KENALOG INTRA-ARTICULAR/INTRAMUSCULAR INJECTION 40MG/ML

Active substance: TRIAMCINOLONE ACETONIDE

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4154



TM

PATIENT INFORMATION LEAFLET

KENALOGTM
INTRA-ARTICULAR/

INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide

Please read this leaflet carefully before
you are given your medicine. It provides
a summary of information about your
medicine. If you want to know more, or are
not sure about anything, ask your doctor
or pharmacist.
• Kenalog IA/IM Injection is a steroid
medicine, prescribed for many different
conditions, including serious illnesses.
• You need to take it regularly to get the
maximum benefit.
• Don’t stop taking this medicine without
talking to your doctor – you may need to
reduce the dose gradually.
• Kenalog IA/IM Injection can cause side
effects in some people (read section 4
below). Some problems such as mood
changes (feeling depressed or ‘high’), or
stomach problems can happen straight
away. If you feel unwell in any way, keep
taking your medicine, but see your
doctor straight away.
• Some side effects only happen after
weeks or months. These include
weakness of arms and legs, or developing
a rounder face (read section 4 for more
information).
• If you take it for more than 3 weeks,
you will get a blue ‘steroid card’:
always keep it with you and show it to any
doctor or nurse treating you.
• Keep away from people who have
chicken pox or shingles, if you have
never had them. They could affect you
severely. If you do come into contact with
chicken pox or shingles, see your doctor
straight away.
Now read the rest of this leaflet. It includes
other important information on the safe and
effective use of this medicine that might be
especially important for you.
In this leaflet:
1. What Kenalog Injection is and what it is
used for
2. Before you are given your medicine
3. Receiving your medicine
4. Possible side effects
5. How to store your medicine
6. Further information
1. WHAT KENALOG INJECTION IS AND
WHAT IT IS USED FOR
The name of this medicine is Kenalog Injection.
Each injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog injection is for the treatment of joint
pain, swelling and stiffness in inflammatory
disorders such as rheumatoid arthritis.
It is also for the treatment of various allergic
disorders including asthma, seasonal
allergies, blood disorders, hormone
problems, rheumatic fever, and problems
associated with digestive system, kidneys,
lungs or skin.
BEFORE YOU ARE GIVEN YOUR
2.
MEDICINE
Do not receive Kenalog Injection if;
• You have had an allergic reaction to a
similar medicine or any of the ingredients
in this medicine. See Section 6. for full list
of ingredients.
• You are suffering from an infection
unless your doctor has also prescribed a
treatment for the infection.
Kenalog Injection is not recommended for
children under 6 years.
You must tell your doctor if:
• You have had any recent infection
[including tuberculosis (TB)]
• You have had recent bowel surgery
• You have, or have had a bowel disorder or
stomach ulcer
• You have an infection or inflammation of
the veins in your legs
• You have had any mental disorders or
epilepsy

• You have had any kidney, liver or thyroid
(gland in the neck) problems as the dose
of Kenalog may need to be adjusted
• You have recently suffered from any form
of cancer

You have thin or brittle bones
(osteoporosis)
• You have myasthenia gravis (a disease
which causes weak muscles)
• You have high blood pressure or heart
failure
• You or someone in your family has
glaucoma (increased pressure in your
eyes).
• You are diabetic as your insulin dose may
need to be changed
Check with your doctor first:
• If you have ever had severe
depression or manic-depression (bipolar
disorder). This includes having had
depression before while taking steroid
medicines like Kenalog IA/IM Injection.
• If any of your close family has had these
illnesses.
If either of these applies to you, talk to
a doctor before taking Kenalog IA/IM
Injection.
Steroid medicines suppress your body’s
natural immune response. Therefore, if you
come into contact with anyone who has
an infectious disease such as chickenpox,
shingles or measles, consult your doctor as
soon as possible.
While you are being treated with this
medicine (or if you have recently stopped
a course of treatment) do not have any
vaccination without consulting your doctor.
You must take care not to over-use a joint
which feels better after you receive Kenalog
injection. The joint will still need to recover
from the inflammation which caused your
symptoms.
Taking other medicines with Kenalog
Injection
Always tell your doctor about any
medicines you are taking, or have recently
taken, including those obtained without a
prescription.
This is especially important if you are taking;
– Aspirin, ibuprofen or other non-steroidal
anti-inflammatory drugs (NSAIDs) as
corticosteroids can increase the chance
of bleeding from the gut.

Any antifungals (e.g. ketoconazole,
amphotericin)
– Warfarin or other medicines to thin the
blood
– Oral contraceptive pill or hormone
replacement therapy (HRT)
– Human growth hormone
– A medicine called ciclosporin
– A medicine called rifampicin
or medicines to treat;
– High blood pressure or irregular heart
beat (e.g. digoxin)
– Myasthenia gravis (a disease which
causes weak muscles)
– Epilepsy or other sorts of fits (e.g.
phenytoin)
– tuberculosis (TB)
– diabetes
– thyroid problems
If you are taking any of these medicines, or
are not sure, please consult your doctor.
If you are due to have surgery
Before surgery and anaesthesia (even at the
dentist) you should tell the doctor or dentist
that you are being treated with Kenalog.
Pregnancy and breastfeeding
If you are pregnant, planning to become
pregnant, or if you are breast-feeding you
should make sure you discuss this with your
doctor as soon as possible before receiving
Kenalog injection.
Driving or operating machinery
This medicine does not usually affect your
ability to drive or operate machinery but it
can affect your eyesight. Tell your doctor
immediately if you have any pain in the eyes
or problems with your vision.
Steroid Treatment Card
Your doctor or pharmacist will have given
you a Steroid Treatment Card with your
prescription or medicine.
YOU SHOULD ALWAYS CARRY THIS CARD
WITH YOU as it must be shown to any of the
following persons:
before having any
Doctor or Nurse -
surgery or emergency
treatment or if any new
treatment is prescribed.
Dentist
- before having any dental
surgery
Pharmacist
- before buying any
medicine
Optician
- it is advisable to have
regular eye tests
Important information about the
ingredients of Kenalog Injection
Kenalog Injection contains 15mg/ml benzyl
alcohol which may cause harmful or allergic
reactions in infants and children. Kenalog
injection must not be given to premature or
newly born babies.

