\u03b5\u03c3\u03b7 \u03b7\u03bb\u03b9\u03b1\u03ba\u03ae \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b2\u03bf\u03bb\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b8\u03b5\u03c1\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1.<\/li>\n<li>\u039c\u03b7\u03bd \u03c4\u03bf \u03c8\u03cd\u03c7\u03b5\u03c4\u03b5. \u039c\u03b7\u03bd \u03c4\u03bf \u03c0\u03b1\u03b3\u03ce\u03c3\u03b5\u03c4\u03b5.<\/li>\n<li>\u039c\u03b7\u03bd \u03c4\u03c1\u03c5\u03c0\u03ac\u03c4\u03b5 \u03c4\u03bf \u03b4\u03bf\u03c7\u03b5\u03af\u03bf\u00b7 \u03b1\u03ba\u03cc\u03bc\u03b7 \u03ba\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03ac\u03b4\u03b5\u03b9\u03bf \u03b4\u03bf\u03c7\u03b5\u03af\u03bf \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03ba\u03c1\u03b1\u03b3\u03b5\u03af \u03b1\u03bd \u03b8\u03b5\u03c1\u03bc\u03b1\u03bd\u03b8\u03b5\u03af.<\/li>\n<li>\u039c\u03b7\u03bd \u03c4\u03bf \u03b1\u03c6\u03ae\u03bd\u03b5\u03c4\u03b5 \u03c3\u03b5 \u03bc\u03ad\u03c1\u03bf\u03c2 \u03c0\u03c1\u03bf\u03c3\u03b2\u03ac\u03c3\u03b9\u03bc\u03bf \u03b1\u03c0\u03cc \u03c0\u03b1\u03b9\u03b4\u03b9\u03ac. \u03a7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03c4\u03b5 \u03c4\u03bf \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b7\u03bc\u03b5\u03c1\u03bf\u03bc\u03b7\u03bd\u03af\u03b1 \u03bb\u03ae\u03be\u03b7\u03c2 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03b1\u03b3\u03c1\u03ac\u03c6\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03b4\u03bf\u03c7\u03b5\u03af\u03bf.<\/li>\n<\/ul>\n<h2>\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u039b\u03cd\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 budesonide + formoterol ICS-LABA combo<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/seretide-accuhaler\/\"><strong>Seretide Accuhaler \u2014 fluticasone + salmeterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/asthalin-inhaler\/\"><strong>Asthalin Inhaler \u2014 \u03c3\u03b1\u03bb\u03b2\u03bf\u03c5\u03c4\u03b1\u03bc\u03cc\u03bb\u03b7 \u03b3\u03b9\u03b1 \u03ac\u03bc\u03b5\u03c3\u03b7 \u03b1\u03bd\u03b1\u03ba\u03bf\u03cd\u03c6\u03b9\u03c3\u03b7<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/symbicort-turbohaler\/\"><strong>Symbicort Turbohaler \u2014 budesonide + formoterol<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/montair\/\"><strong>Montair \u2014 montelukast oral preventer<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3>How is ciclesonide different from budesonide or beclomethasone?<\/h3>\n<p>Ciclesonide is a <strong>\u03c0\u03c1\u03bf\u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf<\/strong> \u2014 inactive in the mouth and throat. It is converted to active des-ciclesonide by lung esterases only after deposition in the airway. This dramatically reduces oropharyngeal candidiasis (oral thrush) and dysphonia compared with older ICS, and gives once-daily dosing.<\/p>\n<h3>Can I take Ciclohale just once a day?<\/h3>\n<p>Yes \u2014 once-daily evening dosing is licensed for mild-to-moderate asthma. More severe asthma may need twice-daily.<\/p>\n<h3>Do I still need to rinse my mouth?<\/h3>\n<p>Less critical than for budesonide or beclomethasone, because ciclesonide is inactive in the mouth \u2014 but a quick rinse is still good practice and recommended in product literature.<\/p>\n<h3>How fast does Ciclohale work?<\/h3>\n<p>Symptom improvement begins within 24 hours; lung function gains accumulate over 1\u20132 weeks of consistent dosing.<\/p>\n<h3>Is Ciclohale safer for children&#8217;s growth?<\/h3>\n<p>Studies suggest ciclesonide has less effect on growth velocity than older ICS at equivalent doses, because of its low oral bioavailability and high local activation. Final adult height effect of all standard-dose ICS is small.<\/p>\n<h3>Can I use Ciclohale in COPD?<\/h3>\n<p>Ciclesonide has limited COPD data compared to budesonide and fluticasone. Budesonide-formoterol or fluticasone-salmeterol combinations are preferred for COPD.<\/p>\n<h3>Is Ciclohale the same as Alvesco?<\/h3>\n<p>Yes \u2014 both deliver ciclesonide via HFA pMDI. Alvesco (AstraZeneca) is the international brand; Ciclohale is the Indian-market generic by Cipla.