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What is Triamcinolone
Triamcinolone is a synthetic glucocorticoid that is considered slightly more potent than prednisone when given orally.
Triamcinolone has little mineralocorticoid activity and is therefore not used systemically to manage adrenal insufficiency unless a more potent mineralocorticoid is administered concomitantly.
Triamcinolone is commercially available in nasal, parenteral, topical, and intravitreal injection formulations.
Oral and respiratory formulations of triamcinolone were previously available, but are no longer marketed in the U.S. Triamcinolone injections are commonly used for intra-articular use when such therapy is indicated.
The nasal spray is used to manage symptoms of seasonal and perennial allergies.
Topical preparations for corticosteroid-responsive dermatoses are considered to be of medium or high potency.
Side Effects
- abdominal pain
- acne vulgaris
- acneiform rash
- adrenocortical insufficiency
- alopecia
- amnesia
- anaphylactoid reactions
- angina
- angioedema
- anorexia
- anxiety
- appetite stimulation
- arachnoiditis
- arrhythmia exacerbation
- arthralgia
- arthropathy
- avascular necrosis
- blurred vision
- bone fractures
- bradycardia
- candidiasis
- cardiac arrest
- cardiomyopathy
- cataracts
- constipation
- contact dermatitis
- cough
- Cushing’s syndrome
- delirium
- depression
- diabetes mellitus
- diaphoresis
- diarrhea
- dysgeusia
- dyspepsia
- dysphonia
- ecchymosis
- edema
- EEG changes
- elevated hepatic enzymes
- emotional lability
- endophthalmitis
- epistaxis
- erythema
- esophageal ulceration
- euphoria
- exophthalmos
- fever
- fluid retention
- flushing
- folliculitis
- gastritis
- GI bleeding
- GI perforation
- glossitis
- glycosuria
- growth inhibition
- hallucinations
- heart failure
- hepatomegaly
- hiccups
- hoarseness
- hypercholesterolemia
- hyperglycemia
- hypernatremia
- hypertension
- hypertrichosis
- hypocalcemia
- hypokalemia
- hypotension
- hypothalamic-pituitary-adrenal (HPA) suppression
- immunosuppression
- impaired cognition
- impaired wound healing
- increased intracranial pressure
- infection
- influenza
- injection site reaction
- insomnia
- irritability
- lethargy
- leukocytosis
- lupus-like symptoms
- maculopapular rash
- malaise
- mania
- memory impairment
- meningitis
- menstrual irregularity
- metabolic alkalosis
- miliaria
- myalgia
- myasthenia
- myocardial infarction
- myopathy
- nasal dryness
- nasal irritation
- nasal septum perforation
- nausea
- neuritis
- ocular hemorrhage
- ocular hypertension
- ocular infection
- ocular inflammation
- optic neuritis
- osteopenia
- osteoporosis
- palpitations
- pancreatitis
- papilledema
- paresis
- paresthesias
- peptic ulcer
- perineal pain
- peripheral neuropathy
- petechiae
- pharyngitis
- phlebitis
- physiological dependence
- postmenopausal bleeding
- pruritus
- pseudotumor cerebri
- psychosis
- pulmonary edema
- purpura
- rash
- restlessness
- retinal detachment
- retinopathy
- seizures
- sinus tachycardia
- sinusitis
- skin atrophy
- skin hyperpigmentation
- skin hypopigmentation
- skin irritation
- skin ulcer
- sodium retention
- striae
- stroke
- syncope
- telangiectasia
- tendon rupture
- thromboembolism
- thrombosis
- tolerance
- urticaria
- vaginal bleeding
- vasculitis
- vertigo
- visual impairment
- vomiting
- weight gain
- weight loss
- withdrawal
- xerosis
