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Triamcinolone Spray

30/06/10

Generic Name: Triamcinolone (TRYE-am-SIN-oh-lone)
Brand Name: Nasacort AQ

Triamcinolone Spray is used for:

Treating nasal allergy symptoms. It may also be used for other conditions as determined by your doctor.

Triamcinolone Spray is a topical adrenocortical steroid. It works by reducing inflammation (redness, swelling, itching, irritation) in the nasal passages.

Do NOT use Triamcinolone Spray if:

you are allergic to any ingredient in Triamcinolone Spray

Contact your doctor or health care provider right away if this applies to you.

Before using Triamcinolone Spray:

Some medical conditions may interact with Triamcinolone Spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have any kind of nasal sores or injury, or have had nasal surgery
if you have had a recent vaccination; you have measles, tuberculosis, chickenpox, or shingles; or you have had a positive tuberculosis test
if you have an untreated viral, fungal, or bacterial infection or herpes eye infection
if you have asthma or diarrhea
if you are taking prednisone or similar medicines

Some MEDICINES MAY INTERACT with Triamcinolone Spray. Because little, if any, of Triamcinolone Spray is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Triamcinolone Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Triamcinolone Spray:

Use Triamcinolone Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Triamcinolone Spray. Talk to your pharmacist if you have questions about this information.
Shake well before each use.
Remove the cover and clip from the spray pump before use. Do not try to make the hole at the end of the spray tip bigger.
Before the first use, prime the spray pump by rapidly and firmly pumping it 5 times (until a full spray appears).
If you have not used the spray pump for more than 14 days, reprime it by shaking the bottle and pumping it once. Do not reprime the pump if you have used it more frequently.
To use a nose spray, gently blow your nose. Sit down and tilt your head back slightly. Place the tip of the spray container into the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe gently through the open nostril and squeeze the spray container. If you are using more than 1 spray, wait for 1 to 2 minutes between sprays. After using the medicine, rinse the tip of the spray unit in hot water and dry with a clean tissue to prevent contamination.
Replace the cover and clip to the container after each use.
Do not blow your nose for 15 minutes after using Triamcinolone Spray.
If the pump becomes clogged, do not try to unclog it with a pin or sharp object. This will destroy the pump. Remove the cap and spray nozzle from the bottle. Soak the cap and spray nozzle in warm water for a few minutes, then rinse under cold water. Shake or tap off excess water and allow to air dry. Place the nozzle back on the pump, reprime until a fine mist is seen, and then use as normal.
Use Triamcinolone Spray on a regular schedule to get the most benefit from it. Using Triamcinolone Spray at the same time each day will help you remember to use it.
If you miss a dose of Triamcinolone Spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Triamcinolone Spray.

Important safety information:

Triamcinolone Spray is for nasal use only. Do not get Triamcinolone Spray in your eyes. If contact is made with the eyes, flush them immediately with tap water. Do not spray Triamcinolone Spray directly on the wall that separates your nostrils.
Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.
Ask your pharmacist or check the packaging to see how many sprays this bottle contains. Do not use this bottle for more sprays than indicated, because the amount of medicine in each spray may be decreased. Throw away any unused medicine. Do not transfer unused medicine to another bottle. Do not puncture, break, or burn the container, even if it appears empty.
If your symptoms do not get better within 3 weeks or if they get worse, check with your doctor.
Talk with your doctor before you receive any vaccine while you are using Triamcinolone Spray.
If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does.
Use caution if you switch from an oral steroid (eg, prednisone) to Triamcinolone Spray. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur.
Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they take Triamcinolone Spray.
Triamcinolone Spray should not be used in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Triamcinolone Spray while you are pregnant. It is not known if Triamcinolone Spray is found in breast milk. If you are or will be breast-feeding while you use Triamcinolone Spray, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Triamcinolone Spray:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cough; nosebleed; sore throat.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); muscle weakness; nasal discomfort; repeated nosebleeds; unusual or persistent stomach upset; unusual weight gain, especially in the face; white patches in the mouth.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include increased thirst or urination; muscle weakness; severe or persistent headache or vomiting; trouble breathing; unusual weight gain, especially in the face.

Proper storage of Triamcinolone Spray:

Store Triamcinolone Spray at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not freeze. Do not store in the bathroom. Keep Triamcinolone Spray out of the reach of children and away from pets.

General information:

If you have any questions about Triamcinolone Spray, please talk with your doctor, pharmacist, or other health care provider.
Triamcinolone Spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Triamcinolone Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: May 5, 2010

Database Edition 10.2.1.002

Med-facts,T

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Triamcinolone Suspension

30/06/10

Generic Name: Triamcinolone (TRYE-am-SIN-oh-lone)
Brand Name: Aristospan

Triamcinolone Suspension is used for:

Treating inflammation in a number of different skin disorders, such as certain types of alopecia (hair loss), keloids, or severe psoriasis. It may also be used for other conditions as determined by your doctor.

Triamcinolone Suspension is a corticosteroid. The precise way it works to decrease irritation and swelling is not known, but it has a wide range of effects at the cell level. This relieves the discomfort caused by inflammation.

