Published in:
01-03-2004 | Adis Drug Profile
Ciclesonide
A Viewpoint by Noël J.J. Schlösser
Author:
Noël J. J. Schlösser
Published in:
Drugs
|
Issue 5/2004
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Excerpt
Ciclesonide is a new, non-halogenated inhaled corticosteroid that is on-site activated by endogenous esterases in the airways. It is administered as an inactive compound and most of it is converted to the active metabolite only once it reaches the target organ: the lungs. Ciclesonide has essentially no oropharyngeal side effects and suppresses endogenous cortisol only to a minimal extent. The active metabolite of R-ciclesonide is referred to as desisobutyryl-ciclesonide (des-CIC). Des-CIC has a 5.2-fold higher affinity for the corticosteroid receptor than the metabolite of the S-epimer. …