- xerostomia
Monitoring Parameters
- blood glucose
- blood pressure
- growth rate
- intraocular pressure
- ophthalmologic exam
- pulmonary function tests (PFTs)
- serum potassium
- weight
Contraindications
- abrupt discontinuation
- acne rosacea
- acne vulgaris
- adrenal insufficiency
- breast-feeding
- cataracts
- corticosteroid hypersensitivity
- Cushing’s syndrome
- diabetes mellitus
- diverticulitis
- ensure correct formulation selection
- epidural administration
- fungal infection
- geriatric
- GI perforation
- glaucoma
- growth inhibition
- head trauma
- heart failure
- helminth infection
- hepatic disease
- herpes infection
- hypertension
- hyperthyroidism
- hypothalamic-pituitary-adrenal (HPA) suppression
- hypothyroidism
- immune thrombocytopenic purpura (ITP)
- immunosuppression
- impaired wound healing
- increased intracranial pressure
- infection
- intrathecal administration
- intravenous administration
- intravitreal administration
- measles
- myasthenia gravis
- myocardial infarction
- nasal septal perforation
- nasal surgery
- nasal trauma
- neonates
- neuromuscular disease
- occlusive dressing
- ocular exposure
- ocular infection
- osteopenia
- osteoporosis
- peptic ulcer disease
- peripheral vascular disease
- pregnancy
- premature neonates
- psychosis
- renal disease
- seizure disorder
- skin abrasion
- skin atrophy
- surgery
- thyroid disease
- tuberculosis
- ulcerative colitis
- vaccination
- varicella
- viral infection
Interactions
- Abatacept
- Acetaminophen; Aspirin, ASA; Caffeine
- Acetaminophen; Butalbital
- Acetaminophen; Butalbital; Caffeine
- Acetaminophen; Butalbital; Caffeine; Codeine
- Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine
- Acetaminophen; Caffeine; Phenyltoloxamine; Salicylamide
- Acetaminophen; Chlorpheniramine; Dextromethorphan; Phenylephrine
- Acetaminophen; Chlorpheniramine; Phenylephrine; Phenyltoloxamine
- Acetaminophen; Dextromethorphan; Guaifenesin; Phenylephrine
- Acetaminophen; Dextromethorphan; Phenylephrine
- Acetaminophen; Guaifenesin; Phenylephrine
- Acetazolamide
- Acetohexamide
- Adalimumab
- Albiglutide
- Aldesleukin, IL-2
- Alemtuzumab
- Aliskiren; Amlodipine; Hydrochlorothiazide, HCTZ
- Aliskiren; Hydrochlorothiazide, HCTZ
- Alogliptin; Metformin
- Alpha-glucosidase Inhibitors
- Altretamine
- Ambenonium Chloride
- Amifampridine
- Amiloride; Hydrochlorothiazide, HCTZ
- Aminolevulinic Acid
- Aminosalicylate sodium, Aminosalicylic acid
- Amiodarone
- Amlodipine; Hydrochlorothiazide, HCTZ; Olmesartan
- Amlodipine; Hydrochlorothiazide, HCTZ; Valsartan
- Amoxicillin; Clarithromycin; Lansoprazole
- Amoxicillin; Clarithromycin; Omeprazole
- Amphotericin B
- Amphotericin B cholesteryl sulfate complex (ABCD)
- Amphotericin B lipid complex (ABLC)
- Amphotericin B liposomal (LAmB)
- Amprenavir
- Antithymocyte Globulin
- Antitumor antibiotics
- Argatroban
- Arsenic Trioxide
- Asparaginase Erwinia chrysanthemi
- Aspirin, ASA
- Aspirin, ASA; Butalbital; Caffeine
- Aspirin, ASA; Butalbital; Caffeine; Codeine
- Aspirin, ASA; Caffeine; Dihydrocodeine
- Aspirin, ASA; Caffeine; Orphenadrine
- Aspirin, ASA; Carisoprodol
- Aspirin, ASA; Carisoprodol; Codeine
- Aspirin, ASA; Citric Acid; Sodium Bicarbonate
- Aspirin, ASA; Dipyridamole
- Aspirin, ASA; Omeprazole
- Aspirin, ASA; Oxycodone
- Aspirin, ASA; Pravastatin
- Atazanavir
- Atazanavir; Cobicistat
- Atenolol; Chlorthalidone
- Atracurium
- Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
- Atropine; Hyoscyamine; Phenobarbital; Scopolamine
- Azathioprine
- Azilsartan; Chlorthalidone
- Basiliximab
- Belladonna Alkaloids; Ergotamine; Phenobarbital
- Benazepril; Hydrochlorothiazide, HCTZ
- Bendroflumethiazide; Nadolol
- Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
- Bepridil
- Bexarotene
- Bismuth Subsalicylate
- Bismuth Subsalicylate; Metronidazole; Tetracycline
- Bisoprolol; Hydrochlorothiazide, HCTZ
- Bivalirudin
- Bortezomib
- Bosentan
- Brompheniramine; Carbetapentane; Phenylephrine
- Bupropion
- Bupropion; Naltrexone
- Butabarbital
- Calcium Carbonate
- Calcium Carbonate; Magnesium Hydroxide
- Calcium Carbonate; Risedronate
- Calcium Carbonate; Simethicone
- Canagliflozin
- Canagliflozin; Metformin
- Candesartan; Hydrochlorothiazide, HCTZ
- Captopril; Hydrochlorothiazide, HCTZ
- Carbamazepine
- Carbetapentane; Chlorpheniramine; Phenylephrine
- Carbetapentane; Diphenhydramine; Phenylephrine
- Carbetapentane; Guaifenesin; Phenylephrine
- Carbetapentane; Phenylephrine
- Carbetapentane; Phenylephrine; Pyrilamine
- Carbinoxamine; Hydrocodone; Phenylephrine
- Carbinoxamine; Phenylephrine
- Carmustine, BCNU
- Ceritinib
- Chlophedianol; Guaifenesin; Phenylephrine
- Chlorambucil
- Chloramphenicol
- Chlorothiazide
- Chlorpheniramine; Dextromethorphan; Phenylephrine
- Chlorpheniramine; Dihydrocodeine; Phenylephrine
- Chlorpheniramine; Hydrocodone; Phenylephrine
- Chlorpheniramine; Phenylephrine
- Chlorpropamide
- Chlorthalidone
- Chlorthalidone; Clonidine
- Choline Salicylate; Magnesium Salicylate
- Cimetidine
- Cisatracurium
- Citalopram
- Clarithromycin
- Clindamycin
- Clofarabine
- Cobicistat
- Codeine; Phenylephrine; Promethazine
- Conivaptan
- Dapagliflozin
- Dapagliflozin; Metformin
- Dapagliflozin; Saxagliptin
- Darunavir
- Darunavir; Cobicistat
- Darunavir; Cobicistat; Emtricitabine; Tenofovir alafenamide
- Dasabuvir; Ombitasvir; Paritaprevir; Ritonavir
- Deferasirox
- Delavirdine
- Denileukin Diftitox
- Denosumab
- Desmopressin
- Dextran
- Dextromethorphan; Diphenhydramine; Phenylephrine
- Dextromethorphan; Guaifenesin; Phenylephrine
- Digoxin
- Dipeptidyl Peptidase-4 Inhibitors
- Diphenhydramine; Hydrocodone; Phenylephrine
- Diphenhydramine; Phenylephrine
- Dofetilide
- Doxacurium
- Droperidol
- Dulaglutide
- Echinacea
- Econazole
- Efalizumab
- Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Alafenamide
- Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Disoproxil Fumarate
- Empagliflozin
- Empagliflozin; Linagliptin
- Empagliflozin; Linagliptin; Metformin
- Empagliflozin; Metformin
- Enalapril; Hydrochlorothiazide, HCTZ
- Ephedrine
- Eprosartan; Hydrochlorothiazide, HCTZ
- Erlotinib
- Ertugliflozin
- Ertugliflozin; Metformin
- Ertugliflozin; Sitagliptin
- Estramustine
- Estrogens
- Exenatide
- Fluconazole
- Fluoxymesterone
- Fosamprenavir
- Fosinopril; Hydrochlorothiazide, HCTZ
- Gallium Ga 68 Dotatate
- Gemcitabine
- Gentamicin
- Glimepiride
- Glimepiride; Pioglitazone
- Glimepiride; Rosiglitazone
- Glipizide
- Glipizide; Metformin
- Glyburide
- Glyburide; Metformin
- Glycerol Phenylbutyrate
- grapefruit juice
- Guaifenesin; Phenylephrine
- Halofantrine
- Haloperidol
- Hemin
- Heparin
- Hetastarch
- Hydantoins
- Hydralazine; Hydrochlorothiazide, HCTZ
- Hydrochlorothiazide, HCTZ
- Hydrochlorothiazide, HCTZ; Irbesartan
- Hydrochlorothiazide, HCTZ; Lisinopril
- Hydrochlorothiazide, HCTZ; Losartan