Do NOT use Triamcinolone Suspension if:

you are allergic to any ingredient in Triamcinolone Suspension
you have a systemic fungal infection or a malaria infection in the brain
you are using Triamcinolone Suspension as an intramuscular injection to treat a certain bleeding disorder (idiopathic thrombocytopenic purpura)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Triamcinolone Suspension:

Some medical conditions may interact with Triamcinolone Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have a bacterial or fungal infection; a viral infection (eg, chickenpox, shingles); measles; tuberculosis (TB); a parasitic, amebae, or worm infection; or a herpes infection of the eye
if you have unexplained diarrhea, inflammation of the esophagus, ulcers, colitis, stomach or bowel problems (eg, inflammation, blockage, perforation), or recent stomach or bowel surgery
if you have heart problems (eg, congestive heart failure), recent heart attack, high blood pressure, blood clotting problems, diabetes, cataracts, glaucoma, increased eye pressure, kidney problems, liver problems (eg, cirrhosis), mood or mental problems, a seizure disorder (eg, epilepsy), thyroid problems, or weak or brittle bones (osteoporosis)
if you have had joint surgery or a positive TB skin test, or if you have been recently vaccinated
if you have myasthenia gravis and take anticholinesterases (eg, pyridostigmine)

Some MEDICINES MAY INTERACT with Triamcinolone Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

Amphotericin B, digoxin, or diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium and heart problems (eg, enlarged heart, irregular heartbeat, heart failure) may be increased
Cyclosporine because the risk of seizures may be increased
Anticoagulants (eg, warfarin) because an increase or decrease of their effects may occur
Azole antifungals (eg, itraconazole, ketoconazole), estrogens, hormonal contraceptives (birth control pills), or macrolide antibiotics (eg, clarithromycin) because they may increase the risk of Triamcinolone Suspension’s side effects
Barbiturates (eg, phenobarbital), carbamazepine, cholestyramine, hydantoins (eg, phenytoin), or rifampin because they may decrease Triamcinolone Suspension’s effectiveness
Aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or ritodrine because the risk of their side effects may be increased by Triamcinolone Suspension
Anticholinesterases (eg, pyridostigmine) or isoniazid because their effectiveness may be decreased by Triamcinolone Suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if Triamcinolone Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Triamcinolone Suspension:

Use Triamcinolone Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Triamcinolone Suspension is usually given as an injection at your doctors office, hospital, or clinic. If you will be using Triamcinolone Suspension at home, a health care provider will teach you how to use it. Be sure you understand how to use Triamcinolone Suspension. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
Triamcinolone Suspension is for injection into the skin. Do not inject Triamcinolone Suspension into a vein or into an infected area.
Do not use Triamcinolone Suspension if it is discolored, or if the vial is cracked or damaged.
Shake well before using a dose.
Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
If you miss a dose of Triamcinolone Suspension, contact your doctor right away.

Ask your health care provider any questions you may have about how to use Triamcinolone Suspension.

Important safety information:

Triamcinolone Suspension may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections or to anyone who has TB.
If you are on long-term therapy, you may have withdrawal symptoms if you suddenly stop using Triamcinolone Suspension. Contact your doctor right away if you have muscle and joint pain, exhaustion, or depression. Do not suddenly stop using Triamcinolone Suspension or change your dose without talking with your doctor or pharmacist.
If you are on long-term therapy, contact your doctor right away in the event of situations of physical stress (eg, injury, surgery, infection, or loss of blood electrolytes). You may need additional fast-acting steroids to help the body handle these situations.
Tell your doctor or dentist that you take Triamcinolone Suspension before you receive any medical or dental care, emergency care, or surgery.
Triamcinolone Suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Triamcinolone Suspension for a few days before the tests.
Do not receive a live vaccine (eg, measles, mumps) while you are using Triamcinolone Suspension. Talk with your doctor before you receive any vaccine.
Triamcinolone Suspension has benzyl alcohol in it. Do not use it in NEWBORNS. It may cause serious and sometimes fatal nervous system problems and other side effects.
Lab tests, including blood pressure checks, bone density, and eye exams, may be performed while you use Triamcinolone Suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Diabetes patients – Triamcinolone Suspension may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Triamcinolone Suspension.
Caution is advised when using Triamcinolone Suspension in CHILDREN; they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Triamcinolone Suspension while you are pregnant. It is not known if Triamcinolone Suspension is found in breast milk. If you are or will be breast-feeding while you use Triamcinolone Suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Triamcinolone Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Acne; changes in appetite; constipation; diarrhea; difficulty sleeping; headache; heartburn; nausea; restlessness; sweating; trouble sleeping; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; hoarseness; tightness in the chest; swelling of the mouth, face, hands, legs, eyes, throat, lips, or tongue); depression; fainting; fast, slow, or irregular heartbeat; joint stiffness; mood or mental changes; muscle pain or weakness; numbness or tingling in the hands or feet; pain, redness, or swelling at the injection site; personality changes; seizures; shortness of breath; signs of infection (eg, fever, chills, or sore throat); slow wound healing; swelling of the ankles, hands, legs, or feet; vision changes.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.

