Triamcinolone (Systemic)

Name: Triamcinolone (Systemic)

What do I need to tell my doctor BEFORE I take Triamcinolone?

All products:

  • If you have an allergy to triamcinolone or any other part of this medicine.
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have any of these health problems: A fungal infection or malaria infection in the brain.
  • If you have a herpes infection of the eye.

Injection (if given in the muscle):

  • If you have idiopathic thrombocytopenic purpura (ITP).

This is not a list of all drugs or health problems that interact with triamcinolone.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

Pronunciation

(trye am SIN oh lone)

Dosing Renal Impairment

There are no dosage adjustments provided in the manufacturer's labeling; use with caution.

Adverse Reactions

Frequency not defined. Reactions listed are based on reports for other agents in this same pharmacologic class and may not be specifically reported for systemic triamcinolone.

Cardiovascular: Bradycardia, cardiac arrhythmia, cardiac failure, cardiomegaly, cerebrovascular accident, circulatory shock, edema, hypertension, hypertrophic cardiomyopathy (premature infants), myocardial rupture (following recent myocardial infarction), syncope, tachycardia, thromboembolism, thrombophlebitis, vasculitis

Central nervous system: Arachnoiditis (intrathecal), depression, emotional lability, euphoria, headache, increased intracranial pressure, insomnia, malaise, meningitis (intrathecal), mood changes, neuritis, neuropathy, paraplegia, paresthesia, personality changes, pseudotumor cerebri (upon discontinuation), quadriplegia, seizure, spinal cord infarction, vertigo

Dermatologic: Acne vulgaris, allergic dermatitis, atrophic striae, diaphoresis, epidermal thinning, erythema, hyperpigmentation, hypertrichosis, hypopigmentation, skin atrophy (cutaneous/subcutaneous), skin rash, suppression of skin test reaction, thinning hair, xeroderma

Endocrine & metabolic: Calcinosis, cushingoid state, decreased glucose tolerance, diabetes mellitus, fluid retention, glycosuria, growth suppression (children), hirsutism, hypokalemia, hypokalemic alkalosis, lipodystrophy, menstrual disease, moon face, negative nitrogen balance, sodium retention, weight gain

Gastrointestinal: Abdominal distention, carbohydrate intolerance, gastrointestinal hemorrhage, gastrointestinal perforation, hiccups, increased appetite, nausea, pancreatitis, peptic ulcer, ulcerative esophagitis

Genitourinary: Spermatozoa disorder (motility altered)

Hematologic & oncologic: Bruise, petechiae, purpura

Hepatic: Hepatomegaly, increased liver enzymes

Hypersensitivity: Anaphylactoid reaction, anaphylaxis, angioedema

Infection: Infection, sterile abscess

Neuromuscular & skeletal: Amyotrophy, arthropathy (joint tissue damage), aseptic necrosis of bones (femoral and humeral heads), bone fracture, Charcot-like arthropathy, lupus erythematosus-like rash, myopathy, osteoporosis, rupture of tendon, vertebral compression fracture, weakness

Ophthalmic: Cataract, cortical blindness, exophthalmos, glaucoma, increased intraocular pressure, papilledema

Respiratory: Pulmonary edema

Miscellaneous: Wound healing impairment

Patient Education

• Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?)

• Patient may experience nausea, vomiting, insomnia, agitation, sweating a lot, or hair thinning. Have patient report immediately to prescriber signs of infection, signs of high blood sugar (confusion, feeling sleepy, more thirst, hunger, passing urine more often, flushing, fast breathing, or breath that smells like fruit), signs of Cushing's disease (weight gain in upper back or stomach; moon face; severe headache; or slow healing), signs of adrenal gland problems (severe nausea, vomiting, severe dizziness, passing out, muscle weakness, severe fatigue, mood changes, lack of appetite, or weight loss), severe loss of strength and energy, irritability, tremors, tachycardia, confusion, sweating a lot, arrhythmia, dizziness, shortness of breath, excessive weight gain, swelling of arms or legs, thrush, severe bone pain, severe joint pain, vision changes, mood changes, behavioral changes, depression, seziures, burning or numbness feeling, injection site irritation or edema, or signs of skin changes (pimples, stretch marks, slow healing, or hair growth) (HCAHPS).

• Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions.

Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients.

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