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KENALOG INTRA-ARTICULAR/INTRAMUSCULAR INJECTION 40MG/ML

Active substance(s): TRIAMCINOLONE ACETONIDE

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TM

PATIENT INFORMATION LEAFLET

KENALOG

TM

INTRA-ARTICULAR/
INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide
Read all of this leaflet carefully before
you start using this medicine because it
contains important information for you.
- Keep this leaflet. You may need to read it
again.
- If you have any further questions, ask your
doctor or pharmacist.
- If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. See section 4.
% 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 tablets, 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.
What is in this leaflet
1. What Kenalog IA/IM Injection is and what
it is used for
2. What you need to know before you are
given Kenalog IA/IM Injection
3. Receiving Kenalog IA/IM Injection
4. Possible side effects
5. How to store Kenalog IA/IM Injection
6. Content of the pack and other information
1. WHAT KENALOG IA/IM INJECTION IS
AND WHAT IT IS USED FOR
The name of this medicine is Kenalog IA/IM
Injection. Each injection contains triamcinolone
acetonide 40 mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog IA/IM 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.
2. WHAT YOU NEED TO KNOW BEFORE
YOU ARE GIVEN KENALOG IA/IM
INJECTION
Do not receive Kenalog IA/IM 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 IA/IM 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 health 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.
Caution is advised in taking triamcinolone
acetonide (Kenalog IA/IM Injection) and
medicines to control HIV (anti-retrovirals)
or fungal infections (anti-fungals) because
you could experience more adverse effects.
Refer to list of medicines mentioned in
“Taking other medicines with 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 IA/IM injection. The joint will still
need to recover from the inflammation which
caused your symptoms.
Taking other medicines with Kenalog IA/IM
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.
- Anti-retroviral inhibitors and anti-fungals:
Caution is advised in co-administration
of ritonavir, atazanavir, clarithromycin,
indinavir, itraconazole, nefazodone,
nelfinavir, saquinavir, ketoconazole, and
telithromycin with triamcinolone because
increased adverse effects may occur,
resulting in systemic corticosteroid
effects including Cushing’s syndrome and
adrenal suppression
- 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 IA/IM
injection.
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 IA/IM injection.
Driving and using machines
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:
Doctor or Nurse - before having any
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

TM

PATIENT INFORMATION LEAFLET

KENALOG

TM

INTRA-ARTICULAR/
INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide
Read all of this leaflet carefully before
you start using this medicine because it
contains important information for you.
- Keep this leaflet. You may need to read it
again.
- If you have any further questions, ask your
doctor or pharmacist.
- If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. See section 4.
% 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 tablets, 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.
What is in this leaflet
1. What Kenalog IA/IM Injection is and what
it is used for
2. What you need to know before you are
given Kenalog IA/IM Injection
3. Receiving Kenalog IA/IM Injection
4. Possible side effects
5. How to store Kenalog IA/IM Injection
6. Content of the pack and other information
1. WHAT KENALOG IA/IM INJECTION IS
AND WHAT IT IS USED FOR
The name of this medicine is Kenalog IA/IM
Injection. Each injection contains triamcinolone
acetonide 40 mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog IA/IM 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.
2. WHAT YOU NEED TO KNOW BEFORE
YOU ARE GIVEN KENALOG IA/IM
INJECTION
Do not receive Kenalog IA/IM 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 IA/IM 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 health 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.
Caution is advised in taking triamcinolone
acetonide (Kenalog IA/IM Injection) and
medicines to control HIV (anti-retrovirals)
or fungal infections (anti-fungals) because
you could experience more adverse effects.
Refer to list of medicines mentioned in
“Taking other medicines with 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 IA/IM injection. The joint will still
need to recover from the inflammation which
caused your symptoms.
Taking other medicines with Kenalog IA/IM
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.
- Anti-retroviral inhibitors and anti-fungals:
Caution is advised in co-administration
of ritonavir, atazanavir, clarithromycin,
indinavir, itraconazole, nefazodone,
nelfinavir, saquinavir, ketoconazole, and
telithromycin with triamcinolone because
increased adverse effects may occur,
resulting in systemic corticosteroid
effects including Cushing’s syndrome and
adrenal suppression
- 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 IA/IM
injection.
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 IA/IM injection.
Driving and using machines
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:
Doctor or Nurse - before having any
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