Proper storage of Triamcinolone Suspension:

Store Triamcinolone Suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Triamcinolone Suspension out of the reach of children and away from pets.

General information:

If you have any questions about Triamcinolone Suspension, please talk with your doctor, pharmacist, or other health care provider.
Triamcinolone Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Triamcinolone Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: May 5, 2010

Database Edition 10.2.1.002

Med-facts,T

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TriAdvance

30/06/10

Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)
Brand Names: Advance Care Plus, Bright Beginnings, Cenogen Ultra, CitraNatal 90 DHA, CitraNatal Assure, CitraNatal DHA, CitraNatal Rx, Complete Natal, Complete-RF, CompleteNate, Concept DHA, Concept OB, Dualvit OB, Duet, Duet Chewable, Duet DHA, Duet DHA EC, Edge OB, Folbecal, Foltabs, Foltabs 90 plus DHA, Foltabs plus DHA, Gesticare, Gesticare DHA, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Inatal Ultra, Lactocal-F, Marnatal-F Plus, Maternity, Maxinate, Mission Prenatal, Mission Prenatal HP, Multinatal Plus, Nata 29 OB, Nata 29 Prenatal, Natachew, Natafort, Natelle, Natelle C, Natelle Plus with DHA, Natelle Prefer, Natelle-ez, Neevo, Neevo DHA, Nestabs CBF, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Complete with DHA, OB Natal One, Ob-20, OptiNate, Pre-H-Cal, Precare, Precare Conceive, Precare Premier, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs CBF, Prenatabs FA, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal 19, Prenatal AD, Prenatal Elite, Prenatal H, Prenatal Low Iron, Prenatal Multivitamins, Prenatal Plus, Prenatal Plus Iron, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenate Elite Plus Iron, Prenavite FC, Prenavite PC, PreNexa, Previte Rx, PrimaCare, PrimaCare Advantage, PrimaCare One, Pruet DHA, Pruet DHA EC, RE OB 90 Plus DHA, RE OB Plus DHA, Renate, Renate DHA, Renate DHA Extra, RightStep, Se-Care, Se-Care Conceive, Se-Natal 90, Se-Natal One, Select-OB, Select-OB+DHA, Strongstart, Stuart Prenatal with Beta Carotene, Tandem DHA, Tandem OB, Tri Rx, TriAdvance, TriCare, Trinatal Rx, Trinate, UltimateCare Advance, UltimateCare One, Ultra-Natal, Verotin-BY, Verotin-GR, Vinatal 600, Vinatal Forte, Vinate 90, Vinate Advanced (New Formula), Vinate AZ, Vinate AZ Extra, Vinate C, Vinate Calcium, Vinate Care, Vinate Good Start, Vinate GT, Vinate IC, Vinate II (New Formula), Vinate III, Vinate M, Vinate One, Vinate PN Care, Vinate Ultra, Vitafol PN, Vitafol-OB, Vitafol-OB+DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaphil Plus DHA 90, Vitaspire, Viva DHA, Vynatal F.A.

What are TriAdvance (prenatal multivitamins)?

Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.

Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.

Prenatal vitamins may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about prenatal vitamins?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects and can also harm your unborn baby. Certain minerals contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to the baby if you take too much.

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?

Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.

You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while-breast-feeding.

How should I take prenatal vitamins?

Use this medication as directed on the label, or as your doctor has prescribed. Do not use the medication in larger amounts or for longer than recommended.

Never take more than the recommended dose of prenatal vitamins.

Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.

The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.

It is important to take prenatal vitamins regularly to get the most benefit.

Store this medication at room temperature away from moisture and heat.

Store prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

What should I avoid while taking prenatal vitamins?

Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Prenatal vitamins side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

When taken as directed, prenatal vitamins are not expected to cause serious side effects. Less serious side effects may include:

upset stomach;
headache; or
unusual or unpleasant taste in your mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect prenatal vitamins?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also use:

diuretics (water pills);
heart or blood pressure medications;
tretinoin (Vesanoid);
isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);
trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Gantanol, Gantrisin, Septra, TMP/SMX); or
an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.

This list is not complete and there may be other medications that can interact with or be affected by prenatal vitamins. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about prenatal vitamins.

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.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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triamcinolone

30/06/10

Generic Name: triamcinolone (nasal) (TRYE am SIN oh lone)
Brand names: Nasacort AQ, Nasacort, Tri-Nasal, Nasacort HFA

What is triamcinolone nasal?

Triamcinolone is a steroid. It prevents the release of substances in the body that cause inflammation.

Triamcinolone nasal (for the nose) is used to treat sneezing, itching, and runny nose caused by seasonal allergies or hay fever.

Triamcinolone nasal may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about triamcinolone nasal?

Do not use this medication in a child under 2 years old without the advice of a doctor. Some brands of triamcinolone nasal are not made for use in children. Do not use this medication if you are allergic to triamcinolone.

Before using triamcinolone nasal, tell your doctor if you are allergic to any drugs, or if you have tuberculosis, asthma, a history of glaucoma or cataracts, any type of infection, or if you have had recent surgery or injury to your nose.

It may take up to a week before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 1 week of treatment, or if they get worse any time during treatment.

