Triamcinolone

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Triamcinolone, steroid drug used to treat breathing problems associated with such disorders as hay fever and asthma. Triamcinolone works by keeping open the bronchial tubes (the two divisions of the windpipe leading into the lungs) and reducing inflammation in the mucous tissues of the respiratory tract. It is also effective in treating inflamed areas of the skin as well as growths (polyps) inside the nose.

This drug is available by prescription only in several forms, including an oral inhalant, tablets, cream and ointment forms applied topically, and a liquid form that is injected. Triamcinolone is usually prescribed for adults in 2 inhalations, two to three times a day, with a maximum of 16 inhalations per day. The tablet dosage ranges from 4 to 48 mg per day. Tablets may be taken with food to avoid stomach upset. Children 6 to 12 years old can use this drug, although prescribed dosages are usually smaller. Effectiveness is typically apparent within one to two weeks of treatment.

Triamcinolone does not provide immediate relief from respiratory difficulties, but helps alleviate symptoms. Long-term treatment with this drug (months to years) is sometimes prescribed to control asthma.

Possible side effects may include a dry mouth or throat, fluid retention, hoarseness, wheezing, skin rash, headache, memory loss, weight loss, nasal irritation or congestion, nosebleed, sneezing, or fungal infections in the mouth or throat.

Patients with bronchitis or a systemic fungal infection should not use this drug. It should be used with caution by patients with diabetes, glaucoma (an eye disorder), peptic ulcer, myasthenia gravis (muscle weakness), or a history of tuberculosis. Its safety for pregnant or breast-feeding women has not been adequately studied. Unvaccinated patients taking triamcinolone should avoid exposure to chicken pox and measles.

This drug may interact adversely with bronchodilators (both inhaled and tablet forms), warfarin, diabetes drugs (including insulin), digoxin, phenytoin, carbamazepine, and primidone. Treatment with triamcinolone should not be stopped abruptly because it may trigger a dangerous imbalance in the body’s endocrine system.

Brand Names:Azmacort, Nasacort

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