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4RX Store > Medication List > Asthma drugs > Order Alvesco Combo online

Asthma Medication (Alvesco Combo)

Generic name:
Alvesco Combo
Brand name:
Ciclesonide / Formoterol
Alvesco Combo is a brand of a combination asthma inhaler used for the prevention of the asthma attacks and reduction of the inflammation of the lungs. The substances on which it is based, Ciclesonide and Formoterol are used separately too but the combination renders a more potent, quick, and long-lasting effect. The inhaler can be used in adults and children older than five years but only if the condition treated is not sufficiently managed with the first-line medications. To find out more useful information read the full guide.
Asthma Chronic obstructive pulmonary disease, COPD
The inhaler improves the lung function, reduces inflammation, and prevents acute suffocation attacks
Cipla - Caring for life
Cipla - Caring for life
Alvesco Combo (Generic Ciclesonide / Formoterol)
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Order Generic Ciclesonide / Formoterol Buy Alvesco Combo 100/6mcg

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What is the medication sold under the name Alvesco Combo?

Alvesco Combo is a trademark registered for a combination medication based on Ciclesonide and Formoterol. The other medication with a similar name, Alvesco, is based on Ciclesonide only. This agent is a glucocorticoid that is able to lower the inflammation in the lungs, minimize the manifestations of bronchial asthma, and serve as a prophylaxis of asthma attacks if used daily for extended periods of time. The agent is very effective and safe as it has the minimum risks of systemic adverse reactions, unlike orally taken glucocorticoids. Although it acts locally and is primarily deposited in the lung cells which ensures its long-term action and possibility to use inhaler only once a day, it has a pronounced effect and can be used in mild and severe asthma alike.
In the product Alvesco Combo and its analogs made by other firms, Ciclesonide is accompanied by Formoterol, a selective stimulator of beta 2 –adrenergic receptors. It has a bronchodilator effect in individuals with restorable obstruction of the bronchi. The effect is quickly developed, within one to three minutes and lasts for twelve hours after an inhalation.
Both medicinal substances that are contained in this inhaler are included in the list of essential medicines. Naturally, the combined inhaler has a multilateral effect which ensures better prevention of asthma attacks and general improvement of the airways function. If you wish to buy Alvesco Combo but cheaper than the branded product, you can look for an alternative, an inhaler sold under another name but with the same active agents indicated on the package, Ciclesonide and Formoterol.

Drug description
Combination of Ciclesonide and Formoterol
Pregnancy category AU: B3
US: C (Risk not ruled out)
Routes of administration Oral inhalation
Legal status

Legal status

AU: S4 (Prescription only)
UK: POM (Prescription only)
US: RX-only

When is Alvesco combo used?

The combo product is used as a supporting therapy in bronchial asthma and COPD.
Please note that the same conditions can be managed with other glucocorticoids or inhalers. The optimal therapy must be chosen by a respiratory therapist who knows your medical record. Thus, you must consult a specialist before you buy generic Alvesco Combo even though you can get it without Rx from our med store.
Alvesco and Formoterol separately can be used in adults and children aged older than 6 years but you must consult a pediatrician first if you want to get the inhaler for your child.

Contraindications for use

You must not order Alvesco Combo if you have previously used Alvesco (Ciclesonide) or Formoterol separately and suffered from hypersensitivity reactions.
- It is prohibited to use the inhaler in allergy or hypersensitivity to the either of the ingredients including lactose monohydrate or other beta 2 adrenergic receptors stimulants or inhaled glucocorticoids.
- It is prohibited for kids aged younger than six years.
- Ciclesonide and Formoterol inhaler is contraindicated for patients with Tachyarrhythmia, third-degree blockade, aortic stenosis, obstructive cardiomyopathy, and thyrotoxicosis, any other heart disorders, coronary insufficiency, arrhythmias, arterial hypertension, convulsive disorders.
- It must not be prescribed for individuals who have an unusual response to sympathomimetics;
- The inhaler must not be utilized during pregnancy and breastfeeding;
- The formulation must not be utilized for the therapy of people with proven or suspected extension of the QT interval.
The use of the inhaler is not encouraged for patients whose asthma is successfully controlled with non-systematic inhalation of short-acting beta2-adrenoreceptor stimulants, regular use of inhalation glucocorticoids with occasional use of inhaled short-acting beta2 adrenomimetic. The use of the combined inhaler is also not desired in the existing diseases of the respiratory tract such as tuberculosis, bacterial, viral or mycotic infections.

