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TRIAMCINOLONE ACETONIDE 55 MICROGRAMS/DOSE NASAL SPRAY SUSPENSION

Active substance(s): TRIAMCINOLONE ACETONIDE

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Package leaflet: Information for the user
Triamcinolone acetonide 55 micrograms/dose, nasal spray suspension
Triamcinolone acetonide

Read all of this leaflet carefully before you start using this medicine because it contains
important information for you
The name of your medicine is ‘Triamcinolone acetonide 55 micrograms/dose, nasal spray
suspension’, throughout the rest of this document it will be referred to as ‘Triamcinolone
acetonide Spray”.
This medicine is available without prescription. However, you still need to use Triamcinolone
acetonide Spray carefully to get the best results from it.
Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told
you.
 Keep this leaflet. You may need to read it again.
 Ask your doctor or pharmacist if you need more information or advice.
 If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet. See section 4.
 You must talk to a doctor if you do not feel better or if you feel worse after 14 days.

What is in this leaflet

What Triamcinolone acetonide Spray is and what it is used for

What you need to know before you use Triamcinolone acetonide Spray

How to use Triamcinolone acetonide Spray

Possible side effects

How to store Triamcinolone acetonide Spray

Contents of the pack and other information
1.

What Triamcinolone acetonide Spray is and what it is used for

Triamcinolone acetonide Spray contains a medicine called triamcinolone acetonide. This belongs to a
group of medicines called corticosteroids which means it is a type of steroid. It is given as a spray in
the nose to treat the nasal symptoms of allergic rhinitis.
Nasal symptoms of allergy include sneezing, itching, and having a blocked, stuffy or runny nose.
This type of allergy, such as hayfever, can be caused by different pollens in different seasons of the
year. This is called ‘seasonal allergic rhinitis’.
This medicine only works if used on a regular basis and may not help your symptoms straight away. It
helps some people within the first day of treatment, however, for other people it may take 3 to 4 days
to feel a relief.

2.

What you need to know before you use Triamcinolone acetonide Spray

Do not use Triamcinolone acetonide Spray:

if you are allergic to triamcinolone acetonide or any of the other ingredients of this medicine
(listed in section 6: )
Signs of an allergic reaction to Triamcinolone acetonide Spray include: a rash (hives), itching,
swallowing or breathing problems, swelling of your lips, face, throat or tongue.
Warnings and precautions
Talk to your doctor or pharmacist before using Triamcinolone acetonide Spray if:

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You have any infection of the nose or throat that is not treated. If you get a fungal infection
while using Triamcinolone acetonide Spray, stop using the spray until the infection has been
treated.

You have recently had a nose operation, or had an injury or ulcer in the nose.

You are being transferred from steroid injections or tablets to Triamcinolone acetonide Spray.

You have had glaucoma or cataracts.
If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using this
medicine.
Children and adolescents (under 18 years)
This medicine is not recommended for use in children and adolescents under 18 years of age.
Operations or times of stress
Your doctor may advise you to take a higher than normal dose of this medicine for medical reasons. If
your dose is increased, tell your doctor if you are going to have an operation or are feeling unwell.
This is because higher than normal doses of this medicine can lower your body’s ability to heal or
cope with stress. If this happens, your doctor may decide you need further treatment with another
medicine to help.
Other medicines and Triamcinolone acetonide Spray
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines, including medicines obtained without a prescription. This is because Triamcinolone
acetonide Spray can affect the way some other medicines work. Also some medicines can affect the
way Triamcinolone acetonide Sprayworks.
Pregnancy and breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask
your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Triamcinolone acetonide Spray has no or negligible influence on the ability to drive and use machines.
Important information about some of the ingredients of Triamcinolone acetonide Spray
Triamcinolone acetonide Spray contains benzalkonium chloride which can be an irritant and may
cause skin reactions.

3.

How to use Triamcinolone acetonide Spray

Triamcinolone acetonide Spray is for nasal use only.
Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told
you.
Check with your doctor or pharmacist if you are not sure. The medicine only works if it is used
regularly. It can take 3 to 4 days before you notice your symptoms getting better.
How much Triamcinolone acetonide Spray to use
Adults (18 years and over)

The usual starting dose is 2 sprays in each nostril each day

Once the symptoms of allergy are under control, the dose may be lowered to 1 spray
in each nostril each day

If the symptoms do not go away after 14 days, check with your doctor or pharmacist

You should not use the spray for longer than three months without consulting your
doctor

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Children and adolescents (under 18 years)

This medicine is not recommended for use in children and adolescents under 18 years
of age.
How to use the spray
Before using your nasal spray, blow your nose gently to clear your nostrils.
1.

Preparing the bottle
 Remove the blue cover by pulling upwards.
 Pull off the blue plastic clip.
 Shake the bottle gently before use.

2.

If you are using the spray for the first time
 Hold the bottle upright.
 Point the spray away from you while doing this.
 Fill the pump with spray by pressing the nozzle
downwards. This is called priming.
 Press and release it 5 times
 Do this until a fine spray is produced
 The spray is now ready to use.

3.

Using the spray
 Close one nostril with your finger
 Hold the bottle upright and put the nozzle into the other
nostril as far as is comfortable
 Breathe in gently through your nose with your mouth
closed
 While you are doing this, press the nozzle to deliver one
spray

4.
5.

Then breath out through your mouth
Repeat steps 3 and 4 if you have to spray again in the same
nostril and for the other nostril

6.

