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  药店国别: 美国药房
产地国家: 美国
所属类别: 作用于呼吸系统药物->哮喘药物
处方药:处方药
包装规格: 160微克/剂 6.1克/吸入器
计价单位: 吸入器装
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生产厂家中文参考译名:
奈科明
生产厂家英文名:
NYCOMED GMBH
该药品相关信息网址1:
https://secure.alvesco.us/
该药品相关信息网址2:
http://www.drugs.com/alvesco.html
该药品相关信息网址3:
http://www.rxlist.com/alvesco-drug.htm
原产地英文商品名:
ALVESCO 160mcg/dose 6.1g/inhaler
原产地英文药品名:
CICLESONIDE
中文参考商品译名:
ALVESCO 160微克/剂 6.1克/吸入器
中文参考药品译名:
环索奈德
原产地国家批准上市年份:
2008/01/10
英文适应病症1:
Asthma
英文适应病症2:
Relieve inflammation of the lungs and respiratory tract
临床试验期:
完成
中文适应病症参考翻译1:
哮喘
中文适应病症参考翻译2:
缓解肺部和呼吸道的炎症
药品信息:

友情提示:欧盟委员会批准了丹麦医药公司Nycomed Group以42.2亿欧元收购德国Atlanta Pharma AG公司的交易。

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 详细处方信息以本药内容附件PDF文件(20108521595333.pdf)的“原文Priscribing Information”为准
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部分中文Alvesco处方资料(仅供参考)

    赛诺非-安万特公司和Altana制药公司共同研发的环索奈德(ciclesonide,Alvesco)是具有新型释放和分布机制的吸入型糖皮质激素。吸入型糖皮质激素是哮喘治疗的基础,能缓解肺部和呼吸道的炎症。
 
     赛诺菲-安万特和Altana曾于2001年签订协议,共同进行该品美国市场的研发和上市,而Altana制药公司主要负责Alvesco的全球研发。2004年10月,FDA批准了Alvesco用于治疗成人、青少年以及4岁及4岁以上儿童的持续性哮喘。截至2005年11月初,Alvesco已经在32国家获批用于治疗成人持续性哮喘,包括德国、英国、荷兰、澳大利亚和巴西。2005年1月,Alvesco首次在英国上市,其他市场的上市时间预计在2005年第四季度~2006年上半年。此外,Altana公司预计,Alvesco用于治疗儿童和青少年哮喘将于2006年通过欧洲审批。
 
    哮喘是肺部和呼吸道的慢性疾病。症状有呼吸困难、咳嗽等,可引起呼吸急促,甚者危及生命。根据美国疾病预防与控制中心的调查,美国患有哮喘的人数有2000万以上。Alvesco上市后主要将面临的同类产品有葛兰素史克公司的氟替卡松(fluticasone,Flovent)和阿斯利康公司的布地奈德(budesonide,Pulmicort)。据Alvesco的临床研究显示,Alvesco一日1次给药320mg治疗中度哮喘患者改善肺功能的效果相似于一日2次给药200mg氟替卡松。在个比较研究中,服用Alvesco患者的生活质量参数高于氟替卡松组。比较儿童服用160mg剂量Alvesco和400mg剂量布地奈德的研究结果显示,每日160mg剂量的Alvesco改善肺功能和控制哮喘的效果相似于每日400mg剂量的布地奈德。Alvesco作用于下丘脑-垂体-肾上腺(HPA)轴的效果明显较低,这突出了Alvesco良好的安全性。该研究也记录了儿童的生长状况。与布地奈德疗法相比,在Alvesco疗法中儿童生长状况更好。


ALVESCO®
(ciclesonide) Inhalation Aerosol 80 mcg, 160 mcg

What is Alvesco?
Alvesco is a a man-made corticosteroid. It prevents the release of substances in the body that cause inflammation.

Alvesco is used to prevent asthma attacks in adults and children 12 years and older. When used regularly, as prescribed by your health care provider, it will help to prevent and control symptoms of asthma.

Alvesco may also be used for other purposes not listed in this medication guide.

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Important information about Alvesco
Do not use Alvesco inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medicine to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.

Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking Alvesco, tell your doctor about any illness or infection you have had within the past several weeks.

You should not use Alvesco if you are allergic to ciclesonide.

Before using Alvesco, tell your doctor if you have tuberculosis, an infection of your mouth or throat (such as oral thrush), glaucoma or history of cataracts, herpes infection of your eyes, or a personal or family history of osteoporosis.

If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely. Call your doctor right away if you feel that Alvesco inhalation makes your condition worse.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

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Before using Alvesco
Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking Alvesco, tell your doctor about any illness or infection you have had within the past several weeks.

You should not use Alvesco if you are allergic to ciclesonide.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before using Alvesco, tell your doctor if you have:
tuberculosis;
an infection of your mouth or throat (such as oral thrush);
glaucoma or history of cataracts;
herpes infection of your eyes; or
a personal or family history of osteoporosis.

FDA pregnancy category C. This Alvesco inhalation may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Alvesco inhalation passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Long-term use of steroid medication can slow a child's growth. Tell your doctor if the child using Alvesco is not growing or gaining weight properly.

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How should I use Alvesco?
Use Alvesco exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.

Do not use Alvesco inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medicine to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.

Alvesco inhalation comes with patient instructions for safe and effective use, and directions for priming the inhaler device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Alvesco inhalation is most often used once daily, in the morning or evening. Follow your doctor's instructions. Rinse your mouth after inhaling this medication.

The inhaler device must be primed before your first use or any time you have not used the inhaler for 10 days or longer. For instructions on how to prime the inhaler, refer to the patient instructions provided with your medication.

Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Do not change your doses or medication schedule without advice from your doctor.

If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely.

It may take up to 4 weeks of using Alvesco inhalation before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 4 weeks of treatment.

Call your doctor right away if you feel that Alvesco inhalation makes your condition worse.

Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications.

Store Alvesco at room temperature away from moisture and heat. Keep the medicine canister away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot.

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What happens if I miss a dose?
Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.

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What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of Alvesco inhalation is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

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What should I avoid while using Alvesco?
Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication.

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Alvesco side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
wheezing, choking, or other breathing problems after using Alvesco;
sores or white patches in your mouth or throat;
vision problems, such as tunnel vision or blurred vision; or
worsening asthma symptoms.

Less serious Alvesco side effects may include:
unpleasant taste in your mouth;
dry mouth, burning or irritation in your mouth;
white patches or sores inside your mouth;
runny or stuffy nose, sore throat;
hoarse voice;
mild itching or skin rash;
joint pain, back pain; or
headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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What other drugs will affect Alvesco?
Tell your doctor about all other medications you use, especially:
conivaptan (Vaprisol);
an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), or telithromycin (Ketek);
an antifungal medication such as clotrimazole(Mycelex Troche), itraconazole (Sporanox), ketoconazole (Nizoral), or voriconazole (Vfend);
HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase, Fortovase), or ritonavir (Norvir); or
an antidepressant such as nefazodone, paroxetine (Paxil), or sertraline (Zoloft).

There may be other drugs that can interact with Alvesco inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Where can I get more information?
Your pharmacist can provide more information about Alvesco inhalation.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Alvesco only for the indication prescribed.

Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

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 详细处方信息以本药内容附件PDF文件(20108521595333.pdf)的“原文Priscribing Information”为准
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更新日期: 2013-9-16
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