Triamcinolone use while Breastfeeding

Drugs containing Triamcinolone: Kenalog, Nasacort, Mycolog II, Azmacort, Nasacort AQ, Kenalog-40, Aristocort, Kenalog in Orabase, Aristospan, Kenalog-10, Show all 54 »Rx Triamcinolone, Cinolar, Trilone, Tramacort-D, Triderm, TAC 3, Triesence, Trianex, Mycogen II, Mytrex, Trivaris, Aristocort A, Aristocort For Injection, Kenaject-40, Ken-Jec 40, NTA, Allernaze, Nyst-Olone II, Triacet, Myco Biotic II, Myco-Triacet II, Aricin, Mycasone, Aristocort R, Oralone, Pediaderm TA, Cinalog, Flutex, Delta-Tritex, Tri-Statin II, Mycomar, Triamonide 40, Triam-A, Tristoject, Triam-Forte, Aristopak, Cort-K, Triamcot, Clinacort, Clinalog, Acetocot, U-Tri-Lone, Trilog, Nasacort HFA

Triamcinolone Levels and Effects while Breastfeeding

Summary of Use during Lactation

Because no information is available on the use of oral or injectable triamcinolone during breastfeeding, an alternate drug may be preferred, especially while nursing a newborn or preterm infant. However, use of triamcinolone as a nasal spray or local injections, such as for tendinitis, would not be expected to cause any adverse effects in breastfed infants. Reviewers and an expert panel consider inhaled and oral corticosteroids acceptable to use during breastfeeding.[1][2][3] See also Triamcinolone, Topical.

Drug Levels

Maternal Levels. Relevant published information was not found as of the revision date.

Infant Levels. Relevant published information was not found as of the revision date.

Effects in Breastfed Infants

None reported with any corticosteroid.

Possible Effects on Lactation

Published information on the effects of triamcinolone on serum prolactin or on lactation in nursing mothers was not found as of the revision date.

A study of 46 women who delivered an infant before 34 weeks of gestation found that a course of another corticosteroid (betamethasone, 2 intramuscular injections of 11.4 mg of betamethasone 24 hours apart) given between 3 and 9 days before delivery resulted in delayed lactogenesis II and lower average milk volumes during the 10 days after delivery. Milk volume was not affected if the infant was delivered less than 3 days or more than 10 days after the mother received the corticosteroid.[4] An equivalent dosage regimen of methylprednisolone might have the same effect.

A study of 87 pregnant women found that betamethasone given as above during pregnancy caused a premature stimulation of lactose secretion during pregnancy. Although the increase was statistically significant, the clinical importance appears to be minimal.[5] An equivalent dosage regimen of methylprednisolone might have the same effect.

Alternate Drugs to Consider

(Systemic) Methylprednisolone, Prednisolone, Prednisone

References

1. Greenberger PA, Patterson R. The management of asthma during pregnancy and lactation. Clin Rev Allergy. 1987 ;5:317-24. PMID: 3319123

2. Ellsworth A. Pharmacotherapy of asthma while breastfeeding. J Hum Lact. 1994;10:39-41. PMID: 7619245

3. National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program Asthma and Pregnancy Working Group. NAEPP expert panel report. Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update. 2004;1-57. http://www.nhlbi.nih.gov/health/prof/lung/asthma/astpreg.htm

4. Henderson JJ, Hartmann PE, Newnham JP, Simmer K. Effect of preterm birth and antenatal corticosteroid treatment on lactogenesis ii in women. Pediatrics. 2008;121:e92-100. PMID: 18166549

5. Henderson JJ, Newnham JP, Simmer K, Hartmann PE. Effects of antenatal corticosteroids on urinary markers of the initiation of lactation in pregnant women. Breastfeed Med. 2009;4:201-6. PMID: 19772378

Triamcinolone Identification

Substance Name

Triamcinolone

CAS Registry Number

124-94-7

Drug Class

• Corticosteroids, Systemic

Administrative Information

LactMed Record Number

267

Information from the National Library of Medicine's LactMed Database.

Last Revision Date

2013-01-24

Disclaimer

Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.

See Also...

• Triamcinolone use during Pregnancy
• Triamcinolone nasal use during Pregnancy
• Triamcinolone ophthalmic use during Pregnancy
• Triamcinolone topical use during Pregnancy
• Triamcinolone spray Consumer Information
• Triamcinolone ophthalmic Consumer Information
• Triamcinolone Consumer Information
• Triamcinolone aerosol solution Consumer Information
• Breastfeeding Support Group
• Safe Medications during Breastfeeding
• Medicine use while Breastfeeding
• Medicine use during Pregnancy

Disclaimer: This information is not intended as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. Use of this website signifies your agreement to the Terms of Use and Online Privacy Policy.