TM

PATIENT INFORMATION LEAFLET

KENALOGTM
INTRA-ARTICULAR/

INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide

Please read this leaflet carefully before
you are given your medicine. It provides
a summary of information about your
medicine. If you want to know more, or are
not sure about anything, ask your doctor
or pharmacist.
• Kenalog IA/IM Injection is a steroid
medicine, prescribed for many different
conditions, including serious illnesses.
• You need to take it regularly to get the
maximum benefit.
• Don’t stop taking this medicine without
talking to your doctor – you may need to
reduce the dose gradually.
• Kenalog IA/IM Injection can cause side
effects in some people (read section 4
below). Some problems such as mood
changes (feeling depressed or ‘high’), or
stomach problems can happen straight
away. If you feel unwell in any way, keep
taking your medicine, but see your
doctor straight away.
• Some side effects only happen after
weeks or months. These include
weakness of arms and legs, or developing
a rounder face (read section 4 for more
information).
• If you take it for more than 3 weeks,
you will get a blue ‘steroid card’:
always keep it with you and show it to any
doctor or nurse treating you.
• Keep away from people who have
chicken pox or shingles, if you have
never had them. They could affect you
severely. If you do come into contact with
chicken pox or shingles, see your doctor
straight away.
Now read the rest of this leaflet. It includes
other important information on the safe and
effective use of this medicine that might be
especially important for you.
In this leaflet:
1. What Kenalog Injection is and what it is
used for
2. Before you are given your medicine
3. Receiving your medicine
4. Possible side effects
5. How to store your medicine
6. Further information
1. WHAT KENALOG INJECTION IS AND
WHAT IT IS USED FOR
The name of this medicine is Kenalog Injection.
Each injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog injection is for the treatment of joint
pain, swelling and stiffness in inflammatory
disorders such as rheumatoid arthritis.
It is also for the treatment of various allergic
disorders including asthma, seasonal
allergies, blood disorders, hormone
problems, rheumatic fever, and problems
associated with digestive system, kidneys,
lungs or skin.
BEFORE YOU ARE GIVEN YOUR
2.
MEDICINE
Do not receive Kenalog Injection if;
• You have had an allergic reaction to a
similar medicine or any of the ingredients
in this medicine. See Section 6. for full list
of ingredients.
• You are suffering from an infection
unless your doctor has also prescribed a
treatment for the infection.
Kenalog Injection is not recommended for
children under 6 years.
You must tell your doctor if:
• You have had any recent infection
[including tuberculosis (TB)]
• You have had recent bowel surgery
• You have, or have had a bowel disorder or
stomach ulcer
• You have an infection or inflammation of
the veins in your legs
• You have had any mental disorders or
epilepsy

• You have had any kidney, liver or thyroid
(gland in the neck) problems as the dose
of Kenalog may need to be adjusted
• You have recently suffered from any form
of cancer

You have thin or brittle bones
(osteoporosis)
• You have myasthenia gravis (a disease
which causes weak muscles)
• You have high blood pressure or heart
failure
• You or someone in your family has
glaucoma (increased pressure in your
eyes).
• You are diabetic as your insulin dose may
need to be changed
Check with your doctor first:
• If you have ever had severe
depression or manic-depression (bipolar
disorder). This includes having had
depression before while taking steroid
medicines like Kenalog IA/IM Injection.
• If any of your close family has had these
illnesses.
If either of these applies to you, talk to
a doctor before taking Kenalog IA/IM
Injection.
Steroid medicines suppress your body’s
natural immune response. Therefore, if you
come into contact with anyone who has
an infectious disease such as chickenpox,
shingles or measles, consult your doctor as
soon as possible.
While you are being treated with this
medicine (or if you have recently stopped
a course of treatment) do not have any
vaccination without consulting your doctor.
You must take care not to over-use a joint
which feels better after you receive Kenalog
injection. The joint will still need to recover
from the inflammation which caused your
symptoms.
Taking other medicines with Kenalog
Injection
Always tell your doctor about any
medicines you are taking, or have recently
taken, including those obtained without a
prescription.
This is especially important if you are taking;
– Aspirin, ibuprofen or other non-steroidal
anti-inflammatory drugs (NSAIDs) as
corticosteroids can increase the chance
of bleeding from the gut.

Any antifungals (e.g. ketoconazole,
amphotericin)
– Warfarin or other medicines to thin the
blood
– Oral contraceptive pill or hormone
replacement therapy (HRT)
– Human growth hormone
– A medicine called ciclosporin
– A medicine called rifampicin
or medicines to treat;
– High blood pressure or irregular heart
beat (e.g. digoxin)
– Myasthenia gravis (a disease which
causes weak muscles)
– Epilepsy or other sorts of fits (e.g.
phenytoin)
– tuberculosis (TB)
– diabetes
– thyroid problems
If you are taking any of these medicines, or
are not sure, please consult your doctor.
If you are due to have surgery
Before surgery and anaesthesia (even at the
dentist) you should tell the doctor or dentist
that you are being treated with Kenalog.
Pregnancy and breastfeeding
If you are pregnant, planning to become
pregnant, or if you are breast-feeding you
should make sure you discuss this with your
doctor as soon as possible before receiving
Kenalog injection.
Driving or operating machinery
This medicine does not usually affect your
ability to drive or operate machinery but it
can affect your eyesight. Tell your doctor
immediately if you have any pain in the eyes
or problems with your vision.
Steroid Treatment Card
Your doctor or pharmacist will have given
you a Steroid Treatment Card with your
prescription or medicine.
YOU SHOULD ALWAYS CARRY THIS CARD
WITH YOU as it must be shown to any of the
following persons:
before having any
Doctor or Nurse -
surgery or emergency
treatment or if any new
treatment is prescribed.
Dentist
- before having any dental
surgery
Pharmacist
- before buying any
medicine
Optician
- it is advisable to have
regular eye tests
Important information about the
ingredients of Kenalog Injection
Kenalog Injection contains 15mg/ml benzyl
alcohol which may cause harmful or allergic
reactions in infants and children. Kenalog
injection must not be given to premature or
newly born babies.

TM

PATIENT INFORMATION LEAFLET

KENALOGTM
INTRA-ARTICULAR/

INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide

Please read this leaflet carefully before
you are given your medicine. It provides
a summary of information about your
medicine. If you want to know more, or are
not sure about anything, ask your doctor
or pharmacist.
• Kenalog IA/IM Injection is a steroid
medicine, prescribed for many different
conditions, including serious illnesses.
• You need to take it regularly to get the
maximum benefit.
• Don’t stop taking this medicine without
talking to your doctor – you may need to
reduce the dose gradually.
• Kenalog IA/IM Injection can cause side
effects in some people (read section 4
below). Some problems such as mood
changes (feeling depressed or ‘high’), or
stomach problems can happen straight
away. If you feel unwell in any way, keep
taking your medicine, but see your
doctor straight away.
• Some side effects only happen after
weeks or months. These include
weakness of arms and legs, or developing
a rounder face (read section 4 for more
information).
• If you take it for more than 3 weeks,
you will get a blue ‘steroid card’:
always keep it with you and show it to any
doctor or nurse treating you.
• Keep away from people who have
chicken pox or shingles, if you have
never had them. They could affect you
severely. If you do come into contact with
chicken pox or shingles, see your doctor
straight away.
Now read the rest of this leaflet. It includes
other important information on the safe and
effective use of this medicine that might be
especially important for you.
In this leaflet:
1. What Kenalog Injection is and what it is
used for
2. Before you are given your medicine
3. Receiving your medicine
4. Possible side effects
5. How to store your medicine
6. Further information
1. WHAT KENALOG INJECTION IS AND
WHAT IT IS USED FOR
The name of this medicine is Kenalog Injection.
Each injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog injection is for the treatment of joint
pain, swelling and stiffness in inflammatory
disorders such as rheumatoid arthritis.
It is also for the treatment of various allergic
disorders including asthma, seasonal
allergies, blood disorders, hormone
problems, rheumatic fever, and problems
associated with digestive system, kidneys,
lungs or skin.
BEFORE YOU ARE GIVEN YOUR
2.
MEDICINE
Do not receive Kenalog Injection if;
• You have had an allergic reaction to a
similar medicine or any of the ingredients
in this medicine. See Section 6. for full list
of ingredients.
• You are suffering from an infection
unless your doctor has also prescribed a
treatment for the infection.
Kenalog Injection is not recommended for
children under 6 years.
You must tell your doctor if:
• You have had any recent infection
[including tuberculosis (TB)]
• You have had recent bowel surgery
• You have, or have had a bowel disorder or
stomach ulcer
• You have an infection or inflammation of
the veins in your legs
• You have had any mental disorders or
epilepsy

BIANCA / FRONT

• You have had any kidney, liver or thyroid
(gland in the neck) problems as the dose
of Kenalog may need to be adjusted
• You have recently suffered from any form
of cancer