Triamcinolone nasal can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

Do not stop using triamcinolone nasal suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the medication before stopping completely.

What should I discuss with my healthcare provider before using triamcinolone nasal?

You should not use this medication if you are allergic to triamcinolone.

If you have any of these other conditions, you may need a triamcinolone dose adjustment or special tests:

tuberculosis;
asthma;
any type of infection;
a history of glaucoma or cataracts; or
if you have had recent surgery or injury to your nose.

FDA pregnancy category C. It is not known whether triamcinolone nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether triamcinolone nasal 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. Triamcinolone nasal can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication. Do not use this medication in a child under 2 years old without the advice of a doctor. Some brands of triamcinolone nasal are not made for use in children.

How should I use triamcinolone nasal?

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 medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Before each use, gently blow your nose to clear your nostrils.

Shake the medicine well just before using it.

To use triamcinolone nasal inhaler:

Remove the protective cap from the nasal inhaler.
Hold the inhaler between your thumb and forefinger, tilt your head back slightly, and insert the inhaler into one nostril while holding the other nostril closed with one finger.
Press down on the canister to release the spray and inhale gently at the same time. Hold your breath for a few seconds, then breathe out slowly through the mouth.
Replace the white protective inhaler cap.
Clean your inhaler weekly by removing the medicine canister and the protective cap, and rinsing the inhaler thoroughly with warm water. Do not use soap. Allow the inhaler to dry completely before replacing the cap and canister.
Throw away the nasal inhaler after 100 sprays, even if there is still medicine left in the canister.

To use triamcinolone nasal spray:

Before using the spray for the first time, prime the spray pump by spraying the medicine into the air and away from your face, until a fine mist appears. Prime the spray pump any time you have not used your nasal spray for longer than 14 days.
Hold the nasal spray with the tip pointed into one nostril but not far into your nose. Bend your head forward to aim the spray toward the back of your nose. Hold your other nostril closed with one finger. Pump the spray unit and sniff gently at the same time.
Throw away the nasal spray after 120 sprays, even if there is still medicine left in the bottle.

Avoid blowing your nose for 15 minutes after using this medication.

Do not stop using triamcinolone nasal suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the medication before stopping completely.

If you use triamcinolone nasal for several months, your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

Store at room temperature away from moisture and heat. Keep the cover and clip on the nasal spray pump unit when not in use. Keep the protective cap on the nasal inhaler when not in use.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of triamcinolone nasal is not expected to be dangerous. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while taking triamcinolone nasal?

Triamcinolone nasal can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

Triamcinolone nasal side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

weakness, tired feeling, nausea, loss of appetite, weight loss;
fever, chills, body aches, flu symptoms;
easy bruising or bleeding, unusual weakness;
white patches or sores inside your nose or mouth, or on your lips; or
blurred vision, eye pain, or seeing halos around lights.

Less serious side effects may include:

stinging, burning, or bleeding in your nose;
sneezing after use of the medicine;
sore throat, cough, stuffy nose;
watery eyes;
headache;
nausea, vomiting; or
an unpleasant taste or smell.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Triamcinolone Dosing Information

Usual Adult Dose for Allergic Rhinitis:

Nasal aerosol:
2 actuations in each nostril once a day; may increase after 4 to 7 days up to 4 actuations in each nostril once a day, or 2 actuations in each nostril twice daily, or 1 actuation in each nostril 4 times a day.

Nasal spray:
2 sprays in each nostril once a day; titrate to lowest effective dose after symptoms are controlled. Usual maintenance dose is 1 spray in each nostril once a day.

Usual Pediatric Dose for Allergic Rhinitis:

Nasal aerosol:
6 years to 11 years: 2 actuations in each nostril once a day; titrate to lowest effective dose after symptoms are controlled.
12 years or older: 2 actuations in each nostril once a day; may increase after 4 to 7 days up to 4 actuations in each nostril once a day, or 2 actuations in each nostril twice daily, or 1 actuation in each nostril 4 times a day.

Nasal spray:
2 years to 5 years: 1 spray in each nostril once a day;
6 years to 12 years: 1 spray in each nostril once a day; maximum dose is 2 sprays in each nostril once a day, titrate to lowest effective dose after symptoms are controlled.
13 years or older: 2 sprays in each nostril once a day; titrate to lowest effective dose after symptoms are controlled. Usual maintenance dose is 1 spray in each nostril once a day.

What other drugs will affect triamcinolone nasal?

Tell your doctor about all other medications you use, especially:

cancer medicine (chemotherapy);
cyclosporine (Neoral, Sandimmune, Gengraf);
sirolimus (Rapamune), tacrolimus (Prograf);
basiliximab (Simulect), efalizumab (Raptiva), muromonab-CD3 (Orthoclone);
mycophenolate mofetil (CellCept);
azathioprine (Imuran), leflunomide (Arava), etanercept (Enbrel); or
other steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, Nasonex), dexamethasone (Decadron, Hexadrol) and others.

This list is not complete and other drugs may interact with triamcinolone nasal. 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.

Where can I get more information?

Your pharmacist can provide more information about triamcinolone nasal.