Use of during gestation

During pregnancy and lactation, the use of any medications is brought down to a minimum even for the treatment of chronic conditions to minimize the potential harm to the fetus. Ciclesonide separately can be used to manage asthma symptoms in a pregnant woman but only if a doctor approves. But a combination inhaler is contraindicated because Formoterol is prohibited during pregnancy.

Alvesco combo dosing

The doses of the formulation are chosen based on the severity of asthma or COPD and the age of the individual. As for the duration of the therapy, usually, such drugs are used for extended time intervals selected for you by a doctor.
The dosages of the active substances per inhalation are different not only for different severity of the conditions but also in different countries. For instance, in the U.S. there are approved the dosages of 160/4.5mcg and 80/4.5mcg per inhalation while in other countries there are also 40/2.25, 80/2.25, 80/4.5, and higher.
At the start of the therapy, your therapist can appoint you the higher dosages that can be then lowered to the minimum ones that render the sufficient effect to lower the likelihood of potential adverse effects and minimize the cost of the therapy.

Alvesco Combo overdose

An overdose is detected in the occurrence of adverse effects manifested in unusual heart functioning, for instance, rapid heart rate, arrhythmia, changes in the blood pressure, headache, shaking, cramps or seizures, dry mouth, nausea, vertigo, apathy, drowsiness, and others.
The occurrence of these adverse effects requires immediate medical assistance as if they are left without the symptomatic treatment thy can aggravate and even cause death.

Adverse reactions in patients older than 12 years of age with Alvesco Combo in us placebo-controlled clinical trials in patients previously on bronchodilators and/or inhaled corticosteroids
Adverse reaction
(N=507) %
(N=172) %
Pharyngolaryngeal pain
Upper respiratory Inf.
Nasal congestion
Pain in extremity
Back pain

Interactions with other substances and drugs

Before you buy Ciclesonide/Formoterol, talk to your healthcare provider about the possibility of combining this inhaler with other medicines if you take them.
- The medication must not be used along with Ketoconazole.
- The inhaler must be cautiously used with other adrenergic formulations because they can potentiate the negative effects of the inhaler.
- The simultaneous use of the inhaler with xanthine derivatives, steroids or diuretics elevates the hypokalemic (lowering of potassium level) effect of the inhaler.
- The inhaler must b cautiously used along with MAO inhibitors, tricyclic antidepressants, and other medications that can elongate QT interval as the inhaler also has this effect so there is a high risk of the enhanced elongation dangerous for life.
- Formoterol and beta blockers can mutually suppress the effects of each other in the concurrent use. Besides, beta blockers can also cause severe bronchospasm in patients with asthma.


This inhaler is not intended for acute severe asthma that requires intensive care.
The therapy with Formoterol as well as any other stimulants of beta-2 adrenergic receptors stimulants is associated with high risks so it’s advised to use them only as an additional means for the therapy of patients who do not receive the sufficient results from the first line asthma treatment.
The use of glucocorticoids in kids isn’t sufficiently studied so it’s advised to control the child’s growth dynamics thoroughly and if there’s even the slightest delay – revise the therapy.
Patients who have been previously using oral glucocorticoids can have adrenal cortex dysfunction for a long period of time after their use discontinuation and shift to the therapy with Alvesco Combo so the control over its function and elevated dosages of the inhaler are recommended.
If during the therapy with the combined inhaler, if during the use of previously sufficient dosage more frequent asthma attacks develop or more inhalations of short-acting beta-2 agonists are needed, a patient must immediately inform their respiratory specialist and get the therapy revised as these are signs of the condition worsening.
The inhaler must not be used in people with noticeable worsening or acute decomposition of bronchial asthma as these can be life-threatening conditions.
The formulation can cause a paradoxical bronchospasm. If it develops, the use of the inhaler must be stopped and alternative therapy appointed.

Where can you buy Alvesco combo inhaler?

The optimal way to get the inhaler cheap and without Rx is to order Alvesco Combo at our drugstore.

Alvesco Combo shipping

All of our products without exception are shipped internationally within 7-25 days so make sure to make your order in advance.

Free prescription
Our doctor prescribes online for free, and there is no doctor’s consultation fee.

Discrete packaging
All orders arrive in discrete unmarked parcels. We leave the shipment description blank.

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