You have thin or brittle bones
(osteoporosis)
• You have myasthenia gravis (a disease
which causes weak muscles)
• You have high blood pressure or heart
failure
• You or someone in your family has
glaucoma (increased pressure in your
eyes).
• You are diabetic as your insulin dose may
need to be changed
Check with your doctor first:
• If you have ever had severe
depression or manic-depression (bipolar
disorder). This includes having had
depression before while taking steroid
medicines like Kenalog IA/IM Injection.
• If any of your close family has had these
illnesses.
If either of these applies to you, talk to
a doctor before taking Kenalog IA/IM
Injection.
Steroid medicines suppress your body’s
natural immune response. Therefore, if you
come into contact with anyone who has
an infectious disease such as chickenpox,
shingles or measles, consult your doctor as
soon as possible.
While you are being treated with this
medicine (or if you have recently stopped
a course of treatment) do not have any
vaccination without consulting your doctor.
You must take care not to over-use a joint
which feels better after you receive Kenalog
injection. The joint will still need to recover
from the inflammation which caused your
symptoms.
Taking other medicines with Kenalog
Injection
Always tell your doctor about any
medicines you are taking, or have recently
taken, including those obtained without a
prescription.
This is especially important if you are taking;
– Aspirin, ibuprofen or other non-steroidal
anti-inflammatory drugs (NSAIDs) as
corticosteroids can increase the chance
of bleeding from the gut.

Any antifungals (e.g. ketoconazole,
amphotericin)
– Warfarin or other medicines to thin the
blood
– Oral contraceptive pill or hormone
replacement therapy (HRT)
– Human growth hormone
– A medicine called ciclosporin
– A medicine called rifampicin
or medicines to treat;
– High blood pressure or irregular heart
beat (e.g. digoxin)
– Myasthenia gravis (a disease which
causes weak muscles)
– Epilepsy or other sorts of fits (e.g.
phenytoin)
– tuberculosis (TB)
– diabetes
– thyroid problems
If you are taking any of these medicines, or
are not sure, please consult your doctor.
If you are due to have surgery
Before surgery and anaesthesia (even at the
dentist) you should tell the doctor or dentist
that you are being treated with Kenalog.
Pregnancy and breastfeeding
If you are pregnant, planning to become
pregnant, or if you are breast-feeding you
should make sure you discuss this with your
doctor as soon as possible before receiving
Kenalog injection.
Driving or operating machinery
This medicine does not usually affect your
ability to drive or operate machinery but it
can affect your eyesight. Tell your doctor
immediately if you have any pain in the eyes
or problems with your vision.
Steroid Treatment Card
Your doctor or pharmacist will have given
you a Steroid Treatment Card with your
prescription or medicine.
YOU SHOULD ALWAYS CARRY THIS CARD
WITH YOU as it must be shown to any of the
following persons:
before having any
Doctor or Nurse -
surgery or emergency
treatment or if any new
treatment is prescribed.
Dentist
- before having any dental
surgery
Pharmacist
- before buying any
medicine
Optician
- it is advisable to have
regular eye tests
Important information about the
ingredients of Kenalog Injection
Kenalog Injection contains 15mg/ml benzyl
alcohol which may cause harmful or allergic
reactions in infants and children. Kenalog
injection must not be given to premature or
newly born babies.

TM

PATIENT INFORMATION LEAFLET

KENALOGTM
INTRA-ARTICULAR/

INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide

Please read this leaflet carefully before
you are given your medicine. It provides
a summary of information about your
medicine. If you want to know more, or are
not sure about anything, ask your doctor
or pharmacist.
• Kenalog IA/IM Injection is a steroid
medicine, prescribed for many different
conditions, including serious illnesses.
• You need to take it regularly to get the
maximum benefit.
• Don’t stop taking this medicine without
talking to your doctor – you may need to
reduce the dose gradually.
• Kenalog IA/IM Injection can cause side
effects in some people (read section 4
below). Some problems such as mood
changes (feeling depressed or ‘high’), or
stomach problems can happen straight
away. If you feel unwell in any way, keep
taking your medicine, but see your
doctor straight away.
• Some side effects only happen after
weeks or months. These include
weakness of arms and legs, or developing
a rounder face (read section 4 for more
information).
• If you take it for more than 3 weeks,
you will get a blue ‘steroid card’:
always keep it with you and show it to any
doctor or nurse treating you.
• Keep away from people who have
chicken pox or shingles, if you have
never had them. They could affect you
severely. If you do come into contact with
chicken pox or shingles, see your doctor
straight away.
Now read the rest of this leaflet. It includes
other important information on the safe and
effective use of this medicine that might be
especially important for you.
In this leaflet:
1. What Kenalog Injection is and what it is
used for
2. Before you are given your medicine
3. Receiving your medicine
4. Possible side effects
5. How to store your medicine
6. Further information
1. WHAT KENALOG INJECTION IS AND
WHAT IT IS USED FOR
The name of this medicine is Kenalog Injection.
Each injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog injection is for the treatment of joint
pain, swelling and stiffness in inflammatory
disorders such as rheumatoid arthritis.
It is also for the treatment of various allergic
disorders including asthma, seasonal
allergies, blood disorders, hormone
problems, rheumatic fever, and problems
associated with digestive system, kidneys,
lungs or skin.
BEFORE YOU ARE GIVEN YOUR
2.
MEDICINE
Do not receive Kenalog Injection if;
• You have had an allergic reaction to a
similar medicine or any of the ingredients
in this medicine. See Section 6. for full list
of ingredients.
• You are suffering from an infection
unless your doctor has also prescribed a
treatment for the infection.
Kenalog Injection is not recommended for
children under 6 years.
You must tell your doctor if:
• You have had any recent infection
[including tuberculosis (TB)]
• You have had recent bowel surgery
• You have, or have had a bowel disorder or
stomach ulcer
• You have an infection or inflammation of
the veins in your legs
• You have had any mental disorders or
epilepsy

• You have had any kidney, liver or thyroid
(gland in the neck) problems as the dose
of Kenalog may need to be adjusted
• You have recently suffered from any form
of cancer

You have thin or brittle bones
(osteoporosis)
• You have myasthenia gravis (a disease
which causes weak muscles)
• You have high blood pressure or heart
failure
• You or someone in your family has
glaucoma (increased pressure in your
eyes).
• You are diabetic as your insulin dose may
need to be changed
Check with your doctor first:
• If you have ever had severe
depression or manic-depression (bipolar
disorder). This includes having had
depression before while taking steroid
medicines like Kenalog IA/IM Injection.
• If any of your close family has had these
illnesses.
If either of these applies to you, talk to
a doctor before taking Kenalog IA/IM
Injection.
Steroid medicines suppress your body’s
natural immune response. Therefore, if you
come into contact with anyone who has
an infectious disease such as chickenpox,
shingles or measles, consult your doctor as
soon as possible.
While you are being treated with this
medicine (or if you have recently stopped
a course of treatment) do not have any
vaccination without consulting your doctor.
You must take care not to over-use a joint
which feels better after you receive Kenalog
injection. The joint will still need to recover
from the inflammation which caused your
symptoms.
Taking other medicines with Kenalog
Injection
Always tell your doctor about any
medicines you are taking, or have recently
taken, including those obtained without a
prescription.
This is especially important if you are taking;
– Aspirin, ibuprofen or other non-steroidal
anti-inflammatory drugs (NSAIDs) as
corticosteroids can increase the chance
of bleeding from the gut.

