Understanding and controlling your respiratory allergies

triamcinolone

Pronunciation

Generic Name: triamcinolone (nasal) (TRYE am SIN oh lone)
Brand Name: Nasacort AQ, Nasacort, Tri-Nasal, Nasacort HFA, Nasacort Allergy 24HR

What is triamcinolone nasal?

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

Triamcinolone nasal (for the nose) is used to treat sneezing, itching, and runny nose caused by seasonal allergies or hay fever.

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

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

Do not use this medication in a child under 2 years old without the advice of a doctor. Some brands of triamcinolone nasal are not made for use in children.

Do not use this medication if you are allergic to triamcinolone.

Before using triamcinolone nasal, tell your doctor if you are allergic to any drugs, or if you have tuberculosis, asthma, a history of glaucoma or cataracts, any type of infection, or if you have had recent surgery or injury to your nose.

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

It may take up to a week before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 1 week of treatment, or if they get worse any time during treatment.

Triamcinolone nasal can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

Do not stop using triamcinolone nasal suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the medication before stopping completely.

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

You should not use this medication if you are allergic to triamcinolone.

If you have any of these other conditions, you may need a triamcinolone dose adjustment or special tests:

  • tuberculosis;

  • asthma;

  • any type of infection;

  • a history of glaucoma or cataracts; or

  • if you have had recent surgery or injury to your nose.

FDA pregnancy category C. It is not known whether triamcinolone nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

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

Triamcinolone nasal 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 use this medication in a child under 2 years old without the advice of a doctor. Some brands of triamcinolone nasal are not made for use in children.

How should I use triamcinolone nasal?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Before each use, gently blow your nose to clear your nostrils.

Shake the medicine well just before using it.

To use triamcinolone nasal inhaler:

  • Remove the protective cap from the nasal inhaler.

  • Hold the inhaler between your thumb and forefinger, tilt your head back slightly, and insert the inhaler into one nostril while holding the other nostril closed with one finger.

  • Press down on the canister to release the spray and inhale gently at the same time. Hold your breath for a few seconds, then breathe out slowly through the mouth.

  • Replace the white protective inhaler cap.

  • Clean your inhaler weekly by removing the medicine canister and the protective cap, and rinsing the inhaler thoroughly with warm water. Do not use soap. Allow the inhaler to dry completely before replacing the cap and canister.

  • Throw away the nasal inhaler after 100 sprays, even if there is still medicine left in the canister.

To use triamcinolone nasal spray:

  • Before using the spray for the first time, prime the spray pump by spraying the medicine into the air and away from your face, until a fine mist appears. Prime the spray pump any time you have not used your nasal spray for longer than 14 days.

  • Hold the nasal spray with the tip pointed into one nostril but not far into your nose. Bend your head forward to aim the spray toward the back of your nose. Hold your other nostril closed with one finger. Pump the spray unit and sniff gently at the same time.

  • Throw away the nasal spray after 120 sprays, even if there is still medicine left in the bottle.

Avoid blowing your nose for 15 minutes after using this medication.

It may take up to a week before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 1 week of treatment, or if they get worse any time during treatment.

Do not stop using triamcinolone nasal suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the medication before stopping completely.

If you use triamcinolone nasal for several months, your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

Store at room temperature away from moisture and heat. Keep the cover and clip on the nasal spray pump unit when not in use. Keep the protective cap on the nasal inhaler when not in use.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of triamcinolone nasal is not expected to be dangerous. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while taking triamcinolone nasal?

Triamcinolone nasal can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

Triamcinolone nasal 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;

  • fever, chills, body aches, flu symptoms;

  • easy bruising or bleeding, unusual weakness;

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

  • blurred vision, eye pain, or seeing halos around lights.

Less serious side effects may include:

  • stinging, burning, or bleeding in your nose;

  • sneezing after use of the medicine;

  • sore throat, cough, stuffy nose;

  • watery eyes;

  • headache;

  • nausea, vomiting; or

  • an unpleasant taste or smell.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Triamcinolone dosing information

Usual Adult Dose for Allergic Rhinitis:

Nasal aerosol:
2 actuations in each nostril once a day; may increase after 4 to 7 days up to 4 actuations in each nostril once a day, or 2 actuations in each nostril twice daily, or 1 actuation in each nostril 4 times a day.

Nasal spray:
2 sprays in each nostril once a day; titrate to lowest effective dose after symptoms are controlled. Usual maintenance dose is 1 spray in each nostril once a day.

Usual Pediatric Dose for Allergic Rhinitis:

Nasal spray:
2 years to 5 years: 1 spray in each nostril once a day;
6 years to 11 years: 1 spray in each nostril once a day; maximum dose is 2 sprays in each nostril once a day, titrate to lowest effective dose after symptoms are controlled.
12 years or older: 2 sprays in each nostril once a day; titrate to lowest effective dose after symptoms are controlled. Usual maintenance dose is 1 spray in each nostril once a day.

What other drugs will affect triamcinolone nasal?

Tell your doctor about all other medications you use, especially:

  • cancer medicine (chemotherapy);

  • cyclosporine (Neoral, Sandimmune, Gengraf);

  • sirolimus (Rapamune), tacrolimus (Prograf);

  • basiliximab (Simulect), efalizumab (Raptiva), muromonab-CD3 (Orthoclone);

  • mycophenolate mofetil (CellCept);

  • azathioprine (Imuran), leflunomide (Arava), etanercept (Enbrel); or

  • other steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, Nasonex), dexamethasone (Decadron, Hexadrol) and others.

This list is not complete and other drugs may interact with triamcinolone nasal. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about triamcinolone nasal.
  • 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: 9.04. Revision Date: 2010-12-15, 5:01:39 PM.

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