- Hydrochlorothiazide, HCTZ; Methyldopa
- Hydrochlorothiazide, HCTZ; Metoprolol
- Hydrochlorothiazide, HCTZ; Moexipril
- Hydrochlorothiazide, HCTZ; Olmesartan
- Hydrochlorothiazide, HCTZ; Propranolol
- Hydrochlorothiazide, HCTZ; Quinapril
- Hydrochlorothiazide, HCTZ; Spironolactone
- Hydrochlorothiazide, HCTZ; Telmisartan
- Hydrochlorothiazide, HCTZ; Triamterene
- Hydrochlorothiazide, HCTZ; Valsartan
- Hydrocodone; Phenylephrine
- Hydroxyurea
- Hylan G-F 20
- Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate; Sodium Biphosphate
- Ibritumomab Tiuxetan
- Idelalisib
- Incretin Mimetics
- Indapamide
- Indinavir
- Insulin Degludec; Liraglutide
- Insulin Glargine; Lixisenatide
- Insulins
- Interferon Alfa-2a
- Interferon Alfa-2b
- Interferon Alfa-2b; Ribavirin
- Iohexol
- Isoniazid, INH; Pyrazinamide, PZA; Rifampin
- Isoniazid, INH; Rifampin
- Isoproterenol
- Isotretinoin
- Itraconazole
- Ketoconazole
- L-Asparaginase Escherichia coli
- Levetiracetam
- Levomethadyl
- Linagliptin; Metformin
- Liraglutide
- Live Vaccines
- Lixisenatide
- Lomustine, CCNU
- Loop diuretics
- Lopinavir; Ritonavir
- Macimorelin
- Magnesium Salicylate
- Mannitol
- Mecasermin rinfabate
- Mecasermin, Recombinant, rh-IGF-1
- Meglitinides
- Melphalan
- Mepenzolate
- Mephobarbital
- Metformin
- Metformin; Pioglitazone
- Metformin; Repaglinide
- Metformin; Rosiglitazone
- Metformin; Saxagliptin
- Metformin; Sitagliptin
- Methacholine
- Methazolamide
- Methenamine; Sodium Acid Phosphate
- Methenamine; Sodium Acid Phosphate; Methylene Blue; Hyoscyamine
- Methoxsalen
- Methyclothiazide
- Metolazone
- Metyrapone
- Micafungin
- Mifepristone
- Mitoxantrone
- Mivacurium
- Moxifloxacin
- Muromonab-CD3
- Natalizumab
- Nateglinide
- Nefazodone
- Nelarabine
- Nelfinavir
- Neostigmine
- Neuromuscular blockers
- Nicardipine
- Nonsteroidal antiinflammatory drugs
- Ocrelizumab
- Ombitasvir; Paritaprevir; Ritonavir
- Omeprazole; Amoxicillin; Rifabutin
- Ondansetron
- Oxymetholone
- Pancuronium
- Pegaspargase
- Penicillamine
- Phenobarbital
- Phenylephrine
- Phenylephrine; Promethazine
- Photosensitizing agents (topical)
- Physostigmine
- Pimozide
- Posaconazole
- Potassium
- Potassium Chloride
- Potassium Phosphate; Sodium Phosphate
- Potassium-sparing diuretics
- Pramlintide
- Prasterone, Dehydroepiandrosterone, DHEA (Dietary Supplements)
- Prasterone, Dehydroepiandrosterone, DHEA (FDA-approved)
- Primidone
- Propranolol
- Purine analogs
- Pyridostigmine
- Quetiapine
- Quinolones
- Rapacuronium
- Regular Insulin
- Repaglinide
- Rifabutin
- Rifampin
- Rifamycins
- Rifapentine
- Ritodrine
- Ritonavir
- Rituximab
- Rituximab; Hyaluronidase
- Rocuronium
- Salicylates
- Salsalate
- Saquinavir
- Sargramostim, GM-CSF
- Semaglutide
- SGLT2 Inhibitors
- Siponimod
- Sodium Benzoate; Sodium Phenylacetate
- Sodium Chloride
- Sodium Phenylbutyrate
- Sodium Phosphate Monobasic Monohydrate; Sodium Phosphate Dibasic Anhydrous
- Somatropin, rh-GH
- Succinylcholine
- Sulfonylureas
- Telbivudine
- Telithromycin
- Testosterone
- Thiazide diuretics
- Thiazolidinediones
- Thyroid hormones
- Tipranavir
- Tobramycin
- Tolazamide
- Tolbutamide
- Tositumomab
- Tranexamic Acid
- Tretinoin, ATRA
- Tuberculin Purified Protein Derivative, PPD
- Tubocurarine
- Tucatinib
- Urea
- Vancomycin
- Vecuronium
- Vigabatrin
- Vinblastine
- Vincristine Liposomal
- Voriconazole
- Vorinostat
- Warfarin
- Zafirlukast
- Zileuton