TM

PATIENT INFORMATION LEAFLET

KENALOG

TM

INTRA-ARTICULAR/
INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide
Read all of this leaflet carefully before
you start using this medicine because it
contains important information for you.
- Keep this leaflet. You may need to read it
again.
- If you have any further questions, ask your
doctor or pharmacist.
- If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. See section 4.
% 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 tablets, 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.
What is in this leaflet
1. What Kenalog IA/IM Injection is and what
it is used for
2. What you need to know before you are
given Kenalog IA/IM Injection
3. Receiving Kenalog IA/IM Injection
4. Possible side effects
5. How to store Kenalog IA/IM Injection
6. Content of the pack and other information
1. WHAT KENALOG IA/IM INJECTION IS
AND WHAT IT IS USED FOR
The name of this medicine is Kenalog IA/IM
Injection. Each injection contains triamcinolone
acetonide 40 mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog IA/IM 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.
2. WHAT YOU NEED TO KNOW BEFORE
YOU ARE GIVEN KENALOG IA/IM
INJECTION
Do not receive Kenalog IA/IM 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 IA/IM 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 health 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.
Caution is advised in taking triamcinolone
acetonide (Kenalog IA/IM Injection) and
medicines to control HIV (anti-retrovirals)
or fungal infections (anti-fungals) because
you could experience more adverse effects.
Refer to list of medicines mentioned in
“Taking other medicines with 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 IA/IM injection. The joint will still
need to recover from the inflammation which
caused your symptoms.
Taking other medicines with Kenalog IA/IM
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.
- Anti-retroviral inhibitors and anti-fungals:
Caution is advised in co-administration
of ritonavir, atazanavir, clarithromycin,
indinavir, itraconazole, nefazodone,
nelfinavir, saquinavir, ketoconazole, and
telithromycin with triamcinolone because
increased adverse effects may occur,
resulting in systemic corticosteroid
effects including Cushing’s syndrome and
adrenal suppression
- 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 IA/IM
injection.
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 IA/IM injection.
Driving and using machines
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:
Doctor or Nurse - before having any
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

TM

PATIENT INFORMATION LEAFLET

KENALOG

TM

INTRA-ARTICULAR/
INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide
Read all of this leaflet carefully before
you start using this medicine because it
contains important information for you.
- Keep this leaflet. You may need to read it
again.
- If you have any further questions, ask your
doctor or pharmacist.
- If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. See section 4.
% 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 tablets, 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.
What is in this leaflet
1. What Kenalog IA/IM Injection is and what
it is used for
2. What you need to know before you are
given Kenalog IA/IM Injection
3. Receiving Kenalog IA/IM Injection
4. Possible side effects
5. How to store Kenalog IA/IM Injection
6. Content of the pack and other information
1. WHAT KENALOG IA/IM INJECTION IS
AND WHAT IT IS USED FOR
The name of this medicine is Kenalog IA/IM
Injection. Each injection contains triamcinolone
acetonide 40 mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog IA/IM 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.
2. WHAT YOU NEED TO KNOW BEFORE
YOU ARE GIVEN KENALOG IA/IM
INJECTION
Do not receive Kenalog IA/IM 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 IA/IM 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 health 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.
Caution is advised in taking triamcinolone
acetonide (Kenalog IA/IM Injection) and
medicines to control HIV (anti-retrovirals)
or fungal infections (anti-fungals) because
you could experience more adverse effects.
Refer to list of medicines mentioned in
“Taking other medicines with 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 IA/IM injection. The joint will still
need to recover from the inflammation which
caused your symptoms.
Taking other medicines with Kenalog IA/IM
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.
- Anti-retroviral inhibitors and anti-fungals:
Caution is advised in co-administration
of ritonavir, atazanavir, clarithromycin,
indinavir, itraconazole, nefazodone,
nelfinavir, saquinavir, ketoconazole, and
telithromycin with triamcinolone because
increased adverse effects may occur,
resulting in systemic corticosteroid
effects including Cushing’s syndrome and
adrenal suppression
- 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 IA/IM
injection.
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 IA/IM injection.
Driving and using machines
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:
Doctor or Nurse - before having any
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

