triamcinolone, intranasal (OTC)

Brand and Other Names:Nasacort Allergy 24HR

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

nasal spray

  • 55mcg/spray
  • Note: Nasacort AQ (Rx) was phased out and replaced by Nasacort Allergy 24HR (OTC) in spring 2014

Allergic Rhinitis

2 sprays/nostril qDay (220 mcg/day); not to exceed 220 mcg/day

Dosing Considerations

Once maximum benefit has been achieved, reduce dose to 1 spray/nostril qDay (110 mcg/day) to minimize adverse effects while maintaining effectiveness

Administration

Suspension; shake well before use

Before using for first time, prime pump by releasing 5 sprays into air away from face

If not used for >2 weeks, repeat priming by releasing 1 spray into air before using

Dosage Forms & Strengths

nasal spray suspension

  • 55mcg/spray
  • Note: Nasacort AQ (Rx) was phased out and replaced by Nasacort Allergy 24HR (OTC) in spring 2014

Allergic Rhinitis

<2 years: Safety and efficacy not established

2-6 years: 1 spray/nostril qDay (110 mcg/day); not to exceed 110 mcg/day

6-12 years: 1 spray/nostril qDay; may increase to 2 sprays/nostril qDay (110 mcg/day); if inadequate response, may increase to 2 sprays/nostril qDay (ie, 220 mcg/day); not to exceed 220 mcg/day

≥12 years: 2 sprays/nostril qDay (220 mcg/day); not to exceed 220 mcg/day

Dosing Considerations

>6 years: Once maximum benefit has been achieved, reduce dose to 1 spray/nostril qDay (110 mcg/day) to minimize adverse effects while maintaining effectiveness

Administration

Suspension; shake well before use

Before using for first time, prime pump by releasing 5 sprays into air away from face

If not used for >2 weeks, repeat priming by releasing 1 spray into air before using

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Adverse Effects

1-10%

Flu syndrome [children] (9%)

Pharyngitis (5-8%)

Headache [children] (6%)

Bronchitis [children] (3%)

Dyspepsia (3-5%)

Tooth disorder [children] (3%)

Epistaxis (3-5%)

Excoriation [children] (3%)

Increased cough (2- 8%)

Upper abdominal pain [children] (5%)

Diarrhea [children] (3%)

Rash [children] (3%)

Asthma [children] (3%)

Rhinorrhea [children] (2%)

Postmarketing Experience

Nasal discomfort/congestion

Sneezing

Alterations of taste and smell

Nausea

Insomnia

Dizziness

Fatigue

Dyspnea

Decreased blood cortisol

Cataract

Glaucoma

Increased IOP

Pruritus

Rash

Hypersensitivity

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Warnings

Contraindications

Hypersensitivity

Cautions

Delay initiation of treatment in patients with recent nasal surgery, nasal trauma, nasal septum ulcers (until healing has occurred)

Prolonged use may increase incidence of secondary infection

Monitor for vision change, or with history of increased IOP, glaucoma, or cataracts

Potential worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex

More serious or fatal course of chickenpox or measles in susceptible patients

Risk for hypercorticism and adrenal suppression with higher than normal doses

Potential reduction of growth velocity in children

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Pregnancy & Lactation

Pregnancy Category: C

Lactation: Unknown whether distributed in breast milk; exercise caution

Pregnancy Categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

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Pharmacology

Mechanism of Action

Corticosteroid with potent anti-inflammatory properties; elicits effects on various cells, including mast cells and eosinophils; also elicits effects on inflammatory mediators (eg, histamine, eicosanoids, leukotrienes, cytokines)

Absorption

Minimal systemic absorption occurs, mostly by small amount swallowed during nasal administration

Distribution

Vd: 99.5 L

Peak plasma time: 1.5 hr

Peak plasma concentration: 0.5 ng/mL

Metabolism

Metabolites: 6β-hydroxytriamcinolone acetonide, 21-carboxytriamcinolone acetonide and 21-carboxy-6β-hydroxytriamcinolone acetonide (major)