Any antifungals (e.g. ketoconazole,
amphotericin)
– Warfarin or other medicines to thin the
blood
– Oral contraceptive pill or hormone
replacement therapy (HRT)
– Human growth hormone
– A medicine called ciclosporin
– A medicine called rifampicin
or medicines to treat;
– High blood pressure or irregular heart
beat (e.g. digoxin)
– Myasthenia gravis (a disease which
causes weak muscles)
– Epilepsy or other sorts of fits (e.g.
phenytoin)
– tuberculosis (TB)
– diabetes
– thyroid problems
If you are taking any of these medicines, or
are not sure, please consult your doctor.
If you are due to have surgery
Before surgery and anaesthesia (even at the
dentist) you should tell the doctor or dentist
that you are being treated with Kenalog.
Pregnancy and breastfeeding
If you are pregnant, planning to become
pregnant, or if you are breast-feeding you
should make sure you discuss this with your
doctor as soon as possible before receiving
Kenalog injection.
Driving or operating machinery
This medicine does not usually affect your
ability to drive or operate machinery but it
can affect your eyesight. Tell your doctor
immediately if you have any pain in the eyes
or problems with your vision.
Steroid Treatment Card
Your doctor or pharmacist will have given
you a Steroid Treatment Card with your
prescription or medicine.
YOU SHOULD ALWAYS CARRY THIS CARD
WITH YOU as it must be shown to any of the
following persons:
before having any
Doctor or Nurse -
surgery or emergency
treatment or if any new
treatment is prescribed.
Dentist
- before having any dental
surgery
Pharmacist
- before buying any
medicine
Optician
- it is advisable to have
regular eye tests
Important information about the
ingredients of Kenalog Injection
Kenalog Injection contains 15mg/ml benzyl
alcohol which may cause harmful or allergic
reactions in infants and children. Kenalog
injection must not be given to premature or
newly born babies.

TM

PATIENT INFORMATION LEAFLET

KENALOGTM
INTRA-ARTICULAR/

INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide

Please read this leaflet carefully before
you are given your medicine. It provides
a summary of information about your
medicine. If you want to know more, or are
not sure about anything, ask your doctor
or pharmacist.
• Kenalog IA/IM Injection is a steroid
medicine, prescribed for many different
conditions, including serious illnesses.
• You need to take it regularly to get the
maximum benefit.
• Don’t stop taking this medicine without
talking to your doctor – you may need to
reduce the dose gradually.
• Kenalog IA/IM Injection can cause side
effects in some people (read section 4
below). Some problems such as mood
changes (feeling depressed or ‘high’), or
stomach problems can happen straight
away. If you feel unwell in any way, keep
taking your medicine, but see your
doctor straight away.
• Some side effects only happen after
weeks or months. These include
weakness of arms and legs, or developing
a rounder face (read section 4 for more
information).
• If you take it for more than 3 weeks,
you will get a blue ‘steroid card’:
always keep it with you and show it to any
doctor or nurse treating you.
• Keep away from people who have
chicken pox or shingles, if you have
never had them. They could affect you
severely. If you do come into contact with
chicken pox or shingles, see your doctor
straight away.
Now read the rest of this leaflet. It includes
other important information on the safe and
effective use of this medicine that might be
especially important for you.
In this leaflet:
1. What Kenalog Injection is and what it is
used for
2. Before you are given your medicine
3. Receiving your medicine
4. Possible side effects
5. How to store your medicine
6. Further information
1. WHAT KENALOG INJECTION IS AND
WHAT IT IS USED FOR
The name of this medicine is Kenalog Injection.
Each injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog injection is for the treatment of joint
pain, swelling and stiffness in inflammatory
disorders such as rheumatoid arthritis.
It is also for the treatment of various allergic
disorders including asthma, seasonal
allergies, blood disorders, hormone
problems, rheumatic fever, and problems
associated with digestive system, kidneys,
lungs or skin.
BEFORE YOU ARE GIVEN YOUR
2.
MEDICINE
Do not receive Kenalog Injection if;
• You have had an allergic reaction to a
similar medicine or any of the ingredients
in this medicine. See Section 6. for full list
of ingredients.
• You are suffering from an infection
unless your doctor has also prescribed a
treatment for the infection.
Kenalog Injection is not recommended for
children under 6 years.
You must tell your doctor if:
• You have had any recent infection
[including tuberculosis (TB)]
• You have had recent bowel surgery
• You have, or have had a bowel disorder or
stomach ulcer
• You have an infection or inflammation of
the veins in your legs
• You have had any mental disorders or
epilepsy

• You have had any kidney, liver or thyroid
(gland in the neck) problems as the dose
of Kenalog may need to be adjusted
• You have recently suffered from any form
of cancer

You have thin or brittle bones
(osteoporosis)
• You have myasthenia gravis (a disease
which causes weak muscles)
• You have high blood pressure or heart
failure
• You or someone in your family has
glaucoma (increased pressure in your
eyes).
• You are diabetic as your insulin dose may
need to be changed
Check with your doctor first:
• If you have ever had severe
depression or manic-depression (bipolar
disorder). This includes having had
depression before while taking steroid
medicines like Kenalog IA/IM Injection.
• If any of your close family has had these
illnesses.
If either of these applies to you, talk to
a doctor before taking Kenalog IA/IM
Injection.
Steroid medicines suppress your body’s
natural immune response. Therefore, if you
come into contact with anyone who has
an infectious disease such as chickenpox,
shingles or measles, consult your doctor as
soon as possible.
While you are being treated with this
medicine (or if you have recently stopped
a course of treatment) do not have any
vaccination without consulting your doctor.
You must take care not to over-use a joint
which feels better after you receive Kenalog
injection. The joint will still need to recover
from the inflammation which caused your
symptoms.
Taking other medicines with Kenalog
Injection
Always tell your doctor about any
medicines you are taking, or have recently
taken, including those obtained without a
prescription.
This is especially important if you are taking;
– Aspirin, ibuprofen or other non-steroidal
anti-inflammatory drugs (NSAIDs) as
corticosteroids can increase the chance
of bleeding from the gut.

Any antifungals (e.g. ketoconazole,
amphotericin)
– Warfarin or other medicines to thin the
blood
– Oral contraceptive pill or hormone
replacement therapy (HRT)
– Human growth hormone
– A medicine called ciclosporin
– A medicine called rifampicin
or medicines to treat;
– High blood pressure or irregular heart
beat (e.g. digoxin)
– Myasthenia gravis (a disease which
causes weak muscles)
– Epilepsy or other sorts of fits (e.g.
phenytoin)
– tuberculosis (TB)
– diabetes
– thyroid problems
If you are taking any of these medicines, or
are not sure, please consult your doctor.
If you are due to have surgery
Before surgery and anaesthesia (even at the
dentist) you should tell the doctor or dentist
that you are being treated with Kenalog.
Pregnancy and breastfeeding
If you are pregnant, planning to become
pregnant, or if you are breast-feeding you
should make sure you discuss this with your
doctor as soon as possible before receiving
Kenalog injection.
Driving or operating machinery
This medicine does not usually affect your
ability to drive or operate machinery but it
can affect your eyesight. Tell your doctor
immediately if you have any pain in the eyes
or problems with your vision.
Steroid Treatment Card
Your doctor or pharmacist will have given
you a Steroid Treatment Card with your
prescription or medicine.
YOU SHOULD ALWAYS CARRY THIS CARD
WITH YOU as it must be shown to any of the
following persons:
before having any
Doctor or Nurse -
surgery or emergency
treatment or if any new
treatment is prescribed.
Dentist
- before having any dental
surgery
Pharmacist
- before buying any
medicine
Optician
- it is advisable to have
regular eye tests
Important information about the
ingredients of Kenalog Injection
Kenalog Injection contains 15mg/ml benzyl
alcohol which may cause harmful or allergic
reactions in infants and children. Kenalog
injection must not be given to premature or
newly born babies.

