Triesence suspension

Generic Name: triamcinolone (TRYE-am-SIN-oh-lone)
Brand Name: Triesence

Triesence suspension is used for:

Treating certain inflammatory conditions of the eye. It is also used to aid a certain eye procedure (vitrectomy).

Triesence suspension is a corticosteroid. It works by decreasing inflammation.

Do NOT use Triesence suspension if:

  • you are allergic to any ingredient in Triesence suspension
  • you have a systemic fungal infection, malaria infection in the brain, or active herpes infection of the eye

Contact your doctor or health care provider right away if any of these apply to you.

Before using Triesence suspension:

Some medical conditions may interact with Triesence suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a bacterial or fungal infection; a viral infection (eg, chickenpox, shingles); measles; tuberculosis (TB); a parasitic, ameba, or worm infection; or a history of herpes infection of the eye
  • if you have unexplained diarrhea, inflammation of the esophagus, ulcers, colitis, stomach or bowel problems (eg, blockage, inflammation, perforation), or recent stomach or bowel surgery
  • if you have a history of heart problems (eg, congestive heart failure), recent heart attack, high blood pressure, blood clotting problems, diabetes, cataracts, glaucoma, increased eye pressure, kidney problems, liver problems (eg, cirrhosis), mood or mental problems, a seizure disorder (eg, epilepsy), thyroid problems, or weak or brittle bones (osteoporosis)
  • if you have had joint surgery or a positive TB skin test, or if you have recently had a vaccination
  • if you have myasthenia gravis and take anticholinesterases (eg, pyridostigmine)

Some MEDICINES MAY INTERACT with Triesence suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Amphotericin B, digoxin, or diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium and heart problems (eg, enlarged heart, irregular heartbeat, heart failure) may be increased
  • Cyclosporine because the risk of seizures may be increased
  • Anticoagulants (eg, warfarin) because an increase or decrease of their effects may occur
  • Azole antifungals (eg, itraconazole, ketoconazole), estrogens, hormonal contraceptives (eg, birth control pills), or macrolide antibiotics (eg, clarithromycin) because they may increase the risk of Triesence suspension's side effects
  • Barbiturates (eg, phenobarbital), carbamazepine, cholestyramine, hydantoins (eg, phenytoin), or rifampin because they may decrease Triesence suspension's effectiveness
  • Aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or ritodrine because the risk of their side effects may be increased by Triesence suspension
  • Anticholinesterases (eg, pyridostigmine) or isoniazid because their effectiveness may be decreased by Triesence suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if Triesence suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Triesence suspension:

Use Triesence suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Triesence suspension is given as an injection at your doctor's office, hospital, or clinic.
  • Triesence suspension is only for injection into the eye. Do not inject Triesence suspension into a vein or into other areas.
  • Do not use Triesence suspension if it is discolored, has been frozen, or if the vial is cracked or damaged.
  • Shake well before each use.
  • If you miss a dose of Triesence suspension, contact your doctor right away.

Ask your health care provider any questions you may have about how to use Triesence suspension.

Important safety information:

  • Triesence suspension may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections or to anyone who has TB.
  • If you are on long-term therapy, you may have withdrawal symptoms if you suddenly stop using Triesence suspension. Contact your doctor right away if you have muscle and joint pain, exhaustion, or depression.
  • If you are on long-term therapy, contact your doctor right away in the event of situations of physical stress (eg, infection, injury, loss of blood electrolytes, surgery). You may need additional fast-acting steroids to help the body handle these situations.
  • Tell your doctor or dentist that you take Triesence suspension before you receive any medical or dental care, emergency care, or surgery.
  • Triesence suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Triesence suspension for a few days before the tests.
  • Do not receive a live vaccine (eg, measles, mumps) while you are using Triesence suspension. Talk with your doctor before you receive any vaccine.
  • Serious health problems have happened when corticosteroids, including Triesence suspension, have been given into the spine (epidural). These include paralysis, blindness, stroke, and sometimes death. Safety and effectiveness of corticosteroids given into the spine have not been confirmed. Corticosteroids are not approved for this use. Discuss any questions or concerns with your doctor.
  • Lab tests, including blood pressure checks, bone density, and eye exams, may be performed while you use Triesence suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Diabetes patients - Triesence suspension may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Triesence suspension.
  • Caution is advised when using Triesence suspension in CHILDREN; they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: Triesence suspension may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Triesence suspension while you are pregnant. Triesence suspension is found in breast milk. If you are or will be breast-feeding while you use Triesence suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Triesence suspension:

All medicines may cause side effects, but many people have no, or minor side effects. No COMMON side effects have been reported with this product. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; hoarseness; tightness in the chest; swelling of the mouth, face, hands, legs, eyes, throat, lips, or tongue); decreased vision or other vision changes; depression; eye "floaters"; eye pain; fainting; fast, slow, or irregular heartbeat; joint stiffness; mood or mental changes; muscle pain or weakness; numbness or tingling in the hands or feet; personality changes; seizures; severe redness or irritation of the eye; shortness of breath; signs of infection (eg, chills, fever, or sore throat); slow wound healing; swelling of the ankles, hands, legs, or feet.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Triesence suspension:

Triesence suspension is usually handled and stored by a health care provider. If you are using Triesence suspension at home, store Triesence suspension as directed by your pharmacist or health care provider. Keep Triesence suspension out of the reach of children and away from pets.

General information:

  • If you have any questions about Triesence suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Triesence suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take Triesence suspension or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Triesence suspension. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Triesence suspension. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Triesence suspension.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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