TM

PATIENT INFORMATION LEAFLET

KENALOGTM
INTRA-ARTICULAR/
INTRAMUSCULAR INJECTION
40 mg/ml
Triamcinolone Acetonide
Read all of this leaflet carefully before
you start using this medicine because it
contains important information for you.
- Keep this leaflet. You may need to read it
again.
- If you have any further questions, ask your
doctor or pharmacist.
- If you get any side effects, talk to your
doctor, pharmacist or nurse. This includes
any possible side effects not listed in this
leaflet. See section 4.
% 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 tablets, 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.
What is in this leaflet
1. What Kenalog IA/IM Injection is and what
it is used for
2. What you need to know before you are
given Kenalog IA/IM Injection
3. Receiving Kenalog IA/IM Injection
4. Possible side effects
5. How to store Kenalog IA/IM Injection
6. Content of the pack and other information
1. WHAT KENALOG IA/IM INJECTION IS
AND WHAT IT IS USED FOR
The name of this medicine is Kenalog IA/IM
Injection. Each injection contains triamcinolone
acetonide 40 mg/ml as the active ingredient.
Triamcinolone acetonide belongs to a group
of medicine called corticosteroids (steroids).
Kenalog IA/IM 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.
2. WHAT YOU NEED TO KNOW BEFORE
YOU ARE GIVEN KENALOG IA/IM
INJECTION
Do not receive Kenalog IA/IM 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 IA/IM 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 health 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.
Caution is advised in taking triamcinolone
acetonide (Kenalog IA/IM Injection) and
medicines to control HIV (anti-retrovirals)
or fungal infections (anti-fungals) because
you could experience more adverse effects.
Refer to list of medicines mentioned in
“Taking other medicines with 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 IA/IM injection. The joint will still
need to recover from the inflammation which
caused your symptoms.
Taking other medicines with Kenalog IA/IM
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.
- Anti-retroviral inhibitors and anti-fungals:
Caution is advised in co-administration
of ritonavir, atazanavir, clarithromycin,
indinavir, itraconazole, nefazodone,
nelfinavir, saquinavir, ketoconazole, and
telithromycin with triamcinolone because
increased adverse effects may occur,
resulting in systemic corticosteroid
effects including Cushing’s syndrome and
adrenal suppression
- 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 IA/IM
injection.
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 IA/IM injection.
Driving and using machines
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:
Doctor or Nurse - before having any
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 IA/IM Injection
Kenalog IA/IM Injection contains 15 mg/ml
benzyl alcohol which may cause harmful or
allergic reactions in infants and children.
Kenalog IA/IM Injection must not be given to
premature or newly born babies
3. RECEIVING KENALOG IA/IM INJECTION
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 5-10 mg
(0.125-0.25 ml) for smaller joints and up to
40 mg (1.0 ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon.
Use in allergic disorders:
The usual starting dose is 40 mg (1.0 ml)
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 40-100 mg 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 IA/IM 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 IA/IM injections,
may need to start taking oral steroid tablets
for a while.
Mental health problems while taking
Kenalog IA/IM 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 health
problems. This is particularly important if
you are depressed, or might be thinking
about suicide. In a few cases, mental health
problems have happened when doses are
being lowered or stopped.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause
side effects, although not everybody gets them.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection
can cause serious mental health problems.
These are uncommon in both adults and
children.
• Mood changes, mental health disorders,
feeling dependent on the medicine,
trouble sleeping, fits or epilepsy, fainting
and dizziness
• Feeling depressed, including thinking
about suicide.
• Feeling high (euphoria and mania) or
moods that go up and down.
• Feeling anxious/irritable, 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 the following side effects
talk to a doctor straight away.
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
Common: may affect up to 1 in 10 people
- Increased risk of infection
- Injection site reactions

