Do not share this medication with others. Though it is unlikely, this medication may slow down a child's growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your child's height can be checked. Dab or press do not rub a small amount of paste onto the area to be treated until the paste sticks and a smooth, slippery film develops. A cotton swab may be used to apply the paste. Do not attempt to spread or rub the paste in. This will only cause it to become crumbly, grainy, or gritty. Soak the area in water or wash it well. Grob D, McGehee Harvey A. Effect of adrenocorticotropic hormone ACTH and cortisone administration in patients with myasthenia gravis and report of onset of myasthenia gravis during prolonged cortisone administration.
Wash or soak the affected area thoroughly before applying the medicine, unless it irritates your skin. Apply the ointment, cream, liquid, or lotion sparingly in a thin film and rub it in gently. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended.
Burning, itching, irritation, dryness, or redness of the treated area may occur. If any of these effects persist or worsen, notify your doctor, dentist, or pharmacist promptly. Because corticosteroids may increase concentrations, dosage adjustments of antidiabetic agents may be required. Avoid prolonged use on the face, in the genital or rectal areas, and in skin creases and armpits unless directed to do so by your doctor. Patients should report any signs of local adverse reactions especially under occlusive dressing. This information is intended to aid them in the safe and effective use of this medication.
Rarely, using corticosteroid for a long time can make it more difficult for your body to respond to physical stress. Amphotericin B Injection and Potassium-Depleting Agents. Hypothalamic-pituitary-adrenal HPA axis suppression, Cushing's syndrome, and have been reported in pediatric patients receiving topical corticosteroids. Manifestations of adrenal suppression in pediatric patients include linear growth retardation, delayed weight gain, low plasma cortisol levels, and absence of response to ACTH stimulation.
What happens if I overdose? Studies to determine mutagenicity with prednisolone and hydrocortisone have revealed negative results. Appropriate examination of any joint fluid present is necessary to exclude a septic process. Drachman DB. Present and future treatment of myasthenia gravis. Rarely, it is possible this medication will be absorbed from the mouth into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children, and in people who use this medication for a long time. If you have a history of ulcers or take large doses of aspirin or other arthritis medication, limit alcoholic beverages while using this drug. While systemic psoriasis treatments are far more effective than topical creams, they also have more potential side effects and are more expensive. This medication should not be used if you have certain medical conditions.
Recovery of HPA axis function is generally prompt and complete upon discontinuation of the drug. Infrequently, signs and symptoms of steroid withdrawal may occur, requiring supplemental systemic corticosteroids. This product contains benzyl alcohol which is potentially toxic when administered locally to tissue. Using corticosteroid for a long time can make it more difficult for your body to respond to physical stress. Store at room temperature 15 oC- 30 oC 56 oF- 86 oF in original container. This should not be used if you have certain medical conditions. Patients should report any signs of adverse reactions. Serious neurologic events, some resulting in death, have been reported with injection of corticosteroids. There have been rare reports of deaths, primarily in preterm infants, associated with exposure to excessive amounts of benzyl alcohol. Administration of high dosages of medications containing this preservative must take into account the total amount of benzyl alcohol administered. The amount of benzyl alcohol at which toxicity may occur is not known. If the patient requires more than the recommended dosages or other medications containing this preservative, the practitioner must consider the daily metabolic load of benzyl alcohol from these combined sources see PRECAUTIONS: Pediatric Use. Nasacort AQ comes in the form of a nasal inhalant or spray. Use Nasacort AQ as prescribed by your doctor. Read and follow all patient instructions carefully. This medication is a medium- to strong-potency corticosteroid. The potency depends on the strength and the form that you use. Administration of live or live, attenuated vaccines is contraindicated in patients receiving immunosuppressive doses of corticosteroids. Killed or inactivated vaccines may be administered. However, the response to such vaccines can not be predicted. Triamcinolone acetonide is known as a corticosteroid hormone glucocorticoid. It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. The mechanism of anti-inflammatory activity of the topical corticosteroids is unclear.
It is not known whether triamcinolone topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. If any of these effects persist or worsen, notify your doctor, dentist, or promptly. The first step is to use your topical psoriasis treatment exactly as directed. Cornelio F, Peluchetti D, Mantegazza R, Sghirlanzoni A, Collarile C. The course of myasthenia gravis in patients treated with corticosteroids, azathioprine, and plasmapheresis. Severe psoriasis: greater than 10% is affected. Each treatment has its own side effects, which you should discuss with your doctor. Triamcinolone diacetate occurs as a white to off-white, microcrystalline powder. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Administration of topical corticosteroids to pediatric patients should be limited to the least amount compatible with an effective therapeutic regimen. Chronic corticosteroid therapy may interfere with the growth and development of pediatric patients. How should I use triamcinolone topical? This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: untreated active fungal infections. If any of these effects persist or worsen, notify your doctor or promptly. Cholestyramine may increase the clearance of corticosteroids.