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.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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triamcinolone (Topical application route)

30/06/10

trye-am-SIN-oh-lone a-SEET-oh-nide

Commonly used brand name(s):

In the U.S.

Aristocort A
Cinolar
Kenalog
Triacet
Triamcot
Triderm
Zytopic

In Canada

Aristocort C Concentrate
Aristocort D Dilute
Aristocort R Ointment Regular
Aristocort R Regular
Kenalog Cream
Kenalog Ointment
Kenalog Spray
Triaderm Mild Cream
Triaderm Mild Ointment
Triaderm Regular Cream
Triaderm Regular Ointment
Trianide Mild-Cream

Available Dosage Forms:

Cream
Lotion
Spray
Ointment

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Uses For triamcinolone

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. triamcinolone is a corticosteroid (cortisone-like medicine or steroid).

triamcinolone is available only with your doctor’s prescription.

Before Using triamcinolone

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For triamcinolone, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to triamcinolone or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone topical in the pediatric population. However, because of triamcinolone’s toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using triamcinolone, follow your doctor’s instructions very carefully.

Geriatric

No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of triamcinolone

It is very important that you use triamcinolone only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.

triamcinolone is for use on the skin only. Do not get it in your eyes. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.

If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

triamcinolone should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. triamcinolone should not be used to treat certain kinds of skin infections or conditions, such as severe burns.

To use:

Wash your hands with soap and water before and after using triamcinolone.
Apply a thin layer of triamcinolone to the affected area of the skin. Rub it in gently.
Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.
If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

Dosing

The dose of triamcinolone will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of triamcinolone. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For redness, itching, and swelling of the skin:
- For topical dosage forms (cream, lotion, and ointment):
  - Adults—Apply to the affected area of the skin two to four times per day.
  - Children—Apply to the affected area of the skin two to four times per day.
- For topical dosage form (aerosol spray):
  - Adults—Spray to the affected area of the skin three to four times per day.
  - Children—Spray to the affected area of the skin three to four times per day.

Missed Dose

If you miss a dose of triamcinolone, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep triamcinolone inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using triamcinolone

It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by triamcinolone.

If your or your child’s symptoms do not improve within a few days, or if they become worse, check with your doctor.

Using too much of triamcinolone or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using triamcinolone: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.

Stop using triamcinolone and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use cosmetics or other skin care products on the treated areas.

triamcinolone Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Blistering, burning, crusting, dryness, or flaking of the skin
irritation
itching, scaling, severe redness, soreness, or swelling of the skin
redness and scaling around the mouth
thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

Acne or pimples
burning and itching of the skin with pinhead-sized red blisters
burning, itching, and pain in hairy areas, or pus at the root of the hair
increased hair growth on the forehead, back, arms, and legs
lightening of normal skin color
lightening of treated areas of dark skin
reddish purple lines on the arms, face, legs, trunk, or groin
softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided “AS IS” and “as available” for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

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Triaderm Mild Ointment

30/06/10

Generic Name: triamcinolone (Topical application route)

trye-am-SIN-oh-lone a-SEET-oh-nide

Commonly used brand name(s):

In the U.S.

Aristocort A
Cinolar
Kenalog
Triacet
Triamcot
Triderm
Zytopic

In Canada

Aristocort C Concentrate
Aristocort D Dilute
Aristocort R Ointment Regular
Aristocort R Regular
Kenalog Cream
Kenalog Ointment
Kenalog Spray
Triaderm Mild Cream
Triaderm Mild Ointment
Triaderm Regular Cream
Triaderm Regular Ointment
Trianide Mild-Cream

Available Dosage Forms:

Cream
Lotion
Spray
Ointment

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Uses For Triaderm Mild Ointment

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor’s prescription.

Before Using Triaderm Mild Ointment

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone topical in the pediatric population. However, because of this medicine’s toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor’s instructions very carefully.

Geriatric

No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients.

Interactions with Medicines

Interactions with Food/Tobacco/Alcohol

Proper Use of triamcinolone

This section provides information on the proper use of a number of products that contain triamcinolone. It may not be specific to Triaderm Mild Ointment. Please read with care.

It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.

This medicine is for use on the skin only. Do not get it in your eyes. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.

If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

This medicine should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. This medicine should not be used to treat certain kinds of skin infections or conditions, such as severe burns.

To use:

Wash your hands with soap and water before and after using this medicine.
Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.
Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.
If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

For redness, itching, and swelling of the skin:
- For topical dosage forms (cream, lotion, and ointment):
  - Adults—Apply to the affected area of the skin two to four times per day.
  - Children—Apply to the affected area of the skin two to four times per day.
- For topical dosage form (aerosol spray):
  - Adults—Spray to the affected area of the skin three to four times per day.
  - Children—Spray to the affected area of the skin three to four times per day.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Triaderm Mild Ointment

It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by this medicine.

If your or your child’s symptoms do not improve within a few days, or if they become worse, check with your doctor.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use cosmetics or other skin care products on the treated areas.