3. RECEIVING YOUR MEDICINE
The effect of the injection will vary from
patient to patient and further injections may
be given to you when symptoms return and
not at regular intervals.
The usual doses are;
Use in inflammatory joint disorders:
The dose of injection into a joint or tendon
sheath depends upon the size of the joint to
be treated and the severity of the condition
which is being treated. Doses of 5-10mg
(0.125-0.25ml) for smaller joints and up to
40mg (1.0ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon (the large
tendon connecting the heel bone to the calf
muscle of the leg).
Use in allergic disorders:
The usual starting dose is 40mg (1.0ml)
injected deeply into the upper outer area of
the buttock. If you require a further injection,
this should be made into the same area on
the other buttock. Some patients with hay
fever or pollen asthma find that one injection
of 40-100mg lasts throughout the pollen
season.
Your doctor will advise you whether it is wise
for you to have further injections.
Deep intramuscular injection must be
given into the large muscles of the buttock
and not into the upper arm or the thigh.
This medicine should not be given into a
vein.
If you are receiving long-term
intramuscular treatment with Kenalog
injection your doctor may advise you to eat
more protein. This should help to reduce the
gradual loss of weight that can sometimes
occur with long-term treatment.
Treatment with steroids is usually kept as
short as possible and must not be stopped
abruptly. Joints may become permanently
damaged by repeated injections over a long
period of time.
When the treatment is stopped you may
notice flu-like symptoms, runny nose or itchy
eyes or skin.
During times of illness or stress, patients on
long-term treatment may require the addition
of oral steroid tablets, or, if they have recently
finished a course of Kenalog injections, may
need to start taking oral steroid tablets for a
while.
Mental problems while taking Kenalog
IA/ID injection
Mental health problems can happen while
taking steroids like Kenalog IA/IM Injection
(see also section 4 Possible Side Effects).
• These illnesses can be serious.
• Usually they start within a few days or
weeks of starting the medicine.
• They are more likely to happen at high
doses.
• Most of these problems go away if
the dose is lowered or the medicine is
stopped. However, if problems do happen
they might need treatment.
Talk to a doctor if you (or someone taking
this medicine), shows any signs of mental
problems. This is particularly important if you
are depressed, or might be thinking about
suicide. In a few cases, mental problems
have happened when doses are being
lowered or stopped.
4. POSSIBLE SIDE EFFECTS
As with all medicines, Kenalog injections can
cause unwanted side effects, although not
everybody gets them.
Serious cases of anaphylactic reactions ( i.e.
a serious allergic reaction ) and anaphylactic
shock including death have been reported. If
you notice any of the following, contact your
doctor immediately:
– Swelling of the face, lips or throat
– Breathing difficulties
– Skin itching, redness or a rash
As these may be signs of an allergic reaction
Tell your doctor immediately if you notice
any sticky black stools, get severe abdominal
pain or if you vomit blood
Other side effects of Kenalog injection
include:
– Increased risk of infection
– Changes in blood chemicals which can
cause fluid retention, heart failure or
irregular heart beat
– Weak or fragile bones or muscles, poor
healing of broken bones or torn muscles,
destruction of the ends of bones
– Thin skin, rashes, acnes, stretch marks,
bruising, sweating, flushing and increased
hair growth
– Mood changes, worsening of existing
mental disorders, feeling dependent
on the medicine, trouble sleeping,
headaches, fits or poor control of
epilepsy, fainting and dizziness.
– Indigestion, stomach pain, stomach
ulcers, bloating, increased appetite and
weight gain, inflammation of the pancreas
– Eye problems including glaucoma and
cataracts
– Irregular periods
– Fungal infections e.g. thrush

– Tiredness and tingling and numbness
– Pain and skin colour changes around the
injection site and temporary worsening of
the pain in the injected joint
– Occasionally, Kenalog given by deep
intramuscular injection produces dimpling
of the buttock, caused by loss of fat under
the skin.
-
Postmenopausal women may also
experience vaginal bleeding.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection can
cause serious mental health problems. These
are common in both adults and children. They
can affect about 5 in every 100 people taking
medicines like Kenalog IA/IM injection.
• Feeling depressed, including thinking
about suicide.
• Feeling high (mania) or moods that go up
and down.

Feeling anxious, having problems
sleeping, difficulty in thinking or being
confused and losing your memory.
• Feeling, seeing or hearing things which do
not exist. Having strange and frightening
thoughts, changing how you act or having
feelings of being alone.
If you notice any of these problems talk to a
doctor straight away.
Treatment with steroids can stop the body
from producing some hormones and may
slow or stop children’s growth.
If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. You can also report side effects
directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help
provide more information on the safety of
this medicine.
5. HOW TO STORE YOUR MEDICINE
Keep out of reach and sight of children
Kenalog injection will be kept in the pharmacy
until it is given to you by your doctor or nurse.
It should not be used after the expiry date
shown on the outer packaging.
It should not be stored above 25°C nor
should it be allowed to freeze.
The container should be kept in the outer
carton.
6. FURTHER INFORMATION
What Kenalog injection contains
Kenalog injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
In addition, Kenalog injection contains the
following inactive ingredients; benzyl alcohol,
polysorbate 80, carmellose sodium, sodium
chloride and water.
Kenalog IA/IM Injection belongs to a group of
medicines called steroids. Their full name is
corticosteroids. These corticosteroids occur
naturally in the body, and help to maintain
health and well-being. Boosting your body
with extra corticosteroid (such as Kenalog
IA/IM Injection) is an effective way to treat
various illnesses involving inflammation in
the body. Kenalog IA/IM Injection reduces
this inflammation, which could otherwise go
on making your condition worse. You must
take this medicine regularly to get maximum
benefit from it.
What Kenalog injection looks like and
contents of the pack
Kenalog injection is a sterile aqueous
suspension for injection and is supplied in
1.0ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road,Uxbridge,
Middlesex,
UB8 1DH
United Kingdom
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
Date of last revision: March 2014

