• Triamcinolone Oral

    (trye am sin' oh lone)

    WHY is this medicine prescribed?

    Triamcinolone, a corticosteroid, is similar to a natural hormone produced by your adrenal glands. It often is used to replace this chemical when your body does not make enough of it. It relieves inflammation (swelling, heat, redness, and pain) and is used to treat certain forms of arthritis; skin, blood, kidney, eye, thyroid, and intestinal disorders (e.g., colitis); severe allergies; and asthma. Triamcinolone is also used to treat certain types of cancer.
    This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

    HOW should this medicine be used?

    Triamcinolone comes as a tablet and syrup to be taken by mouth. Your doctor will prescribe a dosing schedule that is best for you. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
    Do not stop taking triamcinolone without talking to your doctor. Stopping the drug abruptly can cause loss of appetite, upset stomach, vomiting, drowsiness, confusion, headache, fever, joint and muscle pain, peeling skin, and weight loss. If you take large doses for a long time, your doctor probably will decrease your dose gradually to allow your body to adjust before stopping the drug completely. Watch for these side effects if you are gradually decreasing your dose and after you stop taking the tablets or oral liquid, even if you switch to an inhalation. If these problems occur, call your doctor immediately. You may need to increase your dose of tablets or liquid temporarily or start taking them again.
    Take triamcinolone exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

    What SPECIAL PRECAUTIONS should I follow?

    Before taking triamcinolone,
    • tell your doctor and pharmacist if you are allergic to triamcinolone, aspirin, tartrazine (a yellow dye in some processed foods and drugs), or any other drugs.
    • tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially anticoagulants ('blood thinners') such as warfarin (Coumadin), arthritis medications, aspirin, cyclosporine (Neoral, Sandimmune), digoxin (Lanoxin), diuretics ('water pills'), estrogen (Premarin), ketoconazole (Nizoral), oral contraceptives, phenobarbital, phenytoin (Dilantin), rifampin (Rifadin), theophylline (Theo-Dur), and vitamins.
    • if you have a fungal infection (other than on your skin), do not take triamcinolone without talking to your doctor.
    • tell your doctor if you have or have ever had liver, kidney, intestinal, or heart disease; diabetes; an underactive thyroid gland; high blood pressure; mental illness; myasthenia gravis; osteoporosis; herpes eye infection; seizures; tuberculosis (TB); or ulcers.
    • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking triamcinolone, call your doctor.
    • if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking triamcinolone.
    • if you have a history of ulcers or take large doses of aspirin or other arthritis medication, limit your consumption of alcoholic beverages while taking this drug. Triamcinolone makes your stomach and intestines more susceptible to the irritating effects of alcohol, aspirin, and certain arthritis medications. This effect increases your risk of ulcers.

    What SPECIAL DIETARY instructions should I follow?

    Your doctor may instruct you to follow a low-sodium, low-salt, potassium-rich, or high-protein diet. Follow these directions.
    Triamcinolone may cause an upset stomach. Take triamcinolone with food or milk.

    What should I do IF I FORGET to take a dose?

    When you start to take triamcinolone, ask your doctor what to do if you forget a dose. Write down these instructions so that you can refer to them later.
    If you take triamcinolone once a day, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

    What SIDE EFFECTS can this medicine cause?

    Triamcinolone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
    • upset stomach
    • stomach irritation
    • vomiting
    • headache
    • dizziness
    • insomnia
    • restlessness
    • depression
    • anxiety
    • acne
    • increased hair growth
    • easy bruising
    • irregular or absent menstrual periods
    If you experience any of the following symptoms, call your doctor immediately:
    • skin rash
    • swollen face, lower legs, or ankles
    • vision problems
    • cold or infection that lasts a long time
    • muscle weakness
    • black or tarry stool
    If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch ] or by phone [1-800-332-1088].

    What should I know about STORAGE and DISPOSAL of this medication?

    Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

    What should I do in case of OVERDOSE?

    In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

    What OTHER INFORMATION should I know?

    Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to triamcinolone. Checkups are especially important for children because triamcinolone can slow bone growth.
    Carry an identification card that indicates that you may need to take supplementary doses (write down the full dose you took before gradually decreasing it) of triamcinolone during periods of stress (injuries, infections, and severe asthma attacks). Ask your pharmacist or doctor how to obtain this card. List your name, medical problems, drugs and dosages, and doctor's name and telephone number on the card.
    This drug makes you more susceptible to illnesses. If you are exposed to chicken pox, measles, or tuberculosis (TB) while taking triamcinolone, call your doctor. Do not have a vaccination, other immunization, or any skin test while you are taking triamcinolone unless your doctor tells you that you may.
    Report any injuries or signs of infection (fever, sore throat, pain during urination, and muscle aches) that occur during treatment.
    Your doctor may instruct you to weigh yourself every day. Report any unusual weight gain.
    If your sputum (the matter you cough up during an asthma attack) thickens or changes color from clear white to yellow, green, or gray, call your doctor; these changes may be signs of an infection.
    If you have diabetes, triamcinolone may increase your blood sugar level. If you monitor your blood sugar (glucose) at home, test your blood or urine more frequently than usual. Call your doctor if your blood sugar is high or if sugar is present in your urine; your dose of diabetes medication and your diet may need to be changed.
    Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
    It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

    Brand Names

    • Aristocort®[¶]
    • Kenacort®[¶]
    • Also available generically
    These branded products are no longer on the market and only generic alternatives are available.

    Triamcinolone Topical

    (trye am sin' oh lone)

    WHY is this medicine prescribed?

    Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. It is also used to relieve the discomfort of mouth sores.
    This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

    HOW should this medicine be used?

    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.
    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.
    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.
    To apply an aerosol, shake well and spray on the affected area holding the container about 3 to 6 inches away. Spray for about 2 seconds to cover an area the size of your hand. Take care not to inhale the vapors. If you are spraying near your face, cover your eyes.
    To apply the paste, press a small amount on the mouth sore without rubbing until a thin film develops. You may need to use more paste if the mouth sore is large. If the mouth sore does not begin to heal within 7 days, call your doctor.
    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.
    If you are using triamcinolone on your face, keep it out of your eyes.
    Do not apply cosmetics or other skin preparations on the treated area without talking with your doctor.
    If you are using triamcinolone on a child's diaper area, do not use tight-fitting diapers or plastic pants. Such use may increase side effects.
    If your doctor tells you to wrap or bandage the treated area, follow these instructions:
    1. Soak the area in water or wash it well.
    2. While the skin is moist, gently rub the medication into the affected areas.
    3. 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.)
    4. 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.
    5. Leave the plastic wrap in place as long as directed by your doctor. Usually plastic wraps are left in place no more than 12 hours each day.
    6. 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.

    What SPECIAL PRECAUTIONS should I follow?

    Before using triamcinolone,
    • tell your doctor and pharmacist if you are allergic to triamcinolone or any other drugs.
    • tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially cancer chemotherapy agents, other topical medications, and vitamins.
    • tell your doctor if you have an infection or if you have ever had diabetes, glaucoma, cataracts, a circulation disorder, or an immune disorder.
    • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using triamcinolone, call your doctor immediately.

    What should I do IF I FORGET to take a dose?

    Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.

    What SIDE EFFECTS can this medicine cause?

    Side effects from triamcinolone can occur. Tell your doctor if any of these symptoms are severe or do not go away:
    • drying or cracking of the skin
    • acne
    • itching
    • burning
    • change in skin color
    If you experience any of the following symptoms, call your doctor immediately:
    • severe skin rash
    • difficulty breathing or swallowing
    • wheezing
    • skin infection (redness, swelling, or oozing of pus)
    If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch ] or by phone [1-800-332-1088].

    What should I know about STORAGE and DISPOSAL of this medication?

    Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it according to the package instructions. Throw away any medication that is outdated or no longer needed. Do not use it to treat other skin conditions. Talk to your pharmacist about the proper disposal of your medications.

    What OTHER INFORMATION should I know?

    Keep all appointments with your doctor.
    Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
    It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

    Brand Names

    • Aricin® Topical Cream and Ointment[¶]
    • Aristocort® Topical Cream and Ointment[¶]
    • Cinalog® Topical Cream[¶]
    • Cinolar® Topical Ointment[¶]
    • Delta-Tritex® Topical Cream[¶]
    • Flutex® Topical Cream[¶]
    • Kenalog® Oral Paste
    • Kenalog® Topical Cream, Lotion, Ointment, and Spray
    • Oralone® Oral Paste
    • Pediaderm TA® Topical Cream
    • Triacet® Topical Cream[¶]
    • Trianex® Topical Ointment
    • Triderm® Topical Cream
    • Zytopic® Topical Cream[¶]
    • Also available generically
    These branded products are no longer on the market and only generic alternatives are available.
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