Triaderm Mild Ointment Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Blistering, burning, crusting, dryness, or flaking of the skin
irritation
itching, scaling, severe redness, soreness, or swelling of the skin
redness and scaling around the mouth
thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Incidence not known

Acne or pimples
burning and itching of the skin with pinhead-sized red blisters
burning, itching, and pain in hairy areas, or pus at the root of the hair
increased hair growth on the forehead, back, arms, and legs
lightening of normal skin color
lightening of treated areas of dark skin
reddish purple lines on the arms, face, legs, trunk, or groin
softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Advanced,T

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Triaderm Regular Cream

30/06/10

Generic Name: triamcinolone (Topical application route)

trye-am-SIN-oh-lone a-SEET-oh-nide

Commonly used brand name(s):

In the U.S.

Aristocort A
Cinolar
Kenalog
Triacet
Triamcot
Triderm
Zytopic

In Canada

Aristocort C Concentrate
Aristocort D Dilute
Aristocort R Ointment Regular
Aristocort R Regular
Kenalog Cream
Kenalog Ointment
Kenalog Spray
Triaderm Mild Cream
Triaderm Mild Ointment
Triaderm Regular Cream
Triaderm Regular Ointment
Trianide Mild-Cream

Available Dosage Forms:

Cream
Lotion
Spray
Ointment

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Uses For Triaderm Regular Cream

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor’s prescription.

Before Using Triaderm Regular Cream

Allergies

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone topical in the pediatric population. However, because of this medicine’s toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor’s instructions very carefully.

Geriatric

No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients.

Interactions with Medicines

Interactions with Food/Tobacco/Alcohol

Proper Use of triamcinolone

This section provides information on the proper use of a number of products that contain triamcinolone. It may not be specific to Triaderm Regular Cream. Please read with care.

If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

To use:

Wash your hands with soap and water before and after using this medicine.
Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.
Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.
If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

Dosing

For redness, itching, and swelling of the skin:
- For topical dosage forms (cream, lotion, and ointment):
  - Adults—Apply to the affected area of the skin two to four times per day.
  - Children—Apply to the affected area of the skin two to four times per day.
- For topical dosage form (aerosol spray):
  - Adults—Spray to the affected area of the skin three to four times per day.
  - Children—Spray to the affected area of the skin three to four times per day.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Triaderm Regular Cream

It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by this medicine.

If your or your child’s symptoms do not improve within a few days, or if they become worse, check with your doctor.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use cosmetics or other skin care products on the treated areas.

Triaderm Regular Cream Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Blistering, burning, crusting, dryness, or flaking of the skin
irritation
itching, scaling, severe redness, soreness, or swelling of the skin
redness and scaling around the mouth
thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Incidence not known

Acne or pimples
burning and itching of the skin with pinhead-sized red blisters
burning, itching, and pain in hairy areas, or pus at the root of the hair
increased hair growth on the forehead, back, arms, and legs
lightening of normal skin color
lightening of treated areas of dark skin
reddish purple lines on the arms, face, legs, trunk, or groin
softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Advanced,T

Comments (0)

Triaderm Regular Ointment

30/06/10

Generic Name: triamcinolone (Topical application route)

trye-am-SIN-oh-lone a-SEET-oh-nide

Commonly used brand name(s):

In the U.S.

Aristocort A
Cinolar
Kenalog
Triacet
Triamcot
Triderm
Zytopic

In Canada

Aristocort C Concentrate
Aristocort D Dilute
Aristocort R Ointment Regular
Aristocort R Regular
Kenalog Cream
Kenalog Ointment
Kenalog Spray
Triaderm Mild Cream
Triaderm Mild Ointment
Triaderm Regular Cream
Triaderm Regular Ointment
Trianide Mild-Cream

Available Dosage Forms:

Cream
Lotion
Spray
Ointment

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Uses For Triaderm Regular Ointment

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor’s prescription.

Before Using Triaderm Regular Ointment

Allergies

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone topical in the pediatric population. However, because of this medicine’s toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor’s instructions very carefully.

Geriatric

No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients.

Interactions with Medicines

Interactions with Food/Tobacco/Alcohol

Proper Use of triamcinolone

This section provides information on the proper use of a number of products that contain triamcinolone. It may not be specific to Triaderm Regular Ointment. Please read with care.

If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

To use:

Wash your hands with soap and water before and after using this medicine.
Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.
Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.
If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

Dosing

For redness, itching, and swelling of the skin:
- For topical dosage forms (cream, lotion, and ointment):
  - Adults—Apply to the affected area of the skin two to four times per day.
  - Children—Apply to the affected area of the skin two to four times per day.
- For topical dosage form (aerosol spray):
  - Adults—Spray to the affected area of the skin three to four times per day.
  - Children—Spray to the affected area of the skin three to four times per day.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Triaderm Regular Ointment

It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by this medicine.

If your or your child’s symptoms do not improve within a few days, or if they become worse, check with your doctor.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use cosmetics or other skin care products on the treated areas.