1041174A9

3. RECEIVING YOUR MEDICINE
The effect of the injection will vary from
patient to patient and further injections may
be given to you when symptoms return and
not at regular intervals.
The usual doses are;
Use in inflammatory joint disorders:
The dose of injection into a joint or tendon
sheath depends upon the size of the joint to
be treated and the severity of the condition
which is being treated. Doses of 5-10mg
(0.125-0.25ml) for smaller joints and up to
40mg (1.0ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon (the large
tendon connecting the heel bone to the calf
muscle of the leg).
Use in allergic disorders:
The usual starting dose is 40mg (1.0ml)
injected deeply into the upper outer area of
the buttock. If you require a further injection,
this should be made into the same area on
the other buttock. Some patients with hay
fever or pollen asthma find that one injection
of 40-100mg lasts throughout the pollen
season.
Your doctor will advise you whether it is wise
for you to have further injections.
Deep intramuscular injection must be
given into the large muscles of the buttock
and not into the upper arm or the thigh.
This medicine should not be given into a
vein.
If you are receiving long-term
intramuscular treatment with Kenalog
injection your doctor may advise you to eat
more protein. This should help to reduce the
gradual loss of weight that can sometimes
occur with long-term treatment.
Treatment with steroids is usually kept as
short as possible and must not be stopped
abruptly. Joints may become permanently
damaged by repeated injections over a long
period of time.
When the treatment is stopped you may
notice flu-like symptoms, runny nose or itchy
eyes or skin.
During times of illness or stress, patients on
long-term treatment may require the addition
of oral steroid tablets, or, if they have recently
finished a course of Kenalog injections, may
need to start taking oral steroid tablets for a
while.
Mental problems while taking Kenalog
IA/ID injection
Mental health problems can happen while
taking steroids like Kenalog IA/IM Injection
(see also section 4 Possible Side Effects).
• These illnesses can be serious.
• Usually they start within a few days or
weeks of starting the medicine.
• They are more likely to happen at high
doses.
• Most of these problems go away if
the dose is lowered or the medicine is
stopped. However, if problems do happen
they might need treatment.
Talk to a doctor if you (or someone taking
this medicine), shows any signs of mental
problems. This is particularly important if you
are depressed, or might be thinking about
suicide. In a few cases, mental problems
have happened when doses are being
lowered or stopped.
4. POSSIBLE SIDE EFFECTS
As with all medicines, Kenalog injections can
cause unwanted side effects, although not
everybody gets them.
Serious cases of anaphylactic reactions ( i.e.
a serious allergic reaction ) and anaphylactic
shock including death have been reported. If
you notice any of the following, contact your
doctor immediately:
– Swelling of the face, lips or throat
– Breathing difficulties
– Skin itching, redness or a rash
As these may be signs of an allergic reaction
Tell your doctor immediately if you notice
any sticky black stools, get severe abdominal
pain or if you vomit blood
Other side effects of Kenalog injection
include:
– Increased risk of infection
– Changes in blood chemicals which can
cause fluid retention, heart failure or
irregular heart beat
– Weak or fragile bones or muscles, poor
healing of broken bones or torn muscles,
destruction of the ends of bones
– Thin skin, rashes, acnes, stretch marks,
bruising, sweating, flushing and increased
hair growth
– Mood changes, worsening of existing
mental disorders, feeling dependent
on the medicine, trouble sleeping,
headaches, fits or poor control of
epilepsy, fainting and dizziness.
– Indigestion, stomach pain, stomach
ulcers, bloating, increased appetite and
weight gain, inflammation of the pancreas
– Eye problems including glaucoma and
cataracts
– Irregular periods
– Fungal infections e.g. thrush

– Tiredness and tingling and numbness
– Pain and skin colour changes around the
injection site and temporary worsening of
the pain in the injected joint
– Occasionally, Kenalog given by deep
intramuscular injection produces dimpling
of the buttock, caused by loss of fat under
the skin.
-
Postmenopausal women may also
experience vaginal bleeding.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection can
cause serious mental health problems. These
are common in both adults and children. They
can affect about 5 in every 100 people taking
medicines like Kenalog IA/IM injection.
• Feeling depressed, including thinking
about suicide.
• Feeling high (mania) or moods that go up
and down.

Feeling anxious, having problems
sleeping, difficulty in thinking or being
confused and losing your memory.
• Feeling, seeing or hearing things which do
not exist. Having strange and frightening
thoughts, changing how you act or having
feelings of being alone.
If you notice any of these problems talk to a
doctor straight away.
Treatment with steroids can stop the body
from producing some hormones and may
slow or stop children’s growth.
If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. You can also report side effects
directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help
provide more information on the safety of
this medicine.
5. HOW TO STORE YOUR MEDICINE
Keep out of reach and sight of children
Kenalog injection will be kept in the pharmacy
until it is given to you by your doctor or nurse.
It should not be used after the expiry date
shown on the outer packaging.
It should not be stored above 25°C nor
should it be allowed to freeze.
The container should be kept in the outer
carton.
6. FURTHER INFORMATION
What Kenalog injection contains
Kenalog injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
In addition, Kenalog injection contains the
following inactive ingredients; benzyl alcohol,
polysorbate 80, carmellose sodium, sodium
chloride and water.
Kenalog IA/IM Injection belongs to a group of
medicines called steroids. Their full name is
corticosteroids. These corticosteroids occur
naturally in the body, and help to maintain
health and well-being. Boosting your body
with extra corticosteroid (such as Kenalog
IA/IM Injection) is an effective way to treat
various illnesses involving inflammation in
the body. Kenalog IA/IM Injection reduces
this inflammation, which could otherwise go
on making your condition worse. You must
take this medicine regularly to get maximum
benefit from it.
What Kenalog injection looks like and
contents of the pack
Kenalog injection is a sterile aqueous
suspension for injection and is supplied in
1.0ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road,Uxbridge,
Middlesex,
UB8 1DH
United Kingdom
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
Date of last revision: March 2014

1041174A9

3. RECEIVING YOUR MEDICINE
The effect of the injection will vary from
patient to patient and further injections may
be given to you when symptoms return and
not at regular intervals.
The usual doses are;
Use in inflammatory joint disorders:
The dose of injection into a joint or tendon
sheath depends upon the size of the joint to
be treated and the severity of the condition
which is being treated. Doses of 5-10mg
(0.125-0.25ml) for smaller joints and up to
40mg (1.0ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon (the large
tendon connecting the heel bone to the calf
muscle of the leg).
Use in allergic disorders:
The usual starting dose is 40mg (1.0ml)
injected deeply into the upper outer area of
the buttock. If you require a further injection,
this should be made into the same area on
the other buttock. Some patients with hay
fever or pollen asthma find that one injection
of 40-100mg lasts throughout the pollen
season.
Your doctor will advise you whether it is wise
for you to have further injections.
Deep intramuscular injection must be
given into the large muscles of the buttock
and not into the upper arm or the thigh.
This medicine should not be given into a
vein.
If you are receiving long-term
intramuscular treatment with Kenalog
injection your doctor may advise you to eat
more protein. This should help to reduce the
gradual loss of weight that can sometimes
occur with long-term treatment.
Treatment with steroids is usually kept as
short as possible and must not be stopped
abruptly. Joints may become permanently
damaged by repeated injections over a long
period of time.
When the treatment is stopped you may
notice flu-like symptoms, runny nose or itchy
eyes or skin.
During times of illness or stress, patients on
long-term treatment may require the addition
of oral steroid tablets, or, if they have recently
finished a course of Kenalog injections, may
need to start taking oral steroid tablets for a
while.
Mental problems while taking Kenalog
IA/ID injection
Mental health problems can happen while
taking steroids like Kenalog IA/IM Injection
(see also section 4 Possible Side Effects).
• These illnesses can be serious.
• Usually they start within a few days or
weeks of starting the medicine.
• They are more likely to happen at high
doses.
• Most of these problems go away if
the dose is lowered or the medicine is
stopped. However, if problems do happen
they might need treatment.
Talk to a doctor if you (or someone taking
this medicine), shows any signs of mental
problems. This is particularly important if you
are depressed, or might be thinking about
suicide. In a few cases, mental problems
have happened when doses are being
lowered or stopped.
4. POSSIBLE SIDE EFFECTS
As with all medicines, Kenalog injections can
cause unwanted side effects, although not
everybody gets them.
Serious cases of anaphylactic reactions ( i.e.
a serious allergic reaction ) and anaphylactic
shock including death have been reported. If
you notice any of the following, contact your
doctor immediately:
– Swelling of the face, lips or throat
– Breathing difficulties
– Skin itching, redness or a rash
As these may be signs of an allergic reaction
Tell your doctor immediately if you notice
any sticky black stools, get severe abdominal
pain or if you vomit blood
Other side effects of Kenalog injection
include:
– Increased risk of infection
– Changes in blood chemicals which can
cause fluid retention, heart failure or
irregular heart beat
– Weak or fragile bones or muscles, poor
healing of broken bones or torn muscles,
destruction of the ends of bones
– Thin skin, rashes, acnes, stretch marks,
bruising, sweating, flushing and increased
hair growth
– Mood changes, worsening of existing
mental disorders, feeling dependent
on the medicine, trouble sleeping,
headaches, fits or poor control of
epilepsy, fainting and dizziness.
– Indigestion, stomach pain, stomach
ulcers, bloating, increased appetite and
weight gain, inflammation of the pancreas
– Eye problems including glaucoma and
cataracts
– Irregular periods
– Fungal infections e.g. thrush