- Headache
- Joint pain
Uncommon: may affect up to 1 in 100 people
- 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 destruction
of the ends of bones, decrease in muscle
mass, muscle or bone pain, muscular
weakness/discomfort, bone fracture
- Loss of bone tissue (osteoporosis)
- Thin/fragile skin, rashes, stretch marks,
bruising, sweating, flushing and increased
hair growth,itchy bumps, loss/darkening
of skin colour
- Indigestion, stomach pain, stomach
ulcers and perforation, bloating, increased
appetite and weight loss, inflammation
of the pancreas/oesophagus, stomach
bleeding
- Eye problems including inflammation,
glaucoma and cataracts, blindness, bulging
of the eye, damage to the cornea or white
of eye
- Infection of the nose
- Irregular periods/ postmenopausal women
may also experience vaginal bleeding
- Fungal or Viral eye infections
- Yeast infections e.g. thrush
- Tiredness and tingling, Increased pressure
in the brain
- Increased appetite
- Weight loss
- Less tolerance to carbohydrates
- Mild form of diabetes with no obvious
symptoms
- Inadequately controlled diabetes mellitus,
high blood sugar
- Pain, swelling and worsening of the pain
in the injected joint
- Impaired healing
- High body temperature
- Treatment with steroids can stop the
body from producing some hormones
and may slow or stop children’s growth.
- Hormone production by certain glands
may be increased or decreased.
- Vertigo
- High/low blood pressure
- Abnormal blood clots
- Longstanding chronic infections such as
tuberculosis could be made worse
Reporting of side effects
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 KENALOG IA/IM
INJECTION
Keep this medicine out of the sight and
reach of children.
Kenalog IA/IM 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. CONTENT OF THE PACK AND OTHER
INFORMATION
What Kenalog IA/IM injection contains
The active substance is triamcinolone
acetonide 40 mg/ml. The other ingredients are;
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 IA/IM injection looks like
and contents of the pack
Kenalog IA/IM injection is a sterile aqueous
suspension for injection and is supplied in
1.0 ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road, Uxbridge,
Middlesex,
UB8 1DH
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
This leaflet was last revised in April 2016
1041174B1

Important information about the
ingredients of Kenalog IA/IM Injection
Kenalog IA/IM Injection contains 15 mg/ml
benzyl alcohol which may cause harmful or
allergic reactions in infants and children.
Kenalog IA/IM Injection must not be given to
premature or newly born babies
3. RECEIVING KENALOG IA/IM INJECTION
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 5-10 mg
(0.125-0.25 ml) for smaller joints and up to
40 mg (1.0 ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon.
Use in allergic disorders:
The usual starting dose is 40 mg (1.0 ml)
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 40-100 mg 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 IA/IM 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 IA/IM injections,
may need to start taking oral steroid tablets
for a while.
Mental health problems while taking
Kenalog IA/IM 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 health
problems. This is particularly important if
you are depressed, or might be thinking
about suicide. In a few cases, mental health
problems have happened when doses are
being lowered or stopped.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause
side effects, although not everybody gets them.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection
can cause serious mental health problems.
These are uncommon in both adults and
children.
• Mood changes, mental health disorders,
feeling dependent on the medicine,
trouble sleeping, fits or epilepsy, fainting
and dizziness
• Feeling depressed, including thinking
about suicide.
• Feeling high (euphoria and mania) or
moods that go up and down.
• Feeling anxious/irritable, 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 the following side effects
talk to a doctor straight away.
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
Common: may affect up to 1 in 10 people
- Increased risk of infection
- Injection site reactions