Triaderm Regular Ointment Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Blistering, burning, crusting, dryness, or flaking of the skin
irritation
itching, scaling, severe redness, soreness, or swelling of the skin
redness and scaling around the mouth
thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Incidence not known

Acne or pimples
burning and itching of the skin with pinhead-sized red blisters
burning, itching, and pain in hairy areas, or pus at the root of the hair
increased hair growth on the forehead, back, arms, and legs
lightening of normal skin color
lightening of treated areas of dark skin
reddish purple lines on the arms, face, legs, trunk, or groin
softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Advanced,T

Comments (0)

Triactin

30/06/10

Generic Name: pheniramine/pyrilamine/phenylpropanolamine (fen IR a meen/pie RILL a meen/fen ill proe pa NOLE a meen)
Brand Names: Liqui-Minic Infant, Triactin, Triaminic Infant, Triaminic Pediatric

What is Triactin (pheniramine/pyrilamine/phenylpropanolamine)?

Pheniramine and pyrilamine are antihistamines. They block the effects of the naturally occurring chemical histamine in the body. Pheniramine and pyrilamine prevent sneezing; itchy, watery eyes and nose; and other symptoms of allergies and hay fever.

Phenylpropanolamine is a decongestant. It constricts (shrinks) blood vessels (veins and arteries). This reduces the blood flow to certain areas and allows nasal and respiratory (breathing) passages to open up.

Pheniramine/pyrilamine/phenylpropanolamine is used to treat nasal congestion and sinusitis (inflammation of the sinuses) associated with allergies, hay fever, and the common cold.

Phenylpropanolamine, an ingredient in this product, has been associated with an increased risk of hemorrhagic stroke (bleeding into the brain or into tissue surrounding the brain) in women. Men may also be at risk. Although the risk of hemorrhagic stroke is low, the U.S. Food and Drug Administration (FDA) recommends that consumers not use any products that contain phenylpropanolamine.

Pheniramine/pyrilamine/phenylpropanolamine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Triactin (pheniramine/pyrilamine/phenylpropanolamine)?

Pheniramine/pyrilamine/phenylpropanolamine may cause dizziness or drowsiness. Avoid climbing and other hazardous activities while taking this medication. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking pheniramine/pyrilamine/phenylpropanolamine.

Do not take more of this medication than is recommended. If your symptoms do not improve, or if they worsen, talk to your doctor.

Who should not take Triactin (pheniramine/pyrilamine/phenylpropanolamine)?

Do not take pheniramine/pyrilamine/phenylpropanolamine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Before taking this medication, tell your doctor if you have

kidney disease,
liver disease,
diabetes,
glaucoma,
any type of heart disease or high blood pressure,
thyroid disease,
emphysema or chronic bronchitis, or
difficulty urinating or have an enlarged prostate.

You may not be able to take pheniramine/pyrilamine/phenylpropanolamine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Pheniramine/pyrilamine/phenylpropanolamine is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. This medication passes into breast milk and may harm a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. If you are over 65 years of age, you may be more likely to experience side effects from pheniramine/pyrilamine/phenylpropanolamine. You may require a lower dose of this medication. Read the package label for directions or consult your doctor or pharmacist before treating a child with this medication. Children are more susceptible than adults to the effects of medicines and may have unusual reactions.

How should I take Triactin (pheniramine/pyrilamine/phenylpropanolamine)?

Take pheniramine/pyrilamine/phenylpropanolamine exactly as directed. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water. Do not crush, chew, or break the long-acting or sustained-release forms of this medication. Swallow them whole. If you are unsure of the formulation of the medicine, ask your pharmacist for help. If you cannot swallow the tablets or capsules, look for a liquid form of the medication.

To ensure that you get a correct dose, measure the liquid forms of pheniramine/pyrilamine/phenylpropanolamine with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Do not take more of this medication than is recommended. An overdose of this medication can cause serious harm.

Do not take pheniramine/pyrilamine/phenylpropanolamine for longer than 7 days in a row. If your symptoms do not improve, if they get worse, or if you have a fever, talk to your doctor.

Store pheniramine/pyrilamine/phenylpropanolamine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a pheniramine/pyrilamine/phenylpropanolamine overdose include a dry mouth, large pupils, flushing, nausea, and vomiting.

What should I avoid while taking pheniramine/pyrilamine/ phenylpropanolamine?

Pheniramine/pyrilamine/phenylpropanolamine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, other antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if pheniramine/pyrilamine/phenylpropanolamine is taken with any of these medications.

Pheniramine/ pyrilamine/phenylpropanolamine side effects

Serious side effects are unlikely to occur. Stop taking pheniramine/pyrilamine/ phenylpropanolamine and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may be more likely to occur. Continue to take pheniramine/pyrilamine/phenylpropanolamine and talk to your doctor or try another similar medication if you experience

dryness of the eyes, nose, and mouth;
drowsiness or dizziness;
blurred vision;
difficulty urinating; or
excitation in children.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect pheniramine/ pyrilamine/phenylpropanolamine?

Do not take other over-the-counter cough, cold, allergy, diet, or sleep aids while taking pheniramine/pyrilamine/phenylpropanolamine without first talking to your doctor or pharmacist. Other medications may also contain pheniramine, pyrilamine phenylpropanolamine, or other similar drugs. You may accidentally take too much of these medicines.

Drugs other than those listed here may also interact with pheniramine/pyrilamine/phenylpropanolamine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Where can I get more information?