VOLTA / BACK
VOLTA BACK

– Tiredness and tingling and numbness
– Pain and skin colour changes around the
injection site and temporary worsening of
the pain in the injected joint
– Occasionally, Kenalog given by deep
intramuscular injection produces dimpling
of the buttock, caused by loss of fat under
the skin.
-
Postmenopausal women may also
experience vaginal bleeding.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection can
cause serious mental health problems. These
are common in both adults and children. They
can affect about 5 in every 100 people taking
medicines like Kenalog IA/IM injection.
• Feeling depressed, including thinking
about suicide.
• Feeling high (mania) or moods that go up
and down.

Feeling anxious, having problems
sleeping, difficulty in thinking or being
confused and losing your memory.
• Feeling, seeing or hearing things which do
not exist. Having strange and frightening
thoughts, changing how you act or having
feelings of being alone.
If you notice any of these problems talk to a
doctor straight away.
Treatment with steroids can stop the body
from producing some hormones and may
slow or stop children’s growth.
If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. You can also report side effects
directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help
provide more information on the safety of
this medicine.
5. HOW TO STORE YOUR MEDICINE
Keep out of reach and sight of children
Kenalog injection will be kept in the pharmacy
until it is given to you by your doctor or nurse.
It should not be used after the expiry date
shown on the outer packaging.
It should not be stored above 25°C nor
should it be allowed to freeze.
The container should be kept in the outer
carton.
6. FURTHER INFORMATION
What Kenalog injection contains
Kenalog injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
In addition, Kenalog injection contains the
following inactive ingredients; benzyl alcohol,
polysorbate 80, carmellose sodium, sodium
chloride and water.
Kenalog IA/IM Injection belongs to a group of
medicines called steroids. Their full name is
corticosteroids. These corticosteroids occur
naturally in the body, and help to maintain
health and well-being. Boosting your body
with extra corticosteroid (such as Kenalog
IA/IM Injection) is an effective way to treat
various illnesses involving inflammation in
the body. Kenalog IA/IM Injection reduces
this inflammation, which could otherwise go
on making your condition worse. You must
take this medicine regularly to get maximum
benefit from it.
What Kenalog injection looks like and
contents of the pack
Kenalog injection is a sterile aqueous
suspension for injection and is supplied in
1.0ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road,Uxbridge,
Middlesex,
UB8 1DH
United Kingdom
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
Date of last revision: March 2014

1041174A9

3. RECEIVING YOUR MEDICINE
The effect of the injection will vary from
patient to patient and further injections may
be given to you when symptoms return and
not at regular intervals.
The usual doses are;
Use in inflammatory joint disorders:
The dose of injection into a joint or tendon
sheath depends upon the size of the joint to
be treated and the severity of the condition
which is being treated. Doses of 5-10mg
(0.125-0.25ml) for smaller joints and up to
40mg (1.0ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon (the large
tendon connecting the heel bone to the calf
muscle of the leg).
Use in allergic disorders:
The usual starting dose is 40mg (1.0ml)
injected deeply into the upper outer area of
the buttock. If you require a further injection,
this should be made into the same area on
the other buttock. Some patients with hay
fever or pollen asthma find that one injection
of 40-100mg lasts throughout the pollen
season.
Your doctor will advise you whether it is wise
for you to have further injections.
Deep intramuscular injection must be
given into the large muscles of the buttock
and not into the upper arm or the thigh.
This medicine should not be given into a
vein.
If you are receiving long-term
intramuscular treatment with Kenalog
injection your doctor may advise you to eat
more protein. This should help to reduce the
gradual loss of weight that can sometimes
occur with long-term treatment.
Treatment with steroids is usually kept as
short as possible and must not be stopped
abruptly. Joints may become permanently
damaged by repeated injections over a long
period of time.
When the treatment is stopped you may
notice flu-like symptoms, runny nose or itchy
eyes or skin.
During times of illness or stress, patients on
long-term treatment may require the addition
of oral steroid tablets, or, if they have recently
finished a course of Kenalog injections, may
need to start taking oral steroid tablets for a
while.
Mental problems while taking Kenalog
IA/ID injection
Mental health problems can happen while
taking steroids like Kenalog IA/IM Injection
(see also section 4 Possible Side Effects).
• These illnesses can be serious.
• Usually they start within a few days or
weeks of starting the medicine.
• They are more likely to happen at high
doses.
• Most of these problems go away if
the dose is lowered or the medicine is
stopped. However, if problems do happen
they might need treatment.
Talk to a doctor if you (or someone taking
this medicine), shows any signs of mental
problems. This is particularly important if you
are depressed, or might be thinking about
suicide. In a few cases, mental problems
have happened when doses are being
lowered or stopped.
4. POSSIBLE SIDE EFFECTS
As with all medicines, Kenalog injections can
cause unwanted side effects, although not
everybody gets them.
Serious cases of anaphylactic reactions ( i.e.
a serious allergic reaction ) and anaphylactic
shock including death have been reported. If
you notice any of the following, contact your
doctor immediately:
– Swelling of the face, lips or throat
– Breathing difficulties
– Skin itching, redness or a rash
As these may be signs of an allergic reaction
Tell your doctor immediately if you notice
any sticky black stools, get severe abdominal
pain or if you vomit blood
Other side effects of Kenalog injection
include:
– Increased risk of infection
– Changes in blood chemicals which can
cause fluid retention, heart failure or
irregular heart beat
– Weak or fragile bones or muscles, poor
healing of broken bones or torn muscles,
destruction of the ends of bones
– Thin skin, rashes, acnes, stretch marks,
bruising, sweating, flushing and increased
hair growth
– Mood changes, worsening of existing
mental disorders, feeling dependent
on the medicine, trouble sleeping,
headaches, fits or poor control of
epilepsy, fainting and dizziness.
– Indigestion, stomach pain, stomach
ulcers, bloating, increased appetite and
weight gain, inflammation of the pancreas
– Eye problems including glaucoma and
cataracts
– Irregular periods
– Fungal infections e.g. thrush

– Tiredness and tingling and numbness
– Pain and skin colour changes around the
injection site and temporary worsening of
the pain in the injected joint
– Occasionally, Kenalog given by deep
intramuscular injection produces dimpling
of the buttock, caused by loss of fat under
the skin.
-
Postmenopausal women may also
experience vaginal bleeding.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection can
cause serious mental health problems. These
are common in both adults and children. They
can affect about 5 in every 100 people taking
medicines like Kenalog IA/IM injection.
• Feeling depressed, including thinking
about suicide.
• Feeling high (mania) or moods that go up
and down.

