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triamcinolone (Injection route)

Pronunciation

trye-am-SIN-oh-lone

Commonly used brand name(s)

In the U.S.

  • Aristocort
  • Aristocort Forte
  • Aristospan
  • Clinacort
  • Kenalog-10
  • Kenalog-40
  • Triamcot
  • Triam-Forte
  • Triesense

Available Dosage Forms:

  • Suspension

Therapeutic Class: Endocrine-Metabolic Agent

Pharmacologic Class: Adrenal Glucocorticoid

Uses For triamcinolone

Triamcinolone injection is used to treat inflammation (swelling), allergic reactions, certain types of arthritis, gout, skin diseases, and many other medical problems. It is given to patients who are not able to take medicines by the mouth. triamcinolone is a corticosteroid (cortisone-like medicine or steroid).

Slideshow: 2014 Update - First Time Brand-to-Generic Switches

triamcinolone is to be administered only by or under the immediate supervision of your doctor.

Before Using triamcinolone

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For triamcinolone, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to triamcinolone or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone injection in the pediatric population. However, because of triamcinolone's toxicity, it should be used with caution especially in premature babies.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of triamcinolone injection in the elderly.

Pregnancy

Pregnancy Category Explanation
All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving triamcinolone, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using triamcinolone with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Rotavirus Vaccine, Live

Using triamcinolone with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Aldesleukin
  • Carbamazepine
  • Ceritinib
  • Dabrafenib
  • Eslicarbazepine Acetate
  • Itraconazole
  • Mitotane
  • Piperaquine
  • Pixantrone
  • Ritonavir
  • Siltuximab

Using triamcinolone with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Alatrofloxacin
  • Alcuronium
  • Aspirin
  • Atracurium
  • Balofloxacin
  • Cinoxacin
  • Ciprofloxacin
  • Clinafloxacin
  • Enoxacin
  • Fleroxacin
  • Flumequine
  • Fosphenytoin
  • Gallamine
  • Gemifloxacin
  • Grepafloxacin
  • Hexafluorenium
  • Levofloxacin
  • Licorice
  • Lomefloxacin
  • Metocurine
  • Moxifloxacin
  • Norfloxacin
  • Ofloxacin
  • Pefloxacin
  • Phenytoin
  • Primidone
  • Prulifloxacin
  • Rosoxacin
  • Rufloxacin
  • Saiboku-To
  • Sparfloxacin
  • Temafloxacin
  • Tosufloxacin
  • Trovafloxacin Mesylate

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of triamcinolone. Make sure you tell your doctor if you have any other medical problems, especially:

  • Bone problems (e.g., osteoporosis) or
  • Cataracts or
  • Cirrhosis (liver problem) or
  • Congestive heart failure or
  • Depression or
  • Emotional problems or
  • Glaucoma or
  • Heart attack, recent or
  • Heart disease or
  • Hypertension (high blood pressure) or
  • Intracranial hypertension (increased pressure in the head) or
  • Kaposi's sarcoma or
  • Kidney disease, severe or
  • Mental illness or
  • Myasthenia gravis (severe muscle weakness) or
  • Stomach or bowel problems (e.g., diverticulitis, ulcers, ulcerative colitis) or
  • Thyroid problems—Use with caution. May make these conditions worse.
  • Brain injury, traumatic or
  • Cerebral malaria or
  • Herpes infection of the eye or
  • Idiopathic thrombocytopenic purpura (low platelet count)—Should not be used in patients with this condition.
  • Infection (bacteria, virus, fungus, parasite, or protozoa)—May decrease your body's ability to fight infection.
  • Tuberculosis infection, inactive—Should be treated first before starting therapy with triamcinolone.

Proper Use of triamcinolone

A nurse or other trained health professional will give you triamcinolone. You may also be taught how to give your medicine at home. triamcinolone is given as a shot into one of your muscles, a joint, or a spot on your skin called a lesion.