Your pharmacist has additional information about pheniramine/pyrilamine/phenylpropanolamine written for health professionals that you may read.

What does my medication look like?

Pheniramine/pyrilamine/phenylpropanolamine is available over the counter under the brand name Triaminic Oral Infant Drops. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

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.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Concise,T

Comments (0)

Triaderm Mild Cream

30/06/10

Generic Name: triamcinolone (Topical application route)

trye-am-SIN-oh-lone a-SEET-oh-nide

Commonly used brand name(s):

In the U.S.

Aristocort A
Cinolar
Kenalog
Triacet
Triamcot
Triderm
Zytopic

In Canada

Aristocort C Concentrate
Aristocort D Dilute
Aristocort R Ointment Regular
Aristocort R Regular
Kenalog Cream
Kenalog Ointment
Kenalog Spray
Triaderm Mild Cream
Triaderm Mild Ointment
Triaderm Regular Cream
Triaderm Regular Ointment
Trianide Mild-Cream

Available Dosage Forms:

Cream
Lotion
Spray
Ointment

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Uses For Triaderm Mild Cream

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor’s prescription.

Before Using Triaderm Mild Cream

Allergies

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone topical in the pediatric population. However, because of this medicine’s toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor’s instructions very carefully.

Geriatric

No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients.

Interactions with Medicines

Interactions with Food/Tobacco/Alcohol

Proper Use of triamcinolone

This section provides information on the proper use of a number of products that contain triamcinolone. It may not be specific to Triaderm Mild Cream. Please read with care.

If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

To use:

Wash your hands with soap and water before and after using this medicine.
Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.
Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.
If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.
If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

Dosing

For redness, itching, and swelling of the skin:
- For topical dosage forms (cream, lotion, and ointment):
  - Adults—Apply to the affected area of the skin two to four times per day.
  - Children—Apply to the affected area of the skin two to four times per day.
- For topical dosage form (aerosol spray):
  - Adults—Spray to the affected area of the skin three to four times per day.
  - Children—Spray to the affected area of the skin three to four times per day.

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Triaderm Mild Cream

It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by this medicine.

If your or your child’s symptoms do not improve within a few days, or if they become worse, check with your doctor.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use cosmetics or other skin care products on the treated areas.

Triaderm Mild Cream Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Blistering, burning, crusting, dryness, or flaking of the skin
irritation
itching, scaling, severe redness, soreness, or swelling of the skin
redness and scaling around the mouth
thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Incidence not known

Acne or pimples
burning and itching of the skin with pinhead-sized red blisters
burning, itching, and pain in hairy areas, or pus at the root of the hair
increased hair growth on the forehead, back, arms, and legs
lightening of normal skin color
lightening of treated areas of dark skin
reddish purple lines on the arms, face, legs, trunk, or groin
softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Advanced,T

Comments (0)

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Drugs & Medications:A-Z

Recent Posts

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30/06/10

Triamcinolone Spray is used for:

Do NOT use Triamcinolone Spray if:

Before using Triamcinolone Spray:

How to use Triamcinolone Spray:

Important safety information:

Possible side effects of Triamcinolone Spray:

If OVERDOSE is suspected:

General information:

30/06/10

Triamcinolone Suspension is used for:

Do NOT use Triamcinolone Suspension if:

Before using Triamcinolone Suspension:

How to use Triamcinolone Suspension:

Important safety information:

Possible side effects of Triamcinolone Suspension:

If OVERDOSE is suspected:

General information:

30/06/10

What are TriAdvance (prenatal multivitamins)?

What is the most important information I should know about prenatal vitamins?

What should I discuss with my healthcare provider before taking prenatal vitamins?

How should I take prenatal vitamins?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking prenatal vitamins?

Prenatal vitamins side effects

What other drugs will affect prenatal vitamins?

Where can I get more information?

30/06/10

What is triamcinolone nasal?

What is the most important information I should know about triamcinolone nasal?

What should I discuss with my healthcare provider before using triamcinolone nasal?

How should I use triamcinolone nasal?

What happens if I miss a dose?

What happens if I overdose?

What should I avoid while taking triamcinolone nasal?

Triamcinolone nasal side effects

Triamcinolone Dosing Information

What other drugs will affect triamcinolone nasal?

Where can I get more information?

30/06/10

Uses For triamcinolone

Before Using triamcinolone

Allergies

Pediatric

Geriatric

Interactions with Medicines

Interactions with Food/Tobacco/Alcohol

Other Medical Problems

Proper Use of triamcinolone

Dosing

Missed Dose

Storage

Precautions While Using triamcinolone

triamcinolone Side Effects

30/06/10

Uses For Triaderm Mild Ointment

Before Using Triaderm Mild Ointment

Allergies

Pediatric

Geriatric

Interactions with Medicines

Interactions with Food/Tobacco/Alcohol

Other Medical Problems

Proper Use of triamcinolone

Dosing

Missed Dose

Storage

Precautions While Using Triaderm Mild Ointment

Triaderm Mild Ointment Side Effects

30/06/10

Uses For Triaderm Regular Cream

Before Using Triaderm Regular Cream

Allergies

Pediatric

Geriatric