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Related Concept Videos

Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids01:25

Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids

Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Related Experiment Video

Updated: Jun 12, 2026

Intranasal Administration of CNS Therapeutics to Awake Mice
07:15

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Published on: April 8, 2013

Ciclesonide, a hypotonic intranasal corticosteroid.

Hugo Neffen1, Mark A Wingertzahn

  • 1Respiratory Medicine Unit, Children's Hospital Orlando Alassia, Santa Fe, Argentina. hugoneffen@arnet.com.ar

Allergy and Asthma Proceedings
|June 19, 2010
PubMed
Summary

Ciclesonide nasal spray offers effective relief for moderate to severe allergic rhinitis (AR) in adults and children. This intranasal corticosteroid (INCS) has a favorable safety profile and rapid onset of action, improving quality of life.

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Intranasal Administration of CNS Therapeutics to Awake Mice
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Published on: April 6, 2017

Area of Science:

  • Allergology and Immunology
  • Pharmacology
  • Otorhinolaryngology

Background:

  • Intranasal corticosteroids (INCSs) are first-line treatments for moderate to severe allergic rhinitis (AR).
  • Ciclesonide is a recently approved INCS with a unique formulation designed to enhance efficacy and patient experience.
  • Excipients in some INCSs can negatively impact nasal function; ciclesonide's formulation avoids these.

Purpose of the Study:

  • To evaluate the efficacy and safety of ciclesonide nasal spray for treating allergic rhinitis.
  • To assess the pharmacokinetic profile and potential systemic effects of intranasal ciclesonide.
  • To determine the onset of action and long-term safety of ciclesonide in various patient populations.

Main Methods:

  • Clinical trials involving pediatric, adolescent, and adult patients with seasonal and perennial AR.
  • Environmental exposure unit studies to assess onset of action.
  • Pharmacokinetic assessments and evaluation of hypothalamic-pituitary-adrenal axis function.

Main Results:

  • Ciclesonide nasal spray demonstrated efficacy in reducing AR symptoms and improving quality of life for up to one year.
  • The drug showed a rapid onset of action, with effects observed as early as 1 hour post-administration.
  • Low systemic exposure, no significant cortisol suppression as monotherapy, and an acceptable safety profile were observed, even in children as young as 2 years.

Conclusions:

  • Intranasal ciclesonide is an effective and safe treatment option for moderate to severe allergic rhinitis in a broad age range.
  • Its formulation offers advantages over other INCSs, including optimized absorption and reduced sensory irritation.
  • Ciclesonide provides a valuable new therapeutic choice for managing AR symptoms and enhancing patient well-being.