Compare Asmanex vs. Alvesco

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Asmanex (mometasone)

Prescription only

Alvesco (ciclesonide)

Prescription only
Controls asthma symptoms over time.

Asmanex (mometasone) is good for controlling and preventing asthma symptoms, but you have to take it daily for effective treatment.

3.4/ 5 average rating with 69 reviewsforAsmanex
Helps you breathe easier.

Alvesco (ciclesonide) is a good daily maintenance medication for asthma, but you need to make sure you rinse your mouth after using it.

Upsides
  • Can use Asmanex (mometasone) in children age 4 or older.
  • Has very few interactions with other medications.
  • Helps fight inflammation of the lungs and keep asthma symptoms under control.
  • Asmanex (mometasone) is an inhaler so it allows for more direct delivery of medicine to the lungs compared to a pill.
  • Most people are prescribed to use Asmanex (mometasone) only once a day.
  • Is an effective inhaled maintenance medication for moderate to severe asthma.
  • Can be used with a spacer if you have trouble coordinating inhalation.
  • Doesn't require as much lung strength to inhale compared to dry-powder inhalers.
Downsides
  • Not available in generic form and can be expensive.
  • Maximum effects of Asmanex (mometasone) can take 1 to 2 weeks or longer to reach.
  • Might not be a good option for those with a severe milk protein allergy.
  • Asmanex (mometasone) can cause fungal infections of the mouth and throat, especially if you don't rinse your mouth after using it.
  • Not recommended for people who have a weakened immune system or an untreated, active infection.
  • Doesn't cure asthma, only helps you breathe easier and prevents your asthma from worsening.
  • You may not see improvement in symptoms for a week or two after starting Alvesco (ciclesonide).
  • Only brand is available so it may be expensive.
  • Only available for use in people 12 years and older.
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Used for
Dosage forms
  • Inhaler
  • Inhaler
Price
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Reviews
69 reviews so far
54%
saidit'sworth it
41%
saiditworked well
19%
saidit'sa big hassle

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Side effects
6possible side effects
  • Fever
    7%
  • Stomach pain
    6%
  • Seasonal allergies
    4%
  • Vomiting
    3%
  • Urinary tract infection
    2%
  • Bruising
    2%
See more detailed side effects
5possible side effects
  • Common cold
    10%
  • Upper airway infection
    7%
  • Headache
    4%
  • Throat pain
    4%
  • Sinus infection
    3%
See more detailed side effects
Risks and risk factors
  • Adrenal gland problems
    • Switching from steroid pills to steroid inhalers
    • Long-term use of steroids
    • Stopping steroids too quickly
  • Serious allergic reaction
    • Milk protein allergy
  • Increased risk for infections
    • Current infection without treatment
    • Not current with vaccinations
    • Taking other corticosteroids with Asmanex (mometasone)
  • Sudden breathing problems
  • Delayed growth children
    • Children
    • Higher doses of Asmanex (mometasone)
    • Long-term use
  • Fungal infection of the mouth and throat
    • Not rinsing mouth after use
    • Using higher dose of Asmanex (mometasone)
See more detailed risks and warnings
  • Mouth and throat infection
    • Not rinsing mouth after use
    • Using higher dose of Alvesco (ciclesonide)
  • Weakened immune system
    • Not current with vaccinations
    • Taking other corticosteroids
    • Current infection without treatment
  • Adrenal gland problems
    • Switching from steroid pills to steroid inhalers
    • Long-term use of high doses of steroids
    • Stopping steroids too quickly
  • Poor bone health
    • Family history of osteoporosis
    • Use of anticonvulsants
    • Use of oral corticosteroids
  • Difficulty breathing and wheezing
  • Mood changes
    • History of mood disorders
    • History of personality disorders
See more detailed risks and warnings