<\/p>\n<h3>Can I use a spacer with Ciclohale?<\/h3>\n<p>Yes \u2014 spacers improve delivery for everyone but are particularly useful in children, the elderly, and during acute attacks.<\/p>\n<h3>Why does Ciclohale cost more than Beclate?<\/h3>\n<p>Ciclesonide is a newer molecule with more complex chemistry. Per-dose cost is higher, but the side-effect advantage (less thrush, easier once-daily compliance) often justifies the choice for selected patients.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>\u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03b5\u03c5\u03b8\u03cd\u03bd\u03b7\u03c2:<\/strong> \u0391\u03c5\u03c4\u03ae \u03b7 \u03c3\u03b5\u03bb\u03af\u03b4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03ba\u03c0\u03b1\u03b9\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03ae. \u03a3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03b5\u03c5\u03c4\u03b5\u03af\u03c4\u03b5 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03ad\u03bd\u03b1\u03bd \u03ba\u03b1\u03c4\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03c2 \u03b5\u03be\u03bf\u03c0\u03bb\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03af\u03b1 \u03c5\u03b3\u03b5\u03af\u03b1\u03c2 \u03c0\u03c1\u03b9\u03bd \u03be\u03b5\u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03c4\u03b5, \u03c3\u03c4\u03b1\u03bc\u03b1\u03c4\u03ae\u03c3\u03b5\u03c4\u03b5 \u03ae \u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03c4\u03b5 \u03bf\u03c0\u03bf\u03b9\u03bf\u03bd\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03b5\u03b9\u03c3\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03ae\u03c1\u03b1 \u03ae \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03ae \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd \u03ad\u03c7\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2, \u03c0\u03b1\u03af\u03c1\u03bd\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c3\u03c5\u03bd\u03c4\u03b1\u03b3\u03ad\u03c2, \u03b5\u03af\u03c3\u03c4\u03b5 \u03ad\u03b3\u03ba\u03c5\u03bf\u03c2 \u03ae \u03b8\u03b7\u03bb\u03ac\u03b6\u03b5\u03c4\u03b5, \u03ae \u03b5\u03af\u03c3\u03c4\u03b5 \u03ac\u03bd\u03c9 \u03c4\u03c9\u03bd 65 \u03b5\u03c4\u03ce\u03bd.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2<\/h3>\n<p>\u0386\u03bb\u03bb\u03b1 \u03c0\u03c1\u03bf\u03ca\u03cc\u03bd\u03c4\u03b1 \u03c3\u03b5 <strong>\u03a7\u03c1\u03cc\u03bd\u03b9\u03b5\u03c2 \u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2<\/strong> \u03c0\u03bf\u03c5 \u03bf\u03b9 \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03bf\u03c5\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/nootropil-syrup\/\">\u039d\u03bf\u03bf\u03c4\u03c1\u03bf\u03c0\u03af\u03bb \u03a3\u03b9\u03c1\u03cc\u03c0\u03b9<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/momin-cream\/\">Momin Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/enapril\/\">Enapril<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/xafinact\/\">Xafinact<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/ketanov-injection\/\">Ketanov Injection<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Reduces airway inflammation<br \/>\n\u2705 Controls asthma symptoms<br \/>\n\u2705 Improves lung function<br \/>\n\u2705 Prevents asthma attacks<br \/>\n\u2705 Minimizes respiratory discomfort<\/p>\n<p>Ciclohale contains Ciclesonide.<\/p>","protected":false},"featured_media":56140,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3722,4062],"class_list":{"0":"post-56139","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-ciclesonide","10":"product_tag-ciclohale","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/56139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=56139"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/56140"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=56139"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=56139"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=56139"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=56139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}