Precautions While Using triamcinolone

Your doctor will check your progress closely while you or your child are receiving triamcinolone. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to receive it.

triamcinolone contains benzyl alcohol which may cause serious reactions (e.g., gasping syndrome, low blood pressure, and metabolic acidosis) to newborn or premature infants. Discuss this with your doctor if you are concerned.

triamcinolone may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you or your child have a rash; itching; hoarseness; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth after receiving triamcinolone.

Let your doctor know if you or your child have any events causing unusual stress or anxiety in your life. Your doctor may give you oral corticosteroids.

triamcinolone may cause fluid retention (edema) in some patients. Carefully follow your doctor's instructions about any special diet (especially on salt intake).

Using too much of triamcinolone or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and for patients who use large amounts for a long time. Talk to your doctor if you have more than one of these symptoms while you are using triamcinolone: blurred vision; dizziness or fainting; a fast, pounding, or uneven heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.

It may be easier for you to get an infection while you or your child are receiving triamcinolone. Avoid crowded places or being near people who are sick. If you are exposed to chicken pox or measles, tell your doctor right away.

Tell your doctor if you or your child have recently spent time in a tropical climate or have unexplained diarrhea before receiving triamcinolone.

Talk with your doctor before getting flu shots or other vaccines while you or your child are receiving triamcinolone because there are certain vaccines that you should not receive.

Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you or your child to have your eyes checked by an ophthalmologist (eye doctor).

Before you have any skin tests, tell the medical doctor in charge that you are taking triamcinolone. The results of some tests may be affected by triamcinolone.

Do not stop using triamcinolone without checking first with your doctor. Your doctor may want you or your child to gradually reduce the amount you are using before stopping it completely

triamcinolone may cause slow growth. If your child is using triamcinolone, the doctor will need to keep track of your child's height and weight to make sure that your child is growing properly.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

triamcinolone Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common
  • Aggression
  • agitation
  • anxiety
  • blurred vision
  • decrease in the amount of urine
  • dizziness
  • fast, slow, pounding, or irregular heartbeat or pulse
  • headache
  • irritability
  • mental depression
  • mood changes
  • nervousness
  • noisy, rattling breathing
  • numbness or tingling in the arms or legs
  • pounding in the ears
  • shortness of breath
  • swelling of the fingers, hands, feet, or lower legs
  • trouble thinking, speaking, or walking
  • troubled breathing at rest
  • weight gain
Incidence not known
  • Abdominal cramping and/or burning (severe)
  • abdominal pain
  • backache
  • bloody, black, or tarry stools
  • cough or hoarseness
  • darkening of skin
  • decreased vision
  • diarrhea
  • dry mouth
  • eye pain
  • eye tearing
  • facial hair growth in females
  • fainting
  • fatigue
  • fever or chills
  • flushed, dry skin
  • fractures
  • fruit-like breath odor
  • full or round face, neck, or trunk
  • heartburn and/or indigestion (severe and continuous)
  • increased hunger
  • increased thirst
  • increased urination
  • loss of appetite
  • loss of sexual desire or ability
  • lower back or side pain
  • menstrual irregularities
  • muscle pain or tenderness
  • muscle wasting or weakness
  • nausea
  • pain in back, ribs, arms, or legs
  • painful or difficult urination
  • skin rash
  • sleeplessness
  • sweating
  • trouble healing
  • trouble sleeping
  • unexplained weight loss
  • unusual tiredness or weakness
  • vision changes
  • vomiting
  • vomiting of material that looks like coffee grounds

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known
  • Blemishes on the skin
  • bruising
  • dry, scaly skin
  • feeling of constant movement of self or surroundings
  • full or bloated feeling
  • increased appetite
  • increased hair growth on the face, forehead, back, arms, and legs
  • large, flat, blue, or purplish patches in the skin
  • pimples
  • pitting or depression of the skin at the injection site
  • reddish purple lines on the arms, face, legs, trunk, or groin
  • redness of the skin
  • redness, swelling, tenderness, or pain at the injection site
  • sensation of spinning
  • small, red, or purple spots on the skin
  • thin, fragile, or shiny skin
  • thinning of the scalp hair

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

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