The full-strength suspension may be employed. Topical spray may be used locally prior to injection. This product, like many other formulations, is sensitive to heat. Therefore, it should not be autoclaved when it is desirable to sterilize the exterior of the vial. This medication should be used as scheduled. If you miss a dose, contact your doctor or pharmacist for instructions. Shake vial before use to evenly disperse the suspension. Inject the prescribed dose immediately after withdrawing it into the syringe to avoid settling of the medication in the syringe. If concomitant mucosal infections are present or develop, an appropriate antifungal or antibacterial agent should be used. If a favorable response does not occur promptly, use of triamcinolone acetonide dental paste should be discontinued until the infection has been adequately controlled. It is suggested that infiltration of the soft tissue by local precede intra-articular injection. A 24gauge or larger needle on a dry syringe may be inserted into the joint and excess fluid aspirated. For the first few hours following injection, there may be local discomfort in the joint but this is usually followed rapidly by effective relief of pain and improvement in local function. Store at room temperature between 59-77 degrees F 15-25 degrees C away from light and moisture. Keep this product tightly closed. not store in the bathroom. Keep all medicines away from children and pets. It may also be useful in cystic tumors of an aponeurosis or ganglia.
Inhalation Aerosol. However, at times therapy with Azmacort Inhalation Aerosol may need to be interrupted. Wash your hands before and after each application, unless you are using triamcinolone topical to treat a hand condition. The use of corticosteroids in should be restricted to those cases of fulminating or disseminated in which the corticosteroid is used for the management of the disease in conjunction with an appropriate antituberculous regimen. Mild-to-moderate or limited psoriasis: Less than 3% of total body surface is affected. For reference, the palm of the hand is about 1% of total body area. If irritation develops, topical corticosteroids should be discontinued and appropriate therapy instituted. The efficacy and safety of corticosteroids in the pediatric population are based on the well-established course of effect of corticosteroids which is similar in pediatric and adult populations. Increased dosage of rapidly acting corticosteroids is indicated in patients on corticosteroid therapy subjected to any unusual before, during, and after the stressful situation. This medication is known as a medium-strength corticosteroid. Patients under 2 years old should not use Nasacort AQ unless prescribed by a doctor. How Does Nasacort AQ Work? There have been rare reports of harm to an unborn baby when corticosteroids are used during pregnancy. Discuss the risks and benefits with your doctor. Once absorbed through the skin, topical corticosteroids are handled through pharmacokinetic pathways similar to systemically administered corticosteroids. Corticosteroids are bound to plasma proteins in varying degrees. Corticosteroids are metabolized primarily in the liver and are then excreted by the kidneys. Some of the topical corticosteroids and their metabolites are also excreted into the bile. Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days. FDA pregnancy category C. It is not known whether triamcinolone topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. This medication may make you dizzy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Carefully seal the edges of the plastic to make sure the wrap adheres closely to the skin. If the affected area is moist, you can leave the edges of the plastic wrap partly unsealed or puncture the wrap to allow excess moisture to escape.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Do not use this medication on a child without a doctor's advice. Children are more sensitive to the effects of triamcinolone topical. Cover the area with plastic wrap such as Saran Wrap or Handi-Wrap. The plastic may be held in place with a gauze or elastic bandage or adhesive tape on the normal skin beside the treated area. Instead of using plastic wrap, plastic gloves may be used for the hands, plastic bags for the feet, or a shower cap for the scalp. Brunner NG, Namba T, Grob D. Corticosteroids in management of severe, generalized myasthenia gravis. Effectiveness and comparison with corticotropin therapy. It is not known if this form of triamcinolone passes into milk. Consult your doctor before -feeding. Consult your doctor before breast-feeding. Nevertheless, caution should be exercised when topical corticosteroids are administered to a nursing woman. If significant regeneration or repair of oral tissues has not occurred in seven days, additional investigation into the etiology of the oral lesion is advised. Do not share this medication with others. Lifestyle changes that help reduce the risk of bone loss osteoporosis during long-term therapy include weight-bearing exercise, getting adequate calcium and vitamin D, stopping smoking, and limiting alcohol. Discuss lifestyle changes that might benefit you with your doctor. This is used for the temporary relief of symptoms from sores due to injury. Cleanse the skin and reapply the medication each time a new plastic wrapping is applied. Do not discontinue treatment abruptly without talking to your doctor. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Moderate psoriasis: 3% to 10% or more of body surface is affected.