Feeling anxious, having problems
sleeping, difficulty in thinking or being
confused and losing your memory.
• Feeling, seeing or hearing things which do
not exist. Having strange and frightening
thoughts, changing how you act or having
feelings of being alone.
If you notice any of these problems talk to a
doctor straight away.
Treatment with steroids can stop the body
from producing some hormones and may
slow or stop children’s growth.
If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. You can also report side effects
directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help
provide more information on the safety of
this medicine.
5. HOW TO STORE YOUR MEDICINE
Keep out of reach and sight of children
Kenalog injection will be kept in the pharmacy
until it is given to you by your doctor or nurse.
It should not be used after the expiry date
shown on the outer packaging.
It should not be stored above 25°C nor
should it be allowed to freeze.
The container should be kept in the outer
carton.
6. FURTHER INFORMATION
What Kenalog injection contains
Kenalog injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
In addition, Kenalog injection contains the
following inactive ingredients; benzyl alcohol,
polysorbate 80, carmellose sodium, sodium
chloride and water.
Kenalog IA/IM Injection belongs to a group of
medicines called steroids. Their full name is
corticosteroids. These corticosteroids occur
naturally in the body, and help to maintain
health and well-being. Boosting your body
with extra corticosteroid (such as Kenalog
IA/IM Injection) is an effective way to treat
various illnesses involving inflammation in
the body. Kenalog IA/IM Injection reduces
this inflammation, which could otherwise go
on making your condition worse. You must
take this medicine regularly to get maximum
benefit from it.
What Kenalog injection looks like and
contents of the pack
Kenalog injection is a sterile aqueous
suspension for injection and is supplied in
1.0ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road,Uxbridge,
Middlesex,
UB8 1DH
United Kingdom
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
Date of last revision: March 2014

1041174A9

3. RECEIVING YOUR MEDICINE
The effect of the injection will vary from
patient to patient and further injections may
be given to you when symptoms return and
not at regular intervals.
The usual doses are;
Use in inflammatory joint disorders:
The dose of injection into a joint or tendon
sheath depends upon the size of the joint to
be treated and the severity of the condition
which is being treated. Doses of 5-10mg
(0.125-0.25ml) for smaller joints and up to
40mg (1.0ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon (the large
tendon connecting the heel bone to the calf
muscle of the leg).
Use in allergic disorders:
The usual starting dose is 40mg (1.0ml)
injected deeply into the upper outer area of
the buttock. If you require a further injection,
this should be made into the same area on
the other buttock. Some patients with hay
fever or pollen asthma find that one injection
of 40-100mg lasts throughout the pollen
season.
Your doctor will advise you whether it is wise
for you to have further injections.
Deep intramuscular injection must be
given into the large muscles of the buttock
and not into the upper arm or the thigh.
This medicine should not be given into a
vein.
If you are receiving long-term
intramuscular treatment with Kenalog
injection your doctor may advise you to eat
more protein. This should help to reduce the
gradual loss of weight that can sometimes
occur with long-term treatment.
Treatment with steroids is usually kept as
short as possible and must not be stopped
abruptly. Joints may become permanently
damaged by repeated injections over a long
period of time.
When the treatment is stopped you may
notice flu-like symptoms, runny nose or itchy
eyes or skin.
During times of illness or stress, patients on
long-term treatment may require the addition
of oral steroid tablets, or, if they have recently
finished a course of Kenalog injections, may
need to start taking oral steroid tablets for a
while.
Mental problems while taking Kenalog
IA/ID injection
Mental health problems can happen while
taking steroids like Kenalog IA/IM Injection
(see also section 4 Possible Side Effects).
• These illnesses can be serious.
• Usually they start within a few days or
weeks of starting the medicine.
• They are more likely to happen at high
doses.
• Most of these problems go away if
the dose is lowered or the medicine is
stopped. However, if problems do happen
they might need treatment.
Talk to a doctor if you (or someone taking
this medicine), shows any signs of mental
problems. This is particularly important if you
are depressed, or might be thinking about
suicide. In a few cases, mental problems
have happened when doses are being
lowered or stopped.
4. POSSIBLE SIDE EFFECTS
As with all medicines, Kenalog injections can
cause unwanted side effects, although not
everybody gets them.
Serious cases of anaphylactic reactions ( i.e.
a serious allergic reaction ) and anaphylactic
shock including death have been reported. If
you notice any of the following, contact your
doctor immediately:
– Swelling of the face, lips or throat
– Breathing difficulties
– Skin itching, redness or a rash
As these may be signs of an allergic reaction
Tell your doctor immediately if you notice
any sticky black stools, get severe abdominal
pain or if you vomit blood
Other side effects of Kenalog injection
include:
– Increased risk of infection
– Changes in blood chemicals which can
cause fluid retention, heart failure or
irregular heart beat
– Weak or fragile bones or muscles, poor
healing of broken bones or torn muscles,
destruction of the ends of bones
– Thin skin, rashes, acnes, stretch marks,
bruising, sweating, flushing and increased
hair growth
– Mood changes, worsening of existing
mental disorders, feeling dependent
on the medicine, trouble sleeping,
headaches, fits or poor control of
epilepsy, fainting and dizziness.
– Indigestion, stomach pain, stomach
ulcers, bloating, increased appetite and
weight gain, inflammation of the pancreas
– Eye problems including glaucoma and
cataracts
– Irregular periods
– Fungal infections e.g. thrush

– Tiredness and tingling and numbness
– Pain and skin colour changes around the
injection site and temporary worsening of
the pain in the injected joint
– Occasionally, Kenalog given by deep
intramuscular injection produces dimpling
of the buttock, caused by loss of fat under
the skin.
-
Postmenopausal women may also
experience vaginal bleeding.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection can
cause serious mental health problems. These
are common in both adults and children. They
can affect about 5 in every 100 people taking
medicines like Kenalog IA/IM injection.
• Feeling depressed, including thinking
about suicide.
• Feeling high (mania) or moods that go up
and down.

Feeling anxious, having problems
sleeping, difficulty in thinking or being
confused and losing your memory.
• Feeling, seeing or hearing things which do
not exist. Having strange and frightening
thoughts, changing how you act or having
feelings of being alone.
If you notice any of these problems talk to a
doctor straight away.
Treatment with steroids can stop the body
from producing some hormones and may
slow or stop children’s growth.
If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. You can also report side effects
directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help
provide more information on the safety of
this medicine.
5. HOW TO STORE YOUR MEDICINE
Keep out of reach and sight of children
Kenalog injection will be kept in the pharmacy
until it is given to you by your doctor or nurse.
It should not be used after the expiry date
shown on the outer packaging.
It should not be stored above 25°C nor
should it be allowed to freeze.
The container should be kept in the outer
carton.
6. FURTHER INFORMATION
What Kenalog injection contains
Kenalog injection contains triamcinolone
acetonide 40mg/ml as the active ingredient.
In addition, Kenalog injection contains the
following inactive ingredients; benzyl alcohol,
polysorbate 80, carmellose sodium, sodium
chloride and water.
Kenalog IA/IM Injection belongs to a group of
medicines called steroids. Their full name is
corticosteroids. These corticosteroids occur
naturally in the body, and help to maintain
health and well-being. Boosting your body
with extra corticosteroid (such as Kenalog
IA/IM Injection) is an effective way to treat
various illnesses involving inflammation in
the body. Kenalog IA/IM Injection reduces
this inflammation, which could otherwise go
on making your condition worse. You must
take this medicine regularly to get maximum
benefit from it.
What Kenalog injection looks like and
contents of the pack
Kenalog injection is a sterile aqueous
suspension for injection and is supplied in
1.0ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road,Uxbridge,
Middlesex,
UB8 1DH
United Kingdom
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
Date of last revision: March 2014

1041174A9

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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