Elimination

Half-life: 88 min

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Images

BRAND FORM. UNIT PRICE PILL IMAGE
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.147 mg/gram aerosol
triamcinolone acetonide topical
-
0.1 % lotion
triamcinolone acetonide topical
-
0.1 % lotion
triamcinolone acetonide topical
-
0.025 % lotion
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.025 % lotion
triamcinolone acetonide topical
-
0.147 mg/gram aerosol
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.5 % ointment
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.5 % cream
triamcinolone acetonide topical
-
0.025 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.025 % ointment
triamcinolone acetonide topical
-
0.05 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.025 % ointment
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.5 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.147 mg/gram aerosol
triamcinolone acetonide topical
-
0.5 % ointment
triamcinolone acetonide topical
-
0.5 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.1 % ointment
triamcinolone acetonide topical
-
0.025 % ointment
triamcinolone acetonide topical
-
0.025 % ointment
triamcinolone acetonide topical
-
0.5 % ointment
triamcinolone acetonide topical
-
0.147 mg/gram aerosol
triamcinolone acetonide topical
-
0.1 % lotion
triamcinolone acetonide topical
-
0.5 % cream
triamcinolone acetonide topical
-
0.025 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % lotion
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide topical
-
0.1 % cream
triamcinolone acetonide injection
-
40 mg/mL vial
triamcinolone acetonide injection
-
40 mg/mL vial
triamcinolone acetonide injection
-
40 mg/mL vial
Kenalog injection
-
10 mg/mL vial
Kenalog injection
-
40 mg/mL vial
Kenalog injection
-
40 mg/mL vial
Kenalog injection
-
40 mg/mL vial
Nasal Allergy nasal
-
55 mcg aerosol
Nasal Allergy nasal
-
55 mcg aerosol
Kenalog-80 injection
-
80 mg/mL vial
Kenalog-80 injection
-
80 mg/mL vial
triamcinolone acetonide dental
-
0.1 % paste
triamcinolone acetonide dental
-
0.1 % paste
triamcinolone acetonide dental
-
0.1 % paste
triamcinolone acetonide dental
-
0.1 % paste
Oralone dental
-
0.1 % paste
Kenalog topical
-
0.147 mg/gram aerosol
Kenalog topical
-
0.147 mg/gram aerosol
Triderm topical
-
0.1 % cream
triamcinolone acetonide nasal
-
55 mcg aerosol
Zilretta intra-articular
-
32 mg vial
Trianex topical
-
0.05 % ointment
Nasacort nasal
-
55 mcg aerosol
Nasacort nasal
-
55 mcg aerosol
Nasacort nasal
-
55 mcg aerosol
Nasacort nasal
-
55 mcg aerosol

Copyright © 2010 First DataBank, Inc.

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Patient Education
triamcinolone acetonide topical

TRIAMCINOLONE - TOPICAL

(trye-am-SIN-oh-lone)

COMMON BRAND NAME(S): Aristocort, Aristocort HP, Kenalog, Triderm

USES: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Triamcinolone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium- to strong-potency corticosteroid. The potency depends on the strength and the form that you use. For details on the potency of your product, ask your pharmacist.

HOW TO USE: Use this medication only on the skin. Do not use it on the face, groin, or underarms unless directed to do so by your doctor.Wash and dry your hands. Before applying the medication, clean and dry the affected area. Apply a thin film of the medication to the affected area and gently rub in as directed by your doctor, usually 2 to 4 times daily. Do not cover, bandage or wrap the area unless directed to do so by your doctor.After applying the medication, wash your hands unless you are using this medication to treat the hands. When applying this medication near the eyes, avoid getting it in the eyes as this may worsen or cause glaucoma. Also, avoid getting this medication in the nose or mouth. If you get the medication in your eyes, nose, or mouth, rinse with plenty of water.Use this medication only for the condition prescribed. Do not use it for longer than prescribed.Inform your doctor if your condition lasts or gets worse.

SIDE EFFECTS: Burning, itching, irritation, or dryness may occur when this medication is first applied to the skin. This should disappear in a few days as your body adjusts to the medication. If any of these effects last or get worse, notify your doctor or pharmacist promptly.Remember that this medication has been prescribed because your doctor 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.Tell your doctor right away if you have any serious side effects, including: stretch marks, skin thinning/discoloration, acne, greatly increased hair growth, small red bumps on the skin (folliculitis).Skin infections can become worse when this medication is used. Notify your doctor if redness, swelling, or irritation do not improve.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. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before using triamcinolone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (such as hydrocortisone, prednisone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: poor blood circulation, immune system problems.Do not use if there is an infection or sore present in the area to be treated.Rarely, using corticosteroid medications for a long time or over large areas of skin can make it more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.Though it is unlikely, this medication may temporarily slow down a child's growth if used for a long time. See the doctor regularly so your child's height can be checked.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk when applied to the skin. Other medications in this class pass into breast milk when taken by mouth. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

OVERDOSE: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

NOTES: Do not share this medication with others.This medication has been prescribed for your current condition only. Do not use it later for other skin problems unless told to do so by your doctor. A different medication may be necessary in those cases.Lab and/or medical tests (such as adrenal gland function) may be done while you are using this medication, especially if you use this drug for an extended period of time or apply it over large areas of the body. Keep all medical and lab appointments. Consult your doctor for more details.

MISSED DOSE: 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. Use your next dose at the regular time. Do not double the dose to catch up.

STORAGE: Store at room temperature. Do not freeze. Keep all medications away from children and pets.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.

Information last revised April 2023. Copyright(c) 2023 First Databank, Inc.

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

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Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.