- Headache
- Joint pain
Uncommon: may affect up to 1 in 100 people
- 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 destruction
of the ends of bones, decrease in muscle
mass, muscle or bone pain, muscular
weakness/discomfort, bone fracture
- Loss of bone tissue (osteoporosis)
- Thin/fragile skin, rashes, stretch marks,
bruising, sweating, flushing and increased
hair growth,itchy bumps, loss/darkening
of skin colour
- Indigestion, stomach pain, stomach
ulcers and perforation, bloating, increased
appetite and weight loss, inflammation
of the pancreas/oesophagus, stomach
bleeding
- Eye problems including inflammation,
glaucoma and cataracts, blindness, bulging
of the eye, damage to the cornea or white
of eye
- Infection of the nose
- Irregular periods/ postmenopausal women
may also experience vaginal bleeding
- Fungal or Viral eye infections
- Yeast infections e.g. thrush
- Tiredness and tingling, Increased pressure
in the brain
- Increased appetite
- Weight loss
- Less tolerance to carbohydrates
- Mild form of diabetes with no obvious
symptoms
- Inadequately controlled diabetes mellitus,
high blood sugar
- Pain, swelling and worsening of the pain
in the injected joint
- Impaired healing
- High body temperature
- Treatment with steroids can stop the
body from producing some hormones
and may slow or stop children’s growth.
- Hormone production by certain glands
may be increased or decreased.
- Vertigo
- High/low blood pressure
- Abnormal blood clots
- Longstanding chronic infections such as
tuberculosis could be made worse
Reporting of side effects
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 KENALOG IA/IM
INJECTION
Keep this medicine out of the sight and
reach of children.
Kenalog IA/IM 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. CONTENT OF THE PACK AND OTHER
INFORMATION
What Kenalog IA/IM injection contains
The active substance is triamcinolone
acetonide 40 mg/ml. The other ingredients are;
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 IA/IM injection looks like
and contents of the pack
Kenalog IA/IM injection is a sterile aqueous
suspension for injection and is supplied in
1.0 ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road, Uxbridge,
Middlesex,
UB8 1DH
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
This leaflet was last revised in April 2016
1041174B1

Important information about the
ingredients of Kenalog IA/IM Injection
Kenalog IA/IM Injection contains 15 mg/ml
benzyl alcohol which may cause harmful or
allergic reactions in infants and children.
Kenalog IA/IM Injection must not be given to
premature or newly born babies
3. RECEIVING KENALOG IA/IM INJECTION
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 5-10 mg
(0.125-0.25 ml) for smaller joints and up to
40 mg (1.0 ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon.
Use in allergic disorders:
The usual starting dose is 40 mg (1.0 ml)
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 40-100 mg 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 IA/IM 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 IA/IM injections,
may need to start taking oral steroid tablets
for a while.
Mental health problems while taking
Kenalog IA/IM 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 health
problems. This is particularly important if
you are depressed, or might be thinking
about suicide. In a few cases, mental health
problems have happened when doses are
being lowered or stopped.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause
side effects, although not everybody gets them.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection
can cause serious mental health problems.
These are uncommon in both adults and
children.
• Mood changes, mental health disorders,
feeling dependent on the medicine,
trouble sleeping, fits or epilepsy, fainting
and dizziness
• Feeling depressed, including thinking
about suicide.
• Feeling high (euphoria and mania) or
moods that go up and down.
• Feeling anxious/irritable, 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 the following side effects
talk to a doctor straight away.
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
Common: may affect up to 1 in 10 people
- Increased risk of infection
- Injection site reactions

- Headache
- Joint pain
Uncommon: may affect up to 1 in 100 people
- 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 destruction
of the ends of bones, decrease in muscle
mass, muscle or bone pain, muscular
weakness/discomfort, bone fracture
- Loss of bone tissue (osteoporosis)
- Thin/fragile skin, rashes, stretch marks,
bruising, sweating, flushing and increased
hair growth,itchy bumps, loss/darkening
of skin colour
- Indigestion, stomach pain, stomach
ulcers and perforation, bloating, increased
appetite and weight loss, inflammation
of the pancreas/oesophagus, stomach
bleeding
- Eye problems including inflammation,
glaucoma and cataracts, blindness, bulging
of the eye, damage to the cornea or white
of eye
- Infection of the nose
- Irregular periods/ postmenopausal women
may also experience vaginal bleeding
- Fungal or Viral eye infections
- Yeast infections e.g. thrush
- Tiredness and tingling, Increased pressure
in the brain
- Increased appetite
- Weight loss
- Less tolerance to carbohydrates
- Mild form of diabetes with no obvious
symptoms
- Inadequately controlled diabetes mellitus,
high blood sugar
- Pain, swelling and worsening of the pain
in the injected joint
- Impaired healing
- High body temperature
- Treatment with steroids can stop the
body from producing some hormones
and may slow or stop children’s growth.
- Hormone production by certain glands
may be increased or decreased.
- Vertigo
- High/low blood pressure
- Abnormal blood clots
- Longstanding chronic infections such as
tuberculosis could be made worse
Reporting of side effects
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 KENALOG IA/IM
INJECTION
Keep this medicine out of the sight and
reach of children.
Kenalog IA/IM 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. CONTENT OF THE PACK AND OTHER
INFORMATION
What Kenalog IA/IM injection contains
The active substance is triamcinolone
acetonide 40 mg/ml. The other ingredients are;
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 IA/IM injection looks like
and contents of the pack
Kenalog IA/IM injection is a sterile aqueous
suspension for injection and is supplied in
1.0 ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road, Uxbridge,
Middlesex,
UB8 1DH
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
This leaflet was last revised in April 2016
1041174B1

