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Terms Of Use

TRIAMCINOLONE ACETONIDE

Brand Name(s) : Adcortyl, Kenalog, Nasacort, Aureocort (with tetracycline)
Warnings
Uses
Side Effects
Precautions
Interactions
Overdose

TRIAMCINOLONE ACETONIDE WARNINGS

Triamcinolone nasal spray should be used with caution in:

  • People who have had recent surgery on their nose, recent injury of their nose or ulcers in their nose

Triamcinolone injection should be used with caution in:

Triamcinolone nasal spray should not be used in:

  • Allergy (hypersensitivity) to any of the ingredients
  • Children under the age of 6 years
  • People with any untreated fungal, bacterial or viral infections of the nose, such as cold sores
  • People with prolonged nose bleeds or any other nose problems

Triamcinolone injection should not be used in:

  • Allergy (hypersensitivity) to any of the ingredients
  • People with infections, unless already being treated
  • As an injection into a vein, the spinal cord or the eye
  • Unstable joints
  • People who are going to get vaccinated

Also see list of precautions and interactions

STORAGE

Do not store triamcinolone nasal spray above 25°C. See individual patient information leaflets for details

TRIAMCINOLONE ACETONIDE USES

What is it used for?

  • Triamcinolone acetonide is used to treat allergies that involve the nose (allergic rhinitis), such as hayfever and allergy to animal fur, and which produce symptoms such as sneezing, itching and stuffy nose. It is used to relieve the joint pain, swelling and stiffness associated with conditions such as rheumatoid arthritis and osteoarthrosis. It is used to reduce the pain, inflammation and swelling of joint problems such as tennis elbow, to relieve the itching and scratching associated with skin disorders, and to improve hair loss in alopecia areata (disease causing hair loss). It is also used to control asthma and other conditions in which inflammation plays a role.
  • It is a type of corticosteroid, sometimes known as steroids.
  • It is used to reduce inflammation and suppress the immune system.
  • In general this drug is used to reduce inflammation associated with a wide variety of conditions, such as allergies involving the nose and skin disorders, as well as controlling the immune system in asthma, certain cancers, eye diseases and stomach disorders.
  • Benefits of being on this drug can include reduction of inflammation, pain, swelling and itching and improvement of symptoms of asthma.

Listed below are the typical uses of triamcinolone acetonide:

  • Treatment of allergies that involve the nose (allergic rhinitis), such as hayfever and allergies to animal fur
  • Treatment of inflammatory or allergic skin conditions
  • Treatment of inflammation of the joints
  • Treatment of inflammatory diseases of the digestive system, such as Crohn's disease or ulcerative colitis
  • Treatment of conditions where the immune system attacks the body, such as systemic lupus erythematosus (SLE)
  • Reduction of the symptoms of some cancers, such as leukaemia and lymphoma
  • Kidney diseases that involve inflammation.

On occasion your doctor may prescribe this medicine to treat a condition not on the above list. Such conditions are listed below.

  • None known

HOW TO USE/TAKE

How often do I take it?

  • Take triamcinolone exactly as your doctor has told you.
  • Use this medication for the duration of the prescription in order to get the most benefit from it.
  • Remember to use it at the same time each day - unless specifically told not to by your doctor.
  • Certain medical conditions may require different dosage instructions as directed by your doctor.

What dose?

  • Dosage is based on your age, gender, medical condition, response to therapy, and use of certain interacting medicines.

Do I need to avoid anything?

  • Triamcinolone will not affect your ability to drive or operate machinery. Consult your doctor or pharmacist for more details.

When can I stop?

  • It is important to continue taking this medication even if you feel well, unless your doctor tells you to stop.

TRIAMCINOLONE ACETONIDE SIDE EFFECTS

Triamcinolone nasal spray:

  • Headache
  • Runny nose
  • Sore throat
  • Blocked nose
  • Irritation of the nose that may cause sneezing
  • Nose bleeds
  • Damage to the nose
  • Swelling of the face
  • Rash
  • Red, raised, itchy lumps on the skin (hives)
  • Itchy skin

Triamcinolone injection:

  • Increased appetite
  • Weight gain
  • Indigestion
  • Bloated feeling
  • Tiredness
  • Feeling weak
  • Increased risk of infection
  • Thinning of bones or tendons causing fractures, torn muscles or muscle wasting
  • Slow healing
  • Water retention
  • Heart problems
  • Irregular heart beat
  • High blood pressure (hypertension)
  • Blood clots
  • Increase in white blood cells
  • Bruising
  • Rashes
  • Redness
  • Itching
  • Itchy, raised lumps on the skin (hives)
  • Acne
  • Increased hair growth
  • Increased sweating
  • Flushing
  • Thinning of the skin
  • Eye problems, including glaucoma and cataracts
  • Slow or stopped growth in children
  • Irregular periods
  • Feeling ecstatic or depressed
  • Sleeping problems
  • Dizziness
  • Fainting
  • Convulsions
  • Tingling or numbness
  • Breathing problems and wheezing
  • Severe headaches

If any of these persist or you consider them severe then inform your doctor or pharmacist.

