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Altana has launched a once-daily lung-activated corticosteroid metered dose inhaler for persistent asthma called Alvesco (ciclesonide).
The recommended start dose and the maximum dose is 160mcg once daily. Some patients may benefit from a maintenance dose of 80mcg once daily. Preferably ciclesonide should be administered in the evening, but morning dosing is still effective. Elderly patients or those with impaired hepatic or renal function do not require a lower dosage.
A spacer is available for use with the inhaler, although patients are unlikely to need it, the company says. The inhaler uses HFA, a non-CFC gas as a propellant.
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