If exposed to chicken pox, with zoster immune globulin VZIG may be indicated. Clinical studies did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. Inform the prescribing doctor or dentist if your condition persists or worsens after 7-14 days of treatment. Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids. Thus, occlusive dressings may be a valuable therapeutic adjunct for treatment of resistant dermatoses. Systemic absorption of topical corticosteroids has produced reversible hypothalamic-pituitary adrenal HPA axis suppression, manifestations of Cushing's syndrome, hyperglycemia, and glucosuria in some patients. Triamcinolone Acetonide is an adrenocortical steroid nasal spray marketed by Rhone-Poulenc Rorer Inc. Rarely, it is possible this medication will be absorbed from the into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children, and in people who use this medication for a long time. Triamcinolone acetonide has been shown to induce teratogenic effects in several species. To use the lotion or liquid on your scalp, part your hair, apply a small amount of the medicine on the affected area, and rub it in gently. Protect the area from washing and rubbing until the lotion or liquid dries. You may wash your hair as usual but not right after applying the medicine. Psoriasis can affect self-image and make people self-conscious. This can even lead to and social isolation. These are serious effects of psoriasis. Older adults may be more sensitive to the side effects of this drug, especially confusion, or poorer blood sugar control in diabetics. Do not start, stop or change the dosage of any medicine before checking with them first. Remember that your doctor or dentist has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. The treated skin area should not be bandaged or otherwise covered or wrapped as to be occlusive unless directed by the physician. Absorption into the bloodstream and effects elsewhere in the body are minimal.
Wash hands with soap and water before using this medication. Before using, check this product visually for clumpy particles or discoloration. If either is present, do not use the liquid. Tell your doctor right away if any of these unlikely but serious side effects occur: blistering, peeling. Patients should use Azmacort Inhalation Aerosol at regular intervals as directed. Warmolts JR, Engel WK, Whitaker JN. Alternate-dy prednisone in a patient with myasthenia gravis. There is some evidence to suggest that a recognizable correlation exists between vasoconstrictor potency and therapeutic efficacy in man. The injection site, schedule, dosage, and length of treatment are based on your medical condition and response to treatment. not inject this medication into a vein intravenously or into epidurally. If you have been using this medication for a long time, do not suddenly stop it without your doctor's approval. Some conditions may become worse when this drug is suddenly stopped. Elevation of creatinine kinase may occur. Clinical improvement or recovery after stopping corticosteroids may require weeks to years. Corticosteroids may exacerbate systemic fungal infections and therefore should not be used in the presence of such infections unless they are needed to control drug reactions. Rare but serious side effects may occur with epidural use. Pediatric patients who are treated with corticosteroids by any route, including systemically administered corticosteroids, may experience a decrease in their growth velocity. Triamcinolone comes in ointment, cream, lotion, liquid, and aerosol spray in various strengths for use on the skin and as a paste for use in the mouth. It usually is applied two to four times a day. For mouth sores, it is applied at bedtime and, if necessary, two or three times daily, preferably after meals. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use triamcinolone exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor. Do not apply it to other areas of your body or wrap or bandage the treated area unless directed to do so by your doctor. For palliative management of leukemias and lymphomas. Cyclosporine can cause damage and also requires monitoring. Topical corticosteroids can be absorbed from normal intact skin. Systemically administered corticosteroids are secreted into breast milk in quantities not likely to have a deleterious effect on the infant. Nevertheless, caution should be exercised when topical corticosteroids are administered to a nursing woman.
