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triamcinolone inhalation

Pronunciation

Generic Name: triamcinolone inhalation (trye am SIH no lone)
Brand Name: Azmacort

What is triamcinolone inhalation?

Triamcinolone is a steroid. It prevents the release of substances in the body that cause inflammation.

Triamcinolone inhalation is used to prevent asthma attacks. It will not treat an asthma attack that has already begun.

Triamcinolone may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about triamcinolone inhalation?

Do not use triamcinolone inhalation to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack.

Contact your doctor if your asthma symptoms do not improve after using triamcinolone inhalation for 2 weeks.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. Your dosage needs may also change if you have surgery, are ill, are under stress, or have recently had an asthma attack.

If you were switched from an oral (taken by mouth) steroid to triamcinolone inhalation, you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency.

What should I discuss with my healthcare provider before using triamcinolone inhalation?

Before using this medication, tell your doctor if you have been sick or had an infection of any kind (especially tuberculosis). You may not be able to use triamcinolone inhalation until you are well.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether triamcinolone passes into breast milk or if it could harm a nursing baby. Do not use triamcinolone inhalation without telling your doctor if you are breast-feeding a baby.

Triamcinolone can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.

Do not give this medicine to a child younger than 5 years old.

Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk of osteoporosis.

How should I use triamcinolone inhalation?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Triamcinolone comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Do not use triamcinolone inhalation to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack.

To reduce the chance of developing a yeast infection in your mouth, rinse with water after using triamcinolone inhalation. Do not swallow.

Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor.

It is important to use triamcinolone inhalation regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Contact your doctor if your asthma symptoms do not improve after using triamcinolone inhalation for 2 weeks.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. Your dosage needs may also change if you have surgery, are ill, are under stress, or have recently had an asthma attack.

If you were switched from an oral (taken by mouth) steroid to triamcinolone inhalation, you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency.

Store triamcinolone inhalation at room temperature away from moisture and heat. Keep the medicine canister away from high heat, such as open flame or in a car on a hot day. The canister may explode if it gets too hot.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of triamcinolone inhalation is not expected to produce life-threatening symptoms.

What should I avoid while using triamcinolone inhalation?

Steroid medication can lower the blood cells that help your body fight infections. This can make it easier for you to get sick from being around others who are ill. Avoid being near people who are sick or have infections. Contact your doctor if you have been exposed to someone with measles or chicken pox.

Triamcinolone inhalation side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any of these serious side effects:

  • weakness, tired feeling, nausea, loss of appetite, weight loss;

  • wheezing or breathing problems after using this medication;

  • skin rash, bruising, severe tingling, numbness, pain, muscle weakness;

  • pain or burning when you urinate;

  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist);

  • worsening asthma symptoms.

Less serious side effects may include:

  • nausea, diarrhea, stomach pain;

  • joint or muscle pain;

  • dryness in your mouth, nose, or throat;

  • white patches or sores inside your mouth or on your lips;

  • stuffy nose, sinus pain, sore throat, cough; or

  • hoarseness or deepened voice.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Triamcinolone inhalation dosing information

Usual Adult Dose for Adrenocortical Insufficiency:

4 mg to 12 mg orally daily, in addition to mineralocorticoid therapy.

Usual Adult Dose for Ankylosing Spondylitis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Bursitis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Osteoarthritis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Rheumatoid Arthritis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Gouty Arthritis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Psoriatic Arthritis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Synovitis:

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Systemic Lupus Erythematosus:

Initial:
20 mg to 32 mg orally daily.

Maintenance:
48 mg orally or more daily.

Usual Adult Dose for Congestive Heart Failure:

Initial:
20 mg to 60 mg orally daily.

Maintenance:
Dosage should be continued for at least 6 to 8 weeks, to a maximum of 3 months.

Usual Adult Dose for Allergic Reaction:

Initial:
8 mg to 12 mg orally daily. Intractable cases may require higher dosage.

Usual Adult Dose for Allergic Rhinitis:

Initial:
8 mg to 12 mg orally daily. Intractable cases may require higher dosage.

Usual Adult Dose for Neuritis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Uveitis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Iritis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Keratitis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Conjunctivitis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Iridocyclitis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Chorioretinitis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Choroiditis:

Initial:
12 mg to 40 mg orally daily.

Usual Adult Dose for Loeffler's Syndrome:

Initial:
16 mg to 48 mg orally daily.

Usual Adult Dose for Sarcoidosis:

Initial:
16 mg to 48 mg orally daily.

Usual Adult Dose for Berylliosis:

Initial:
16 mg to 48 mg orally daily.

Usual Adult Dose for Idiopathic (Immune) Thrombocytopenic Purpura:

16 mg to 60 mg orally daily.

Usual Adult Dose for Hemolytic Anemia:

16 mg to 60 mg orally daily.

Usual Adult Dose for Erythroblastopenia:

16 mg to 60 mg orally daily.

Usual Adult Dose for Thrombocytopenia Idiopathic:

16 mg to 60 mg orally daily.

Usual Adult Dose for Leukemia:

Lymphoma:
16 mg to 40 mg orally daily.

Acute leukemia:
16 mg to 40 mg orally daily, up to 100 mg daily.

Usual Adult Dose for Nephrotic Syndrome:

Initial:
16 mg to 20 mg (up to 48 mg) orally daily until diuresis occurs.

Maintenance:
4 mg orally daily, or gradually reduced until discontinuation.

Usual Adult Dose for Meningitis:

Tuberculous meningitis:
32 mg to 48 mg orally daily (in single or divided doses), as an adjunct to antituberculous therapy.

Usual Adult Dose for Alopecia:

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Lichen Simplex Chronicus:

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Psoriasis:

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Lichen Planus:

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Keloids:

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.

Usual Adult Dose for Asthma:

Bronchial asthma:
8 mg to 16 mg orally daily.

2 inhalations (150 mcg) given 3 to 4 times a day. Alternatively, 4 inhalations (300 mcg) given twice daily. In patients with severe asthma, initial higher doses may be used (12 to 16 inhalations per day).

The maximum daily dosage should not exceed 16 inhalations (1200 mcg) .

Usual Adult Dose for Dermatitis:

Atopic and contact:
8 mg to 16 mg orally daily in a short treatment course as a supplement to topical therapy.

Usual Adult Dose for Dermal Necrosis -- Prophylaxis:

Case Report (n=1) - Extravasation of chemotherapeutic agent:
Intralesional injection, 7 to 8 mL of 10 mg/mL concentration, once weekly for 2 weeks.

Usual Pediatric Dose for Leukemia:

Acute leukemia:
1 mg/kg (up to 2 mg/kg) orally daily, continued from 4 to 6 weeks.

Usual Pediatric Dose for Asthma:

6 to 12 years:
1 to 2 inhalations (75 mcg to 150 mcg), given 3 to 4 times a day. Alternatively, 2 to 4 inhalations (150 mcg to 300 mcg) may be given twice daily.

The maximum daily dosage should not exceed 12 inhalations (900 mcg).

What other drugs will affect triamcinolone inhalation?

There may be other drugs that can interact with triamcinolone inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about triamcinolone inhalation.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 5.06. Revision Date: 2010-12-15, 5:01:39 PM.

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