Tell your doctor immediately if you develop any of the following symptoms with triamcinolone injection:

  • Signs of a stomach ulcer, such as stomach pain
  • Severe stomach pain
  • Tarry, black stools
  • Swelling of the face
  • Unexpected rash
  • Feeling depressed, including thoughts about killing yourself
  • Feeling ecstatic (mania) or severe mood swings
  • Feeling anxious, having problems sleeping, difficulty in concentrating, confusion and memory problems
  • Hallucinations

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine (which includes vaccines, herbals and over the counter medicines) that you are taking. It is run by the medicines safety watchdog called the Medicines and Healthcare products Regulatory agency (MHRA). Please report any suspected side effect on the Yellow Card Scheme website.

TRIAMCINOLONE ACETONIDE PRECAUTIONS

Before taking triamcinolone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids; or if you have any other allergies.

Triamcinolone nasal spray should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist in case of:

  • Allergy (hypersensitivity) to any of the ingredients

Triamcinolone injection should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist in case of:

  • Allergy (hypersensitivity) to any of the ingredients
  • Infections, unless already being treated
  • As an injection into a vein, the spinal cord or the eye

Before using triamcinolone nasal spray tell your doctor or pharmacist your medical history, especially any of the following:

  • Recent surgery on the nose, recent nose injury or ulcers in the nose

Before using triamcinolone injection tell your doctor or pharmacist your medical history, especially any of the following:

  • A lung infection called tuberculosis (TB)
  • Recent infections
  • Bowel disorders
  • A stomach ulcer
  • A tendency to get blood clots
  • Cancer
  • Thin (brittle) bones
  • High blood pressure (hypertension)
  • Heart failure
  • Mental problems
  • Convulsions and fits (epilepsy)
  • A condition called myasthenia gravis that causes abnormal muscle weakness
  • Increased pressure inside the eye (glaucoma)
  • A personal or family history of severe depression or manic depression (bipolar disorder)
  • Liver problems, including cirrhosis
  • Underactive thyroid (hypothyroidism)
  • Overactive thyroid (hyperthyroidism)
  • Diabetes
  • Scheduled for surgery
  • Pregnancy
  • Breastfeeding

Before having surgery, tell your doctor or dentist that you are taking this medication.

Does alcohol intake affect this drug?

  • Alcohol does not affect this drug.

Underactive thyroid. Triamcinolone should be used with caution in people with an underactive thyroid as its effects may be increased.

Overactive thyroid. Triamcinolone should be used with caution in people with an overactive thyroid as its effects may be decreased.

Diabetes. Triamcinolone should be used with caution in people with diabetes as it may worsen the condition.

Pregnancy and breastfeeding - please ensure you read the detailed information below

PREGNANCY

Triamcinolone is suitable to take during pregnancy, although it should be used with caution. Ask your doctor or pharmacist if you have any doubts or questions about this.

It is sensible to limit use of medication during pregnancy whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

BREAST FEEDING

Triamcinolone is suitable to take if you are breastfeeding, although it should be used with caution.

It is sensible to limit use of medication during breastfeeding whenever possible. However, your doctor may decide that the benefits outweigh the risks in individual circumstances and after a careful assessment of your specific health situation.

If you have any doubts or concerns you are advised to discuss the medicine with your doctor or pharmacist.

TRIAMCINOLONE ACETONIDE INTERACTIONS

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

Triamcinolone nasal spray should not be used with the following medications because very serious, possibly fatal interactions may occur:

  • None known

Triamcinolone injection should not be used with the following medications because very serious, possibly fatal interactions may occur:

  • None known

Before using triamcinolone nasal spray, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use.

Before using triamcinolone injection, tell your doctor or pharmacist of all prescription and non-prescription/herbal products you may use, especially of:

  • Drugs used for pain relief and inflammation called non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, as they can increase the risk of stomach bleeds
  • Drugs used to treat epilepsy
  • Drugs used to treat a lung infection called tuberculosis (TB)
  • Drugs used to treat breast cancer
  • Drugs used to treat diabetes
  • Drugs used to treat high blood pressure (hypertension)
  • Drugs used to slow the heart
  • Drugs used to thin the blood and stop clots forming, such as warfarin
  • Oral contraceptives
  • Hormone replacement therapy (HRT)
  • Growth hormone
  • Drugs to control the thyroid
  • A drug called ciclosporin that is used for various conditions, such as after organ transplant, the skin condition psoriasis and rheumatoid arthritis
  • Drugs used for fungal infections
  • Vaccinations

This information does not contain all possible interactions. Therefore, before using triamcinolone, tell your doctor or pharmacist of all the products you use.

TRIAMCINOLONE ACETONIDE OVERDOSE

Swallowing triamcinolone nasal spray may cause the following: upset stomach.

The effects of overdose with triamcinolone injection are not known.

People who have taken too much triamcinolone, should contact their doctor.

If you think you, or someone you care for, might have accidentally taken more than the recommended dose of triamcinolone or intentional overdose is suspected, contact your local hospital, GP or if in England call 111. In Scotland call NHS 24. In Wales, call NHS Direct Wales. In the case of medical emergencies, always dial 999.

MISSED DOSE

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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Source: Selected from data included with permission and copyrighted by Boots UK Limited or TicTac Communications Ltd. This copyrighted material is sourced from a licensed data provider and is not for distribution, except as may be authorised by the applicable terms of use.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse events, nor should it be construed to indicate that use of a particular medicine is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any medicine, changing any diet, or discontinuing any course of treatment.

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