The preparation should be applied at bedtime to permit steroid contact with the lesion throughout the night. Depending on the severity of symptoms, it may be necessary to apply the preparation two or three times a day, preferably after meals. If significant repair or regeneration has not occurred in seven days, further investigation is advisable. If you have received injection of this medication into the joint, temporary discomfort of the joint may occur. This medication should be used only when clearly needed during pregnancy. There have been rare reports of harm to an unborn baby when corticosteroids are used during pregnancy. Discuss the risks and benefits with your doctor. Infants born to mothers who have been using this medication for an extended time may have low levels of corticosteroid hormone. Therefore, patients receiving a large dose of a potent topical steroid applied to a large surface area or under an occlusive dressing should be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation tests, and for impairment of thermal homeostasis. If HPA axis suppression or elevation of the body temperature occurs, an attempt should be made to withdraw the drug, to reduce the frequency of application, substitute a less potent steroid, or use a sequential approach when utilizing the occlusive technique. Triamcinolone acetonide is known as a corticosteroid glucocorticoid. It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. Animal studies have not been performed to evaluate triamcinolone acetonide for potential to induce carcinogenesis, mutagenesis, or impairment of fertility. This medication may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limited psoriasis can be managed with topical therapies. For moderate-to-severe psoriasis, regularly applying topical creams to all the skin affected may be unrealistic. Most doctors recommend systemic psoriasis treatment for moderate-to-severe psoriasis. To induce or of in idiopathic nephrotic syndrome or that due to lupus erythematosus. Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with triamcinolone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions. Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. This may be given by injecting into different locations such as a muscle intramuscularly a lesion intradermally or a intra-articularly. Injections are usually given by a trained professional. If you are giving yourself intramuscular injection, you will be taught by your professional on how to properly use this medication. If any of the information is unclear, consult your professional. The injection site, schedule, dosage, and length of treatment are based on your medical condition and response to treatment. Do not inject this medication into a vein intravenously or into the spine epidurally. Patients on prolonged corticosteroid therapy may exhibit a diminished response to toxoids and live or inactivated due to inhibition of antibody response. Corticosteroids may also potentiate the replication of some organisms contained in live vaccines. Topical corticosteroids are generally applied to the affected area as a thin film from two to three times daily depending on the severity of the condition. Do not apply cosmetics or other skin preparations on the treated area without talking with your doctor.
Aminoglutethimide may lead to a loss of -induced adrenal suppression. Forte Sterile Aqueous Suspension should not be diluted or mixed with other solutions. Drug-induced secondary adrenocortical insufficiency may be minimized by gradual reduction of dosage. This type of relative insufficiency may persist for months after discontinuation of therapy; therefore, in any situation of stress occurring during that period, hormone therapy should be reinstituted. About FAERS: The FDA Adverse Event Reporting System FAERS is used by FDA for activities such as looking for new safety concerns that might be related to a marketed product, evaluating a manufacturer's compliance to reporting regulations and responding to outside requests for information. Reporting of adverse events is a voluntary process, and not every report is sent to FDA and entered into FAERS. Doctors also often recommend patients continue to use topical psoriasis ointments while taking system treatments. The combination leads to better results than either treatment used alone. Biologic therapies and some oral treatments can increase the risk for infection and need lab work monitoring. Since this product has been designed for ease of administration, a small bore needle not smaller than 23 gauge may be used. If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. If you have diabetes, this drug may increase your blood sugar levels. Check your blood glucose levels regularly as directed by your doctor. Tell your doctor right away if you have symptoms such as increased thirst and urination. Your anti-diabetic medication or diet may need to be adjusted.
Phototherapy, or ultraviolet light treatment to the whole body. Increased activity of both cyclosporine and corticosteroids may occur when the two are used concurrently. Convulsions have been reported with this concurrent use. Older adults may be more sensitive to the side effects of this drug, especially confusion, or poorer sugar control in diabetics. Forte Parenteral may be administered intramuscularly for initial therapy, most physicians prefer to adjust the dose orally until adequate control is attained. Intramuscular administration provides a sustained or depot action which can be used to supplement or replace initial oral therapy. With intramuscular therapy, greater supervision of the amount of used is made possible in the patient who is inconsistent in following an oral dosage schedule. In maintenance therapy, the patient-to-patient response is not uniform and, therefore, the dose must be individualized for optimal control. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
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What happens if I miss a dose? Use this medication and follow the dosing schedule exactly as directed by your doctor in order to get the most benefit from it. Do not change your dose or use this medication for a longer time than prescribed. Be sure to ask your doctor or pharmacist if you have any questions about your treatment. It is not likely that other drugs you take orally or inject will have an effect on topically applied triamcinolone topical. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use triamcinolone topical on sunburned, windburned, irritated, or broken skin. Also avoid using this medication in open wounds. Suddenly ending your use of Nasacort AQ may lead to a withdrawal from this medication. The average dose is 40 mg 1 mL administered intramuscularly once a week for conditions in which anti-inflammatory action is desired.
Manufactured and Distributed by Crown Laboratories, Inc. If you are using triamcinolone on your face, keep it out of your eyes. Store at room temperature away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medications away from children and pets. Corticosteroids are generally teratogenic in laboratory animals when administered systemical-ly at relatively low dosage levels. The more potent corticosteroids have been shown to be ter-atogenic after dermal application in laboratory animals. There are no adequate and well-controlled studies in pregnant women on teratogenic effects from topically applied corticosteroids. Therefore, topical corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.
Rarely, it is possible this medication will be absorbed from the skin into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children, and in people who use this medication for a long time or over large areas of the skin. Triamcinolone topical may also be used for purposes not listed in this medication guide. Topically applied corticosteroids can be absorbed in sufficient amounts to produce systemic effects.