Important information about the
ingredients of Kenalog IA/IM Injection
Kenalog IA/IM Injection contains 15 mg/ml
benzyl alcohol which may cause harmful or
allergic reactions in infants and children.
Kenalog IA/IM Injection must not be given to
premature or newly born babies
3. RECEIVING KENALOG IA/IM INJECTION
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 5-10 mg
(0.125-0.25 ml) for smaller joints and up to
40 mg (1.0 ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon.
Use in allergic disorders:
The usual starting dose is 40 mg (1.0 ml)
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 40-100 mg 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 IA/IM 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 IA/IM injections,
may need to start taking oral steroid tablets
for a while.
Mental health problems while taking
Kenalog IA/IM 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 health
problems. This is particularly important if
you are depressed, or might be thinking
about suicide. In a few cases, mental health
problems have happened when doses are
being lowered or stopped.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause
side effects, although not everybody gets them.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection
can cause serious mental health problems.
These are uncommon in both adults and
children.
• Mood changes, mental health disorders,
feeling dependent on the medicine,
trouble sleeping, fits or epilepsy, fainting
and dizziness
• Feeling depressed, including thinking
about suicide.
• Feeling high (euphoria and mania) or
moods that go up and down.
• Feeling anxious/irritable, 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 the following side effects
talk to a doctor straight away.
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
Common: may affect up to 1 in 10 people
- Increased risk of infection
- Injection site reactions

- Headache
- Joint pain
Uncommon: may affect up to 1 in 100 people
- 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 destruction
of the ends of bones, decrease in muscle
mass, muscle or bone pain, muscular
weakness/discomfort, bone fracture
- Loss of bone tissue (osteoporosis)
- Thin/fragile skin, rashes, stretch marks,
bruising, sweating, flushing and increased
hair growth,itchy bumps, loss/darkening
of skin colour
- Indigestion, stomach pain, stomach
ulcers and perforation, bloating, increased
appetite and weight loss, inflammation
of the pancreas/oesophagus, stomach
bleeding
- Eye problems including inflammation,
glaucoma and cataracts, blindness, bulging
of the eye, damage to the cornea or white
of eye
- Infection of the nose
- Irregular periods/ postmenopausal women
may also experience vaginal bleeding
- Fungal or Viral eye infections
- Yeast infections e.g. thrush
- Tiredness and tingling, Increased pressure
in the brain
- Increased appetite
- Weight loss
- Less tolerance to carbohydrates
- Mild form of diabetes with no obvious
symptoms
- Inadequately controlled diabetes mellitus,
high blood sugar
- Pain, swelling and worsening of the pain
in the injected joint
- Impaired healing
- High body temperature
- Treatment with steroids can stop the
body from producing some hormones
and may slow or stop children’s growth.
- Hormone production by certain glands
may be increased or decreased.
- Vertigo
- High/low blood pressure
- Abnormal blood clots
- Longstanding chronic infections such as
tuberculosis could be made worse
Reporting of side effects
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 KENALOG IA/IM
INJECTION
Keep this medicine out of the sight and
reach of children.
Kenalog IA/IM 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. CONTENT OF THE PACK AND OTHER
INFORMATION
What Kenalog IA/IM injection contains
The active substance is triamcinolone
acetonide 40 mg/ml. The other ingredients are;
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 IA/IM injection looks like
and contents of the pack
Kenalog IA/IM injection is a sterile aqueous
suspension for injection and is supplied in
1.0 ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road, Uxbridge,
Middlesex,
UB8 1DH
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
This leaflet was last revised in April 2016
1041174B1