After using the spray
 To keep the spray nozzle clean, wipe it carefully with a
clean tissue or handkerchief after each use
 Press the blue plastic clip back into place to stop
accidental release of the spray
 Replace the blue cover over the nozzle

If the nasal spray has not been used for more than 2 weeks:

It needs to be primed again, to fill the nozzle with the spray

The nozzle should be pointed away from you while you are doing this

To prime, spray into the air once before use

Always shake the bottle gently before use
Cleaning the spray
If the spray does not work, the nozzle may be blocked. Never try to unblock it or enlarge the tiny
spray hole with a pin or other sharp objects. This is because it can stop the spray from working.
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The nasal spray should be cleaned at least once a week. It can be cleaned more often if it gets blocked.
Instructions for cleaning the spray:

Remove the blue cover

Gently pull off the spray nozzle only

Soak the blue cover and spray nozzle in warm water for a few
minutes

Rinse under the cold running tap water

Shake or tap to remove any water that is left

Allow to dry in the air

Re-fit the spray nozzle

Prime the nasal spray until a fine mist is formed

Use as normal

Spray nozzler

If you use more Triamcinolone acetonide Spray than you should
It is important that you take your dose as stated on the pharmacist’s label or as advised by your doctor
or pharmacist. You should use only as much as your pharmacist or doctor recommends; using more or
less may make your symptoms worse.
An overdose is unlikely to cause problems, however, if you have taken the entire contents of the bottle
by mouth, you may have stomach or gut discomfort.
Talk to a doctor or pharmacist if you use more Triamcinolone acetonide Spray than you should.
If you forget to use Triamcinolone acetonide Spray
If you have forgotten to use Triamcinolone acetonide, use it as soon as you remember. Do not use a
double dose to make up for a forgotten dose.
If you stop using Triamcinolone acetonide Spray
If you stop using this medicine, your symptoms may return within a few days.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop using Triamcinolone acetonide Spray and see a doctor or go to a hospital straight away if:

you have an allergic reaction to Triamcinolone acetonide Spray. The signs (frequency not
known) may include: a rash (hives), itching, swallowing or breathing problems, swelling of
your lips, face, throat or tongue.
Common side effects (may affect up to 1 in 10 people)

Runny nose, headache, sore throat and/or cough

Nosebleeds

Inflammation/irritation of the airways (bronchitis)

Heartburn or indigestion

Flu-like symptoms (fever, muscle pain, weakness and/or fatigue)

Problems with teeth
Other side effects (Not known: frequency cannot be estimated from the available data)

Irritation and dryness on the inside of your nose

Sinuses become congested or blocked

Sneezing
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Changes in the way things taste or smell
Feeling sick (nausea)
Sleeping problems, feeling dizzy or tired
Shortness of breath (dyspnoea)
A decrease in the levels of cortisol in the blood (laboratory value)
Cloudiness of the lens in the eye (cataract), elevated pressure inside the eye ball (glaucoma)

In some people, Triamcinolone acetonide Spray can cause damage to the middle part of the inside
of the nose (called ‘nasal septum’). Discuss any worries you may have about this with your doctor or
pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. 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 Triamcinolone acetonide Spray




Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and the bottle after
“EXP”. The expiry date refers to the last day of that month.
Do not store above 25°C.
Following the first opening Triamcinolone acetonide Spray should be used within 1 month for
the 30 spray pack or 2 months for the 120 spray pack.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist
how to throw away medicines you no longer use. These measures will help protect the
environment.





6.

Contents of the pack and other information

What Triamcinolone acetonide Spray contains
The active substance is triamcinolone acetonide. One delivered dose contains 55 micrograms of
triamcinolone acetonide.
The other ingredients are:
- microcrystalline cellulose and carmellose sodium (dispersible cellulose)
- polysorbate 80
- purified water
- anhydrous glucose
- benzalkonium chloride (50% w/v solution)
- disodium edetate
- hydrochloric acid or sodium hydroxide (for pH-adjustment)

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What Triamcinolone acetonide Spray looks like and contents of the pack

Triamcinolone acetonide Spray is a nasal spray suspension. It comes in a white plastic bottle which
has a pump to spray Triamcinolone acetonide Spray into your nostril through the spray nozzle. The
bottle has a protective blue cover to keep the nozzle clean and a blue plastic clip to stop it from
spraying accidentally.
This one spray bottle holds at least 120 sprays (16.5 g of suspension which contains 9.075 mg
triamcinolone acetonide) or at least 30 sprays (6.5 g of suspension which contains 3.575 mg
triamcinolone acetonide) .
Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
Aventis Pharma Limited, One Onslow Street, Guildford, Surrey, GU1 4YS, UK. Tel: 01483 505515
e-mail: uk-medicalinformation@sanofi-aventis.com
Manufacturer :
Aventis Pharma, Holmes Chapel,
72 London Road, Holmes Chapel, Crewe, Cheshire, CW4 8BE, United Kingdom
This medicinal product is authorised in the Member States of the EEA under the following
names:
Austria: Cortnasal
Belgium: Triamcinolone acetonide sanofi-aventis Belgium, 55 micrograms/dose nasal spray
suspension
Denmark: Nasacort® Allergi
Germany: Nasacort Sanofi-Aventis, 55 Mikrogramm /Sprühstoß Nasenspray, Suspension
Greece: Nasacort Allergy™
Ireland: Nasacort Allergy 55 micrograms/dose nasal spray, suspension
Luxembourg: Triamcinolone acetonide sanofi-aventis Belgium, 55 micrograms/dose nasal spray
suspension
Portugal: Triamcinolona Sanofi
Spain: Cortnasal
United Kingdom: Triamcinolone acetonide 55 micrograms/dose, nasal spray suspension
This leaflet was last revised in June 2015

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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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