Zilretta Side Effects

Generic name: triamcinolone

Medically reviewed by Drugs.com. Last updated on May 15, 2024.

Note: This document provides detailed information about Zilretta Side Effects associated with triamcinolone. Some dosage forms listed on this page may not apply specifically to the brand name Zilretta.

Applies to triamcinolone: injection powder for suspension extended release, injection suspension.

Serious side effects of Zilretta

Along with its needed effects, triamcinolone (the active ingredient contained in Zilretta) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

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

Other side effects of Zilretta

Some side effects of triamcinolone may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

For healthcare professionals

Applies to triamcinolone: compounding powder, inhalation aerosol, inhalation aerosol with adapter, injectable kit, injectable suspension, intra-articular powder for injection extended release, intra-articular suspension, oral tablet.

General adverse events

The most commonly occurring adverse effects following local administration have included injection site reaction, headache, and arthralgia. Since systemic absorption may occasionally occur with intra-articular or other local administration, patients may experience adverse effects associated with corticosteroid therapy.^[Ref]

Local

• Common (1% to 10%): Injection site reaction
• Uncommon (0.1% to 1%): Injection site abscess (sterile), injection site irritation, injection site discomfort

Corticosteroids:

• Frequency not reported: Post injection flare, brief increased in joint discomfort, excess dosage or too-frequent administration into same site resulting in local subcutaneous atrophy (may return to normal after several months)

Hypersensitivity

• Uncommon (0.1% to 1%): Anaphylactoid reaction, anaphylactic reaction, anaphylactoid shock

Dermatologic

• Common (1% to 10%): Contusions
• Uncommon (0.1% to 1%): Urticaria, rash, skin hyperpigmentation, skin hypopigmentation, skin atrophy, skin fragility, petechiae, ecchymosis, erythema, hyperhidrosis, purpura, skin striae, hirsutism, dermatitis acneiform, cutaneous lupus erythematosus, angioedema, pruritus

Corticosteroids:

• Frequency not reported: Acne, allergic dermatitis, cutaneous and subcutaneous atrophy, dry scaly skin, ecchymoses and petechiae, edema, erythema, hyperpigmentation, impaired wound healing, increased sweating, lupus erythematosus-like lesions, purpura, rash, sterile abscess, striae, suppressed reactions to skin tests, thin fragile skin, thinning scalp hair, urticaria^[Ref]

Musculoskeletal

• Common (1% to 10%): Arthralgia, joint swelling
• Uncommon (0.1% to 1%): Osteoporosis, osteonecrosis, pathological fracture, fracture delayed union, musculoskeletal discomfort, muscular weakness, myopathy, muscle atrophy, growth retardation, neuropathic arthropathy, myalgia, synovitis
• Frequency not reported: Loss of muscle mass, aseptic necrosis of the heads of the humerous and femur, spontaneous fractures, Charcot-like arthropathy^[Ref]

Nervous system

• Common (1% to 10%): Headache
• Uncommon (0.1% to 1%): Convulsion, epilepsy, syncope, benign intracranial hypertension, neuritis, paresthesia, intracranial pressure increased, dizziness

Corticosteroids:

• Frequency not reported: Serious neurologic events (with epidural administration)^[Ref]

Psychiatric

• Uncommon (0.1% to 1%): Psychiatric symptom, depression, euphoric mood, mood swings, psychotic disorder, personality change, insomnia, drug dependence, mental disorder, irritability, suicidal ideation, anxiety, cognitive disorder

Gastrointestinal

• Uncommon (0.1% to 1%): Peptic ulcer, peptic ulcer perforation, peptic ulcer hemorrhage, pancreatitis, abdominal distension, esophagitis ulcerative, dyspepsia

Corticosteroids:

• Frequency not reported: Abdominal distention, nausea^[Ref]

Endocrine

• Uncommon (0.1% to 1%): Cushingoid, adrenal suppression, secondary adrenocortical insufficiency, hypopituitarism
• Frequency not reported: Hirsutism

Corticosteroids:

• Frequency not reported: HPA suppression, hypertrichosis^[Ref]

Ocular

• Uncommon (0.1% to 1%): Viral eye infection, fungal eye infection, conjunctivitis, blindness, cataract, glaucoma, exophthalmos, corneal perforation, papilledema
• Rare (less than 0.1%): Blindness associated with intralesional therapy around the face and head^[Ref]

Corticosteroids;

Metabolic

• Uncommon (0.1% to 1%): Sodium retention, fluid retention, alkalosis hypokalemic, hyperglycemia, out of range diabetes mellitus control, calcium deficiency, increased appetite
• Frequency not reported: Decreased carbohydrate tolerance, manifestation of diabetes mellitus

Corticosteroids:

• Frequency not reported: Weight gain^[Ref]

Other

• Uncommon (0.1% to 1%): Vertigo, fatigue, hyperthermia

Corticosteroids:

• Frequency not reported: Malaise

Immunologic

• Common (1% to 10%): Infection
• Uncommon (0.1% to 1%): Tuberculosis, Candida infection, impaired healing
• Frequency not reported: Infection (masked)

Cardiovascular

• Uncommon (0.1% to 1%): Cardiac failure (congestive), arrhythmia, hypertension, embolism, thrombophlebitis, vasculitis necrotizing, hypotension, flushing

Corticosteroids:

• Frequency not reported: Bradycardia, cardiac arrest, cardiac arrhythmias, cardiac enlargement, circulatory collapse, congestive heart failure, hypertension, fat embolism, hypertrophic cardiomyopathy in premature infants, myocardial rupture following recent myocardial infarction, pulmonary edema, syncope, tachycardia, thromboembolism, thrombophlebitis, vasculitis, necrotising angiitis, ECG changes due to potassium deficiency^[Ref]

Genitourinary

• Uncommon (0.1% to 1%): Glycosuria, menstrual irregularities, amenorrhea and postmenopausal vaginal bleeding

Corticosteroids:

• Frequency not reported: Increased or decreased motility and number of spermatozoa

Oncologic

Corticosteroids:

• Frequency not reported: Kaposi's sarcoma

Respiratory

• Common (1% to 10%): Sinusitis, cough
• Uncommon (0.1% to 1%): Rhinitis

Corticosteroids:

• Frequency not reported: Hiccups

Frequently asked questions

• How is Zilretta administered?
• Where should you not use triamcinolone acetonide cream?
• Is triamcinolone acetonide an antifungal cream?
• Is triamcinolone good for poison ivy?
• Clobetasol vs. triamcinolone - how do they compare?
• What are steroid injections (cortisone shots)?
• Halobetasol vs triamcinolone: which is better?
• What causes Plaque Psoriasis?
• Can triamcinolone acetonide B be used to treat severe diaper rash on a little girl?

Further information

Zilretta side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.

Medical Disclaimer