Important information about the
ingredients of Kenalog IA/IM Injection
Kenalog IA/IM Injection contains 15 mg/ml
benzyl alcohol which may cause harmful or
allergic reactions in infants and children.
Kenalog IA/IM Injection must not be given to
premature or newly born babies
3. RECEIVING KENALOG IA/IM INJECTION
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 5-10 mg
(0.125-0.25 ml) for smaller joints and up to
40 mg (1.0 ml) for larger joints usually give
relief of symptoms.
This medicine should not be used for
injection into the Achilles tendon.
Use in allergic disorders:
The usual starting dose is 40 mg (1.0 ml)
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 40-100 mg 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 IA/IM 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 IA/IM injections,
may need to start taking oral steroid tablets
for a while.
Mental health problems while taking
Kenalog IA/IM 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 health
problems. This is particularly important if
you are depressed, or might be thinking
about suicide. In a few cases, mental health
problems have happened when doses are
being lowered or stopped.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause
side effects, although not everybody gets them.
Serious effects: tell a doctor straight away
Steroids including Kenalog IA/IM injection
can cause serious mental health problems.
These are uncommon in both adults and
children.
• Mood changes, mental health disorders,
feeling dependent on the medicine,
trouble sleeping, fits or epilepsy, fainting
and dizziness
• Feeling depressed, including thinking
about suicide.
• Feeling high (euphoria and mania) or
moods that go up and down.
• Feeling anxious/irritable, 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 the following side effects
talk to a doctor straight away.
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
Common: may affect up to 1 in 10 people
- Increased risk of infection
- Injection site reactions

- Headache
- Joint pain
Uncommon: may affect up to 1 in 100 people
- 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 destruction
of the ends of bones, decrease in muscle
mass, muscle or bone pain, muscular
weakness/discomfort, bone fracture
- Loss of bone tissue (osteoporosis)
- Thin/fragile skin, rashes, stretch marks,
bruising, sweating, flushing and increased
hair growth,itchy bumps, loss/darkening
of skin colour
- Indigestion, stomach pain, stomach
ulcers and perforation, bloating, increased
appetite and weight loss, inflammation
of the pancreas/oesophagus, stomach
bleeding
- Eye problems including inflammation,
glaucoma and cataracts, blindness, bulging
of the eye, damage to the cornea or white
of eye
- Infection of the nose
- Irregular periods/ postmenopausal women
may also experience vaginal bleeding
- Fungal or Viral eye infections
- Yeast infections e.g. thrush
- Tiredness and tingling, Increased pressure
in the brain
- Increased appetite
- Weight loss
- Less tolerance to carbohydrates
- Mild form of diabetes with no obvious
symptoms
- Inadequately controlled diabetes mellitus,
high blood sugar
- Pain, swelling and worsening of the pain
in the injected joint
- Impaired healing
- High body temperature
- Treatment with steroids can stop the
body from producing some hormones
and may slow or stop children’s growth.
- Hormone production by certain glands
may be increased or decreased.
- Vertigo
- High/low blood pressure
- Abnormal blood clots
- Longstanding chronic infections such as
tuberculosis could be made worse
Reporting of side effects
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 KENALOG IA/IM
INJECTION
Keep this medicine out of the sight and
reach of children.
Kenalog IA/IM 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. CONTENT OF THE PACK AND OTHER
INFORMATION
What Kenalog IA/IM injection contains
The active substance is triamcinolone
acetonide 40 mg/ml. The other ingredients are;
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 IA/IM injection looks like
and contents of the pack
Kenalog IA/IM injection is a sterile aqueous
suspension for injection and is supplied in
1.0 ml glass vials.
MARKETING AUTHORISATION HOLDER
AND MANUFACTURER
Marketing Authorisation Holder
E.R. Squibb & Sons Limited
Uxbridge Business Park,
Sanderson Road, Uxbridge,
Middlesex,
UB8 1DH
Tel. No.: 0800 7311736
Manufacturer
Bristol-Myers Squibb Srl,
Contrada Fontana del Ceraso,
03012 Anagni (FR),
Italy
This leaflet was last revised in April 2016
